Patient Access Week 2025

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Across
  1. 4. The percentage of medical costs for which the patient is responsible after they have met their deductible
  2. 6. This law protects patients from being turned away or having their plan of care altered based on their ability to pay in the Emergency Room
  3. 8. ____________ of Benefits refers to the order in which a patient's coverages are billed when they have more than one plan
  4. 10. ___________ Manager houses documents scanned in at UH facilities or uploaded by the patient
  5. 12. A flat-rate fee for specific medical services, the value of which is determined by the patient's individual insurance provider
  6. 13. This document is required to be signed by any patient who has Medicare coverage and is being admitted under INPATIENT status
  7. 15. An approximate cost of scheduled exams or procedures calculated by Epic and provided to the patient to help them prepare for their financial responsibility
  8. 17. This document is required to be signed by any patient who has Medicare coverage and is being held under OBSERVATION status
Down
  1. 1. The set monthly rate that a patient pays to remain enrolled in their medical insurance program
  2. 2. The Out of ___________ Maximum is the most money a patient can be required to contribute toward medical expenses in a calendar year as determined by their insurance provider
  3. 3. This tool helps us search for active plans when the patient is unable to provide details about their coverage
  4. 5. The amount of money that the patient must contribute toward medical expenses before their insurance begins to pay (usually an annual amount)
  5. 7. The form that patients must complete at their initial visit when filing a claim with the Bureau of Worker's Compensation for a work-related accident or illness
  6. 9. This law protects patients' rights to privacy and outlines specific circumstances in which Protected Health Information can be accessed or shared
  7. 10. The virtual patient portal where patients can schedule appointments, request medication refills, view clinical documents, and much more!
  8. 11. Founded in 1974, this association is the home of Patient Access best practice and subject matter expertise. This is the accrediting party for the CHAA certification.
  9. 14. What nearby hospital system is in-network with United Healthcare Marketplace insurance?
  10. 16. This agreement informs the patient that their exam or procedure does not meet CMS medical necessity standards and therefore may result in an insurance denial. The patient agrees to take financial responsibility if the insurance refuses to cover the service.
  11. 17. The CMS questionnaire that is required to be reviewed with all patients who have Medicare A/B coverage to determine if Medicare is primary