Across
- 1. Accounts that have been sent to a collection agency for further action
- 3. Used to note an account and perform additional actions
- 5. Where are documents such as an insurance card, orders, consent forms, stored in Epic
- 7. Account class in which the patient requires a higher degree of nursing and physician care
- 8. Part of Medicare that covers inpatient care
- 11. Individual who is responsible for the bill
- 12. Any service received at a hospital or clinic that is not an inpatient status. Includes ER, observation, and ancillary services
- 13. What is Renown's trauma designation
- 16. Medicare Advantage that is in network with Renown
- 17. A code used for billing that describes the patient's condition
- 18. Portion of the bill, as defined by the insurance company which the patient owes
- 20. What is the total amount of a check called
- 22. This officer for our hospital makes sure everyone knows and follows government regulations
- 25. What is a 837i
- 27. A person who is a policy holder of the insurance
- 28. National Provider Identification
- 29. Where do you update guarantor demographic information
- 30. The percentage a patient pays when the health plan pays less than 100% for covered services
Down
- 1. If a child is covered by both parents what is the filing order rule
- 2. When babies are born early and/or are having health problems where do they stay
- 4. A bill for any healthcare service
- 5. Medicare Secondary Questionnaire
- 6. What was Renown's prior name
- 9. What is it called when we receive separate payment for a line item outside of a per diem or case rate
- 10. What is the name for adjustment code 3011
- 14. What is it called when we ask our payer to review our claim again for payment
- 15. Federal health insurance program which covers senior citizens and disabled persons
- 19. The note received from the insurance company after getting medical services from a doctor or hospital. It tells what was billed, the payment amount approved or denied by the insurance, and what the patient must pay
- 21. What is an 835
- 22. This is the abbreviation for a large governmental organization that oversees the administration of Medicare and Medicaid
- 23. What is it called when we request formal action with the payer because our reconsideration was upheld
- 24. What is the HAR status while the patient is in the hospital
- 26. What is the portal called for Medicaid eligibility