Denial Management Puzzle

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Across
  1. 2. : Code added to CPT to provide more detail
  2. 3. : Assigning a higher-level code than necessary
  3. 5. : Document showing explanation of benefits from insurer
  4. 6. : Request for reimbursement from a health payer
  5. 9. : Reviewing claims for errors before submission
  6. 10. : Reason code assigned by payer to a denied claim
  7. 12. : Immediate refusal of a claim due to error
  8. 13. : Written document supporting a claim reconsideration
  9. 15. : Amount modified or written off from a charge
  10. 16. : Refusal of payment by an insurance company
  11. 18. : Approval needed before a service is provided
  12. 19. : Deadline by which a claim must be submitted
Down
  1. 1. : Entity responsible for paying the claim
  2. 2. : Justification for why a service was required
  3. 4. : Payer's notice of payment and adjustments
  4. 7. : Payment received is less than expected
  5. 8. : Review of records to ensure billing accuracy
  6. 11. : Assigning appropriate diagnosis and procedure codes
  7. 14. : Verification of insurance coverage
  8. 17. : Formal request to review and overturn a denial