Denial Management Puzzle

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Across
  1. 4. : Payer's notice of payment and adjustments
  2. 6. : Review of records to ensure billing accuracy
  3. 11. : Payment received is less than expected
  4. 13. : Formal request to review and overturn a denial
  5. 14. : Code added to CPT to provide more detail
  6. 15. : Document showing explanation of benefits from insurer
  7. 16. : Assigning appropriate diagnosis and procedure codes
  8. 17. : Verification of insurance coverage
  9. 18. : Reason code assigned by payer to a denied claim
Down
  1. 1. : Amount modified or written off from a charge
  2. 2. : Entity responsible for paying the claim
  3. 3. : Justification for why a service was required
  4. 5. : Deadline by which a claim must be submitted
  5. 7. : Written document supporting a claim reconsideration
  6. 8. : Request for reimbursement from a health payer
  7. 9. : Approval needed before a service is provided
  8. 10. : Immediate refusal of a claim due to error
  9. 12. : Refusal of payment by an insurance company