Across
- 5. IP is the abbreviation for
- 7. A tool that provides patients with an accurate estimate of their financial responsibility for desired medical services.
- 11. The professional's time in patient care compared to the number of hours worked.
- 12. The amount of money a person pays before their insurance policy starts paying for covered expenses.
- 13. A written order from a primary care provider (PCP) to a patient to see a specialist or another provider.
- 14. The expenses a patient pays for medical care that are not covered by their health insurance plan.
- 15. A health plan process that requires a health care provider to get approval from a health insurer before providing a service.
Down
- 1. The percentage of a covered health care service's cost that a patient pays after meeting their deductible.
- 2. When an insurance company or payer refuses to pay for some or all of a medical claim.
- 3. A request for approval to an insurance company for a service that has already been provided to a patient.
- 4. EHR System SSM uses
- 6. A preliminary pre-authorization number from a patient's insurance payer
- 8. A fixed amount you pay for a covered health care service after you've paid your deductible.
- 9. A short, stand-up meeting that teams use to manage quality and safety, and to improve patient outcomes.
- 10. A request to an insurance company or the Health Insurance Marketplace to review a decision that denies a benefit or payment.