Mid-Term B&C (Amber)

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Across
  1. 4. health plans often referred to
  2. 6. legislation for the privacy of patients health information
  3. 7. fixed pre-pymt to a provider for all necessary contracted services provided to each plan member
  4. 8. consent process by which a patient authorizes medical treatment after a discussion with a physician:it helps the physician gather the necessary info for a treatment plan, and helps the physician to diagnose properly
  5. 10. records single providers; records of patients
  6. 12. recognition of a superior level of skill by an official organization
  7. 15. protection against loss
  8. 18. HMO, PPO, POS, CDHP
  9. 21. standards of behavior requiring truthfulness, honesty, and integrity
  10. 22. an individual and health plan(insurance co)
  11. 23. health plan clearinghouse or provider who transmits any health information in electronic form
  12. 24. preregister pateints, establish financial responsibility, check in patients, review coding compliance, review billing compliance, check out patients, prepare and transmit claims, monitor payer adjudication, generate patient statements, follow up payments and collections,
  13. 25. health plans, healthcare providers, and healthcare clearinghouses
Down
  1. 1. any individually identifiable health information that is transmitted or maintained by electronic media
  2. 2. private or government organization that insures or pays for health care on behalf of beneficiaries
  3. 3. records lifelong computerized healthcare records for individuals that incorporate data from all sources that treat the individual
  4. 5. failure to use professional skill when giving medical services that result in injury or harm
  5. 9. restricted choice of providers and treatments in exchange for lower premiums, deductibles, and other charges
  6. 11. the amt that the insured pays on covered services before benefits begin
  7. 13. standards of professional behavior
  8. 14. services not paid
  9. 16. form will include patients name, encounter date and reason, diagnosis, appropriate history and physical examination
  10. 17. Subjective info from the patient, Objective data such as examination &/or test results, Assessment of the patients diagnosis, Plan intended course of treatment Important bc it helps keep the provider uptodate on the patients diagnosis and treatments for further evaulation
  11. 19. schedule of benefits
  12. 20. practice management programs