Sports Medicine- Legal and Ethical Concerns

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Good Samaritan Law

a law that protects individuals that attempt to render aid to injured person(s) when the aid is being given in good faith

Tort

a wrongful act committed by a person against another person or that person's property and requires that person to be compensated for the damages

Gross Negligence

care provider has total disregard for safety of others

Family Health Insurance

cover family, but may not cover all services needed by the individual

Professional Liability Insurance

covers claims of negligence on the part of individuals

Nonfeasance ( acts of omission )

failure to act when there is a duty to act

Medicare

federal health insurance program for the aged and disabled

Capitation

form of reimbursement used by managed care providers in which members make a standard payment each month regardless of how much service is rendered to the member by the provider

NPI

government issued identification number for individual health care providers and provider organizations

Medicaid

heath insurance program for people with low incomes and limited resources

Third-Party Reimbursement

involves reimbursement by the policyholder's insurance company for services performed by health care professionals

Workers Compensation

laws and benefits for injured workers mandated by the states

Product Liability

liability of any or all parties along the chain of manufacture of any product for damage caused by that product

Who are the only entities that receive third-party reimbursement ?

licensed healthcare providers , Certified Athletic Trainer

Foreseeability of Risk

making sure environment and equipment is safe

Secondary Health Insurance

pay the remaining bills once personal insurance company has made its payments

Morals

principles or values that influence behavior

Ethics

principles put in place by the NATA to maintain high standards of care and professionalism in the profession

PPO

provide discount health care but also limit where a person can go for treatment of an illness/injury

HMO

provide preventive measures and limit where the individual can receive care

Standard of reasonable care

requires that an athletic trainer act according to the same standards of an individual with similar educational background or training

Statue of Limitations

sets a specific length of time that individuals may sue for damages from negligence

Liability

the act of taking responsibility for an action that has caused bodily harm to another person

Misfeasance

the performance of a lawful act in an improper manner

Malfeasance ( acts of commission )

the performance of an act that should not be performed

Act of God

uncontrollable, mother nature

CPT Codes

used to identify specific medical procedures used in treating a patient

Negligence

when a person fails to act when there was a duty to act or when a person invades another person's interests

Assumption of Risk

when a person knows that an activity in which they are participating could potentially cause harm to them, and they still chose to participate in the activity and will not be compensated for any injury that they sustain

What 4 things must be present for a person to be found negligent ?

1. a duty of care existed 2. person fell short of the standard of care 3. an injury or harm came to the person 4. personal, property, or punitive damages resulted

How many parts does Medicare have ?

4

General Health Insurance

Insurance policies that will cover illness, hospitalization, and emergency care

Sovereign Immunity

Neither the government nor any individual who is employed by the government can be held liable for negligence

Accident Insurance

Often covers accidents on school grounds while the student is in attendance or accidents that occur in the workplace

Catastrophic Insurance

Provides medical, rehabilitation, and transportation costs in excess of $10,000 not covered by other insurance benefits


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