Mid-Term B&C Mahogany

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Across
  1. 4. protection from loss
  2. 7. process- prior authorization from a payer for services to be provided.
  3. 8. electronic medical records.
  4. 10. individually identifiable health info that is transmitted or maintained by electronic media.
  5. 12. person who buys an insurance plan
  6. 14. entity- under HIPAA, a health plan, clearinghouse, or provider who transmit any health info in electronic form in connection with a HIPAA transaction.
  7. 15. failure to use an acceptable level of professional skill when giving medical services that result in injury or harm to a patient.
  8. 16. under HIPAA, patients' protected health info may be shared without authorization for the purposes of treatment, payment, and operations.
  9. 18. name or phrase that is formed from or based on the person's name
Down
  1. 1. the recognition of a person demonstrating a superior level of skill on a national test by an official organization.
  2. 2. method in which a prepayment covers the providers services to a plan member for a specified period of time
  3. 3. services-medical procedures that are not included in a plans benefit
  4. 5. care- system that combines the financing anf the delievery of appropriate, cost-effective healthcare services to its members.
  5. 6. a computerized lifelong healthcare record for an individual that incorporates data from all sources.
  6. 9. party player- private or gov't organization that insures or pays for healthcare on the behalf of the beneficiaries.
  7. 11. number-authorization number given by a referring physican to the referred physican.
  8. 12. health plan or program.
  9. 13. an amount that an insured person must pay, usually on an annual basis.
  10. 17. rule- coordination of benefit rule for a child insured under both parents' plans under which the fathers' insurance plan is primary.