Mid-Term Billing & Coding Terri Ramsey

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Across
  1. 3. Open HMO reduces restrictions and allows members to choose providers who are not in HMO network
  2. 6. Plan that protects from loss
  3. 8. Coordination of benefits rule for a child insured under both parents plans
  4. 9. Ideal tool for calculating charges due at the time of service
  5. 10. Word that identifies a disease or condition in the Alphabetic Index
  6. 11. One of HIPPA's National Identifiers
  7. 12. Health plan, clearinghouse, or provider who transmits any health information in electronic form
  8. 15. Abbreviation indicating the code to use when a disease or condition cannot be placed in any other category
  9. 16. Failure to use professional skill when giving medical services that results in injury or harm
  10. 18. Provider who treats a pt face-to-face
Down
  1. 1. Process by which a pt authorizes medical treatment after a discussion with a physician
  2. 2. The step in the Medical Billing Cycle where you prepare and transmit claims
  3. 4. Authorization number given to the referred physician
  4. 5. Codes are used to track performance measures for a medical goal such as reducing tobacco use
  5. 7. Number appended to a code to report particular facts
  6. 12. Procedures included in benefits in a health plan
  7. 13. Method of converting a message into encoded text
  8. 14. Account software used for scheduling appointments, billing, and financial record keeping
  9. 17. Provider who agrees to provide medical services to a payer's policyholders according to a contract
  10. 19. Name or phrase formed from or based on a person's name