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Across
  1. 1. DME stands for ___Medical Equipment.
  2. 8. Advanced ______ Nurse is a an umbrella term that describes a registered nurse (RN).
  3. 9. ____Health Insurance is a coverage beyond basic and major medical coverage for severe and prolonged illness, which poses the treat of financial ruin.
  4. 10. Minimum ___ Coverage is a type of coverage an individual needs to have to meet the individual responsibility requirement under the Affordable Care Act.
  5. 11. Social Security ____ Income (SSDI) is the income payable by the federal government to individuals who are determined to be totally disabled.
  6. 12. Patient-Centered ______Research Institute (PCORI): Institute authorized by the ACA to conduct comparative effectiveness research.
  7. 15. Third Party _____ is an individual or firm hired by an employer to handle claims processing, pay providers and manage other functions related to the operation of health insurance.
Down
  1. 2. Modified _______ Gross Income (MAGI) is the figure used to determine eligibility for lower costs in the Marketplace/Exchange and for Medicaid.
  2. 3. A___ Condition Insurance Plan (PCIP) is health insurance program created by the ACA that provided coverage for individuals that were uninsured,had pre-existing conditions and were denied health coverage as a result.
  3. 4. Medicare _____is a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Medicare Part A and Part B benefits.
  4. 5. _____ Medical Center is a partnership uniting a medical school, a hospital, and physician groups for the purpose of educating and training medical students, as well as conducting research.
  5. 6. American _____Health Care Commission - AAHCC is an important quality "seal of approval" for provider networks and managed care organizations.
  6. 7. The ___provider Organization is a form of PPO in which patients must visit a caregiver thatis on its panel of providers.
  7. 13. The Affordable Care Act sets minimum medical ____ ratios for different markets, as do some state laws.
  8. 14. Skilled____Facility is a rehabilitation services provided on a continuous, daily basis.
  9. 16. Small Business Health ____Program is the Marketplace/Exchange available to small businesses under the Affordable Care Act.