Across
- 4. protection from loss
- 7. process- prior authorization from a payer for services to be provided.
- 8. electronic medical records.
- 10. individually identifiable health info that is transmitted or maintained by electronic media.
- 12. person who buys an insurance plan
- 14. entity- under HIPAA, a health plan, clearinghouse, or provider who transmit any health info in electronic form in connection with a HIPAA transaction.
- 15. failure to use an acceptable level of professional skill when giving medical services that result in injury or harm to a patient.
- 16. under HIPAA, patients' protected health info may be shared without authorization for the purposes of treatment, payment, and operations.
- 18. name or phrase that is formed from or based on the person's name
Down
- 1. the recognition of a person demonstrating a superior level of skill on a national test by an official organization.
- 2. method in which a prepayment covers the providers services to a plan member for a specified period of time
- 3. services-medical procedures that are not included in a plans benefit
- 5. care- system that combines the financing anf the delievery of appropriate, cost-effective healthcare services to its members.
- 6. a computerized lifelong healthcare record for an individual that incorporates data from all sources.
- 9. party player- private or gov't organization that insures or pays for healthcare on the behalf of the beneficiaries.
- 11. number-authorization number given by a referring physican to the referred physican.
- 12. health plan or program.
- 13. an amount that an insured person must pay, usually on an annual basis.
- 17. rule- coordination of benefit rule for a child insured under both parents' plans under which the fathers' insurance plan is primary.