Jennifer McConaghy-Fleck:Chapter 1 and 2

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Across
  1. 5. Failure to use an acceptable level of preofessional skill when giving medical services that results in injury or harm to a patient.
  2. 9. State-specified performance measures for the delivery of healthcare by medical professionals.
  3. 10. An organisation that assumes the risks of paying for health insurance directly and sets up a fund from which to pay.
  4. 12. Under HIPAA, a health plan, clearinghouse, or provider who transmits any health information in electronic form in connection with a HIPAA transaction; does not specifically include workers' compensation programs, property and casualty programs, or disability insurance programs.
  5. 13. Standards of professional behavior.
  6. 15. A medical practice's written plan
Down
  1. 1. A person or organization that performs a function or activity for a covered entity but is not part of its workforce.
  2. 2. An order of a court directing a party to appear, to tesify, and to bring specified documents or items.
  3. 3. Under HIPAA, unique ten-digit identifier assigned to each provider by the National Provider System.
  4. 4. Centers for Medicare and Medicaid Services is a Federal agency within the Department of Health and Human Services (HHS) that runs Medicare, Medicaid, clinical laboratories(under the CLIA program), and other government health programs.
  5. 6. A order of a court for a party to appear and testify in a court of law.
  6. 7. Person who makes an accusation of fraud or abuse in a 'qui tam' case.
  7. 8. Record of all charges, payments, and adjustments made on a particular patient's account.
  8. 11. An HMO plan thatpermits patients to receive medical services from non-network provider's, requires a larger patient payment than visits with network providers.
  9. 14. A method of scrambling transmitted data so it cannot be deciphered without the use of a confidential process or key.