What is the case in which an MCO was held liable for damages caused by negligent credentialing? -
✔✔
McClellan v HMO of PA
What is the case that led to statues giving immunity to MCOs to protect them from tort liabilty? -
✔✔
Harrell v Total Healthcare
What is the landmark case of peer review and reporting allegedly substandard practice to eliminate
competition? -
✔✔
Patrick v Burget
Appealed from district to Supreme court who upheld.
What are examples of cases for peer review actions based on behavior rather than professional
competence? -
✔✔
Miller v Eisenhower
Rao v Auburn
What does HCQIA stand for and what year passed? -
✔✔
Healthcare Quality Improvement Act
1986
Is peer review of allied health professionals protected by HCQIA? -
✔✔
no
What are five rights of physician/dentist in hearing? -
✔✔
Representation by attorney
Record made of proceedings (pay for copies)
To call, examine, and cross-examine witnesses
To present evidence determined relevant by hearing officer
To submit written statement at close of hearing
What are two rights of physician/dentist at completion of hearing? -
✔✔
Receive written
recommendation of hearing body
Receive written decision of the entity including statement of basis for decision
