Access Week Crossword Puzzle

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Across
  1. 3. Questionnaire used to identify the primary payor over Medicare
  2. 5. Joint federal and state program to provide medical insurance for the poor
  3. 9. Medical bills
  4. 10. Federal health insurance plan primarily for seniors
  5. 12. Enforcement arm of CMS whose mandate is to fight waste, fraud, and abuse
  6. 13. Unique Physician Identifier
  7. 14. Principal (Physician; 1st (Payor)
  8. 19. Diagnosis coding system
  9. 20. An insured individual is legally obligated to pay for services rendered by a provider
  10. 22. Physicians written or verbal instruction directing a patients diagnostic and therapeutic treatment
  11. 23. An organization that administers health insurance plans or claims but does not assume the risk(TPA)
Down
  1. 1. Payment for insurance coverage
  2. 2. Medical Doctor
  3. 4. _Health Information (PHI- protected by HIPAA)
  4. 6. System similar to DRGs used for outpatient services
  5. 7. Create a registration record for a future inpatient service
  6. 8. EMTA_A (What does the L in EMTALA stand for
  7. 10. Questionnaire to determine primary payor before Medicare
  8. 11. Per _ (Day)
  9. 14. Insurance plan that provides its members with incentives to use designated healthcare providers
  10. 15. form used in managed care plans for the PCP's authorization for certain specialist and certain services
  11. 16. Surveyors and evaluate an organization's performance of functions and processes aimed at continuously improving patient outcomes.
  12. 17. Having a short relatively severe course
  13. 18. Document educating patients about insurance coverage payments or denials
  14. 21. Setting for inpatient care