| Terms |
Definitions |
|
PHO
|
Physician-Hospital Organization (PHO) A PHO is a joint venture between a hospital and some or all of the physicians who have admitting privileges at the hospital.
|
|
inter
|
between (intervertebral means between two vertebrae, as an intervertebral disc)
|
|
accreditation
|
Official authorization or approval for conforming to a specified standard.
|
|
certification
|
A voluntary credentialing process whereby applicants who meet specific requirements may receive a certificate.
|
|
TPA
|
Third-Party Administrator (TPA) A firm that performs administrative functions (e.g., claims processing, membership) for a self-funded plan or a start-up MCO.
|
|
indemnity
|
A traditional form of health insurance that covers the insured against a potential loss of money from medical expenses for an illness or accident.
|
|
plaintiff
|
The complaining party in a lawsuit.
|
|
negligence
|
An unintentional tort alleged when one may have performed or failed to perform an act that a reasonable person would or would not have done in similar circumstances.
|
|
para, peri
|
around, near, close to, about [parascapular, periarticular] (para-can also mean beyond, the opposite, abnormal, irregular[parapsychology])
|
|
expressed contract
|
Explicitly stated in written or spoken words.
|
|
managed care
|
A system in which financing, administration, and delivery of health care are combined to provide medical services to subscribers for a prepaid fee.
|
|
defendant
|
The person or party against whom charges are brought in a criminal or civil lawsuit.
|
|
criminal law
|
Law that involves crimes against the state.
|
|
executive order
|
Order issued by the president that becomes law without Congressional approval.
|
|
common law
|
The body of unwritten law developed in England, primarily from judicial decisions based on custom and tradition.
|
|
jurisdiction
|
The power and authority given to a court to hear a case and to make a judgment.
|
|
ambulatory-care setting
|
Medical care provided in a facility such as a medical office, clinic, or out-patient surgical center for patients who can walk and are not bedridden.
|
|
associate practice
|
A medical management system in which two or more physicians share office space and employees but practice individually.
|
|
misdemeanor
|
A crime punishable by fine or by imprisonment in a facility other than a prison for less than one year.
|
|
group practice
|
A medical management system in which three or more licensed physicians share the collective income, expenses, facilities, equipment, records, and personnel for the business.
|
|
law of agency
|
The law that governs the relationship between a principal and his or her agent.
|
|
mentally incompetent
|
Unable to enter into a legal contract because of mental impairment.
|
|
point-of-service plan (POS)
|
A health care plan that allows members to seek health care from nonnetwork physicians but pays the highest benefits for care when it is given by the PCP or via a referral from the PCP.
|
|
National Practitioner Bank (NPDB)
|
A repository of information about health care practitioners, established by the Health Care Quality Improvement Act of 1986.
|
|
preferred provider organization(PPO) or preferred provider association (PPA)
|
A network of independent physicians, hospitals, and other health care providers who contract with an insurance carrier to provide medical care at a discount rate to patients who are part of the insurer's plan.
|
|
endorsement
|
The process by which a license may be awarded based on individual credentials judged to meet licensing requirements in a new state.
|
|
statutory law
|
Law passed by the U.S. Congress or state legislature.
|
|
breach of contract
|
May be charged if either party fails to comply with the terms of a legally valid contract.
|
|
checks and balances
|
The division of power among the three branches of government that keeps any one branch from assuming too much power.
|
|
Healthcare Integrity and Protection Data Bank (HIPDB)
|
Established by HIPAA. A national health care fraud and abuse data collection program for the reporting and disclosure of certain adverse actions taken against health care providers, suppliers, or practitioners.
|
|
Durable Medical Equipment (DME)
|
Devices which are very resistant to wear and may be used over a long period of time. DME includes items such as wheelchairs, hospital beds, artificial limbs, etc.
|
|
third party payor contract
|
A written agreement signed by a party other than the patient who promises to pay the patient's bill.
|
|
cad
|
computer-aided design.
|
|
obfuscate
|
to make obscure or unclear:
|
|
data
|
a body of facts; information:
|
|
upload
|
to transfer (software, data, character sets, etc.) from a smaller to a larger computer.
|
|
virus
|
a segment of self-replicating code planted illegally in a computer program, often to damage or shut down a system or network.
|
|
basic
|
a widely adopted programming language that uses English words, punctuation marks, and algebraic notation to facilitate communication between the operator or lay user and the computer.
|
|
bit
|
a single, basic unit of information, used in connection with computers and information theory.
|
|
loop
|
the reiteration of a set of instructions in a routine or program.
|
|
ocr
|
the process or technology of reading data in printed form by a device
|
|
recursion
|
the process of defining a function or calculating a number by the repeated application of an algorithm.
|
|
object oriented
|
pertaining to or denoting a system, programming language, etc., that supports the use of objects, as an entire image, a routine, or a data structure.
|
|
profile
|
the outline or contour of the human face, esp. the face viewed from one side.
|
|
gigabyte
|
a measure of storage capacity equal to 1 billion (109) bytes.
|
|
concatenate
|
to link together; unite in a series or chain.
|
|
icon
|
a picture or symbol that appears on a monitor and is used to represent a command, as a file drawer to represent filing.
|
