Across
- 1. Itemized statement of healthcare services and their costs submitted for reimbursement to healthcare insurance plans
- 5. Amount of money paid to insurer periodically in return for healthcare coverage
- 7. Computer program that assigns inpatient cases to groups by diagnosis to determine the Medicare reimbursement rate
- 8. Model of HMO employs physicians and healthcare professionals to provide healthcare services to members
- 12. Practice of using multiple codes to bill for various individual steps in a single procedure rather than using a single code that includes all the steps
- 13. Healthcare Program for active duty armed forces and retirees, guard, reserve, and their dependents
- 17. Medical condition coexsisting with primary cause for hospitalization and affects treatment or length of stay
- 19. Lists the individual charges for every element in providing a service
- 21. Health administration for the retired armed forces
- 22. Federally funded health program for Americans 65 years of age and older
- 23. Model of HMO that is created when physicians join together in an organized group to fulfill a contract while retaining individual practices
Down
- 1. Progam for dependents and survivors of disabled veterans
- 2. Entitlement program that oversees medical assistance for individuals and families with low incomes and limited resources
- 3. purpose is to obtain a higher level of payment
- 4. private health insurance pays healthcare service charges not covered by Medicare Part A or B
- 6. Model of HMO which providers agree to devote a fixed percentage of their practice time to the HMO
- 9. Issues payments to healthcare providers on charges assigned to each of the separate services that were performed for the patient
- 10. Preestablished percentage of eligible expenses after the deductible has been met
- 11. Payments are issues that are considered customary for the community and reasonable for the situation
- 14. A type of short-term care provided to relieve the family home caregiver
- 15. Method of healthcare reimbusement which an insurance carrier prepays a provider a fixed amound for a given population without regard to the actual number or nature of healthcare services provided to the population
- 16. Payment system where amount due is determined before the service is rendered
- 18. Provides healthcare services to American Indians and Alaska natives
- 20. A holder of a health insurance policy
- 24. A reimbursement method used to issue payments in lump-sums to providers to compensate them for all the services rendered to a patient for an illness during a specific time period
- 25. Model of healthcare services contracted with two or more multispecialty group practices