IRoberts chapter 1&2

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Across
  1. 1. consumer-driven health
  2. 3. point of service
  3. 8. state-specified performance measures for the delivery of health care by medical professionals
  4. 11. electronic data interchange
  5. 12. health maintenance organization
  6. 13. national provider indentifier
  7. 14. persons who makes an accusation of fraud or abuse in a qui tam case
Down
  1. 1. a prepayment covering providers services for a plan member for a specified
  2. 2. standards of professional behavior
  3. 4. centers for medicar and medicaid services
  4. 5. record of all charges, payments, and adjustments made on a particular patients account
  5. 6. prior authorization form a payer for services to be provided
  6. 7. failure to use an acceptable level of professional skill when giving medical services that results in injury or harm to a patient
  7. 9. medical data from which individual identifiers have been removed: also known as a redacted or blinded record
  8. 10. a method of scrambling ransmitted data so it cannot be deciphered without the use of a confidental process or key