Mid-Term B&C (Amber)

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Across
  1. 2. fixed pre-pymt to a provider for all necessary contracted services provided to each plan member
  2. 7. recognition of a superior level of skill by an official organization
  3. 8. schedule of benefits
  4. 9. records lifelong computerized healthcare records for individuals that incorporate data from all sources that treat the individual
  5. 11. private or government organization that insures or pays for health care on behalf of beneficiaries
  6. 13. restricted choice of providers and treatments in exchange for lower premiums, deductibles, and other charges
  7. 16. records single providers; records of patients
  8. 17. form will include patients name, encounter date and reason, diagnosis, appropriate history and physical examination
  9. 18. health plans often referred to
  10. 19. HMO, PPO, POS, CDHP
  11. 21. services not paid
  12. 23. failure to use professional skill when giving medical services that result in injury or harm
  13. 24. practice management programs
  14. 25. preregister pateints, establish financial responsibility, check in patients, review coding compliance, review billing compliance, check out patients, prepare and transmit claims, monitor payer adjudication, generate patient statements, follow up payments and collections,
Down
  1. 1. an individual and health plan(insurance co)
  2. 3. standards of behavior requiring truthfulness, honesty, and integrity
  3. 4. the amt that the insured pays on covered services before benefits begin
  4. 5. consent process by which a patient authorizes medical treatment after a discussion with a physician:it helps the physician gather the necessary info for a treatment plan, and helps the physician to diagnose properly
  5. 6. any individually identifiable health information that is transmitted or maintained by electronic media
  6. 10. legislation for the privacy of patients health information
  7. 12. protection against loss
  8. 14. health plan clearinghouse or provider who transmits any health information in electronic form
  9. 15. health plans, healthcare providers, and healthcare clearinghouses
  10. 20. standards of professional behavior
  11. 22. Subjective info from the patient, Objective data such as examination &/or test results, Assessment of the patients diagnosis, Plan intended course of treatment Important bc it helps keep the provider uptodate on the patients diagnosis and treatments for further evaulation