Across
- 5. alphanumeric ICD-9-CM code for an external cause of injury or poisoning
- 8. clinician who treats the patient face-to-face
- 9. authorization number given by a referring physician to the referred physician
- 12. the amount that a patient has to pay out of pocket before the insurance benefits begin
- 13. private of government organization that insures or pays for healthcare on the behalf of beneficiaries
- 15. intentional deceptive act to obtain a benefit
- 16. the first-listed diagnosis
- 19. failure to use an acceptable level of professional skill when giving medical services that results in injury or harm to a patient
Down
- 1. action that improperly uses another person’s resources
- 2. medical billing program report given to a patient that lists the diagnoses, services provided, fees, and payments received and due after an encounter
- 3. coordination of benefits rule for a child insured under both parents’ plans under which the father’s insurance is primary
- 4. any healthcare provider that transmits PHI in electronic form
- 6. payment method in which a prepayment covers the provider’s services to a plan member for a specified period of time
- 7. clinician who does not interact face-to-face with the patient
- 10. a phrase or name formed or based on a person's name
- 11. the recognition of a person's demonstrating a superior level of skill on a national test by an official organization
- 14. a method of scrambling transmitted data so they cannot be deciphered without the use of a confidential process or key
- 16. person who buys an insurance plan, the insured, subscriber, or guarantor
- 17. updates to the ICD-9-CM diagnostic coding system
- 18. business software designed to organize and store a medical practice’s financial information: includes, scheduling, billing, and EMR features