Chapter 8 - Revenue for Health Care Services

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Across
  1. 3. items that are not covered by a healthcare plan
  2. 4. The amount an insured person is expected to pay for a medical expense at the time of visit
  3. 7. insurance type that only takes effect after a significant amount (>$75,000)
  4. 9. health insurance program designed for people with low incomes. Funded by the federal govt. and individual states/benefits vary from state to state.
  5. 10. a periodic payment one pays to an insurance company in return for coverage
Down
  1. 1. federal health insurance program for aged/disabled. upsidizes costs of prescription drugs
  2. 2. amount the insured is required/obligated to pay. A clause in an insurance policy that relieves the insurer of responsibility to pay the initial loss up to a stated amount
  3. 4. list of codes published by the American medical association that represents the vast majority of medical procedures.
  4. 5. hybrid medical insurance combining elements of HMO (health maintenance organization) and FFS (fee-for-service). A managed care plan that offers the patient the option to see a doctor who does not contract with the insurance company; the patient pays a higher fee to use this option.
  5. 6. list of diagnostic codes required for all third-party billing.
  6. 8. group insurance that entitles members to services of participating hospitals and clinics and physicians