Coding 101

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Across
  1. 3. Professionals responsible for translating medical reports into codes
  2. 6. A statement sent to a patient explaining insurance payment (abbr.)
  3. 7. A step coders take when seeking more details from providers
  4. 10. Added to a CPT code to provide additional details
  5. 11. The entity that pays for medical services (insurance company)
  6. 13. A system for risk adjustment and payment models (abbr.)
  7. 15. The grouping of related codes for billing purposes
  8. 16. A request for payment submitted to an insurance company
  9. 18. A federal law protecting patient information (abbr.)
  10. 20. Assigning a higher-level code than what was documented
  11. 21. A document listing services and codes used for billing
  12. 24. When an insurance company refuses to pay a claim
  13. 25. The process of charging for medical services
  14. 26. Assigning a lower-level code than necessary
  15. 28. Coding system used for reporting diagnoses (abbr.)
  16. 29. A structured format for medical documentation (abbr.)
  17. 30. Local policies determining coverage for Medicare services (abbr.)
  18. 32. Another term for prior authorization in medical billing
  19. 33. What coders assign for services performed by providers
Down
  1. 1. Extracting key details from medical records for coding
  2. 2. A billing term for procedures covered under a single payment
  3. 4. The correct order of coding diagnoses and procedures
  4. 5. A review process ensuring medical records match billed codes
  5. 8. Payment received for medical services
  6. 9. The potential consequence of incorrect coding on a claim
  7. 12. Codes used for supplies and services not covered by CPT (abbr.)
  8. 14. Ensuring adherence to rules and regulations in coding
  9. 17. A doctor assigns this based on a patient’s symptoms
  10. 19. A healthcare entity that delivers services (e.g., hospital, doctor)
  11. 22. Unique identifier for healthcare providers (abbr.)
  12. 23. Government-funded insurance for low-income individuals
  13. 24. A system that classifies hospital stays for payment (abbr.)
  14. 27. Standardized code set for medical procedures (abbr.)
  15. 31. A reference book containing all medical codes