Hospital Medical Billing - What You Need To Know

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Across
  1. 5. Payment system initiated by Medicare for hospitals.Fee for Service
  2. 10. Organizes patient data for billing. Charge Description Master
  3. 13. A fixed rate per day for all services provided.Per Diem
  4. 17. Patient classification method that categorizes diagnoses and treatments into groups. Diagnosis Related Group
  5. 19. The main database of all hospital's patients. Master Patient Index
  6. 20. A detailed narrative of each procedure.Procedure Description
  7. 23. A department in a hospital that performs outpatient services. Ambulatory Surgical Center
  8. 25. The standard fee for a service or procedure. Charge
  9. 26. Type of care that does not require an overnight stay. Outpatient Care
  10. 27. Completing and signing hospital records within a specific time frame (3-_days).
  11. 29. Detailed narrative of each service. Service Description
Down
  1. 1. Technical system used for patient information.Health Information System
  2. 2. Checks the completeness of a patient's medical record. Discharge Analyst
  3. 3. The oldest method for paying for medical services. Cost Outliers
  4. 4. Three-digit code representing a specific accommodation, service, or billing calculation. Revenue Code
  5. 6. Information system that integrates with electronic health records. Electronic Medical Records
  6. 7. Determines reimbursement based on the case mix index.Case Mix Index
  7. 8. Full DRG rate plus additional payment for atypical situations. Cost Outliers
  8. 9. Three basic reimbursement methods for inpatient and outpatient hospital services. Prospective Payment System
  9. 11. of payers that hospitals negotiate fees with.Types of Payers
  10. 12. Another form of the prospective payment system. Diagnosis Related Group
  11. 14. Patient classification based on diagnoses and treatment.DRG Classification
  12. 15. Detailed narrative of each procedure. Procedure Description
  13. 16. Used to address deficiencies in the electronic medical record. DeficiencyNotation
  14. 18. The unique number assigned to each hospital admission. Patient Control Number
  15. 21. Form used to submit claims for inpatient and outpatient services. UB-04
  16. 22. The process of collecting patient information.Registration
  17. 24. Represents the average resources necessary to provide services for a specific diagnosis. Relative Weight
  18. 28. An unethical practice of coding for a more severe diagnosis than indicated.DRG Creep