A Physician Is Undergoing Professional Peer Review Related to an Incident

question 6

Multiple Choice

A physician is undergoing professional peer review related to an incident of fraud in his practice. Which federal law requires that professional peer review action be taken in this case and also limits the damages for the professional review?

• A) Health Care and Education Reconciliation Act
• B) Health Insurance Portability and Accountability Act
• C) Healthcare Integrity and Protection Data Bank Act
• D) Patient Protection and Affordable Care Act
• E) Health Care Quality Improvement Act

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Definitions:

Assessment of Needs

The evaluation process used to determine the requirements or deficiencies of an individual or population.

Follow-Up

The act of continuing to engage with a situation or individual to check progress or further outcomes.

Service Delivery

The mechanism by which organizations provide their services or products to consumers, including the processes, infrastructure, and resources involved.

Terminating Case Management

The process of concluding the professional relationship between a case manager and their client, usually after achieving predetermined goals.