Day 2

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Across
  1. 1. This is billed on a 1500 claim form
  2. 4. pricing that is set by the government
  3. 5. this is the amount of money that a claim needs to meet before a payment can be made
  4. 8. This type of pricing is the set amount for a specific service
  5. 10. All Rev codes that meet or exceed the threshold amount will have the cumulative charges paid at a % of charges.
  6. 11. pricing know as OPPS
  7. 12. Facility pricing that takes DRG/Days and other factors into account
  8. 13. Facilities bill on this
  9. 14. This type of pricing uses time or non-time based calculations
Down
  1. 2. another name for UB04 claim
  2. 3. This type of service will also be billed on a 1500 claim form
  3. 6. All charges in excess of the threshold will be paid at a % of charges
  4. 7. Also known as Gap pricing
  5. 9. Another name for HCFA claims