health law quiz 4

Each question is to be answered by a minimum 300-word response, with the total quiz length of no less than 600 words

1.)After examining Hall v. Hibun, define the local standards rule and the national standards rule and explain why (via Justice Robertson’s reasoning) the courts have begun to adopt the national standards rule over the local rule when determining the appropriate level of care imposed upon the medical provider.

2.)What duties, if any, fall to a treating physician when a third-party payor (whether an insurance company or not) fails to advocate on behalf of the patient to gain approval of the prescribed treatment or services the physician in good faith believes is reasonably medically necessary for the patient’s care?