Across
- 2. being covered by both Medicaid and Medicare.
- 4. a medical code set that is used to report medical, surgical, and diagnostic procedures and services.
- 6. cloud-based human resources program that includes time and attendance tracking, absence management, expense management, job costing and employee scheduling.
- 8. a person requesting information on behalf of a member.
- 9. a federal and state program that helps with healthcare costs for some people with limited income and resources.
- 11. telephone interpreter service
- 14. the person who pays for health insurance premiums or whose employment is the basis for membership in the insurance plan.
Down
- 1. an approval process for requested medical services, by patient or provider, to determine if the services are medically necessary
- 3. a substance used to stimulate the production of antibodies and provide immunity against one or several diseases, prepared from the causative agent of a disease, its products, or a synthetic substitute, treated to act as an antigen without inducing the disease.
- 4. the practice of ensuring that insurance claims are not paid multiple times, when an enrollee is covered by two health plans at the same time.
- 5. a metric that measures a contact center's ability for its agents to resolve a customer's inquiry or problem on the first call (abbr).
- 7. this government program provides low cost health coverage for children in families that are not eligible for Medicaid.
- 10. equipment and supplies ordered by a health care provider for everyday or extended use. Coverage may include: oxygen equipment, wheelchairs, crutches or blood testing strips for diabetics.
- 12. used to track the time that call center agents are not taking calls.
- 13. a bill a provider sends anthem to request payment after providing services to a Medicaid patient.