Across
- 4. / Financial record source document used by providers and other personnel to record treated diagnoses and services rendered to the patient during the current encounter.
- 6. / List of predetermined payments for health care services provided to patients. Fee assigned to each CPT code.
- 9. / A patient who stays in a hospital under treatment.
- 10. / Principle of right or good conduct.
- 11. / Legal proceeding during which a party answers questions under oath, but not in open court.
- 13. / Combines health care delivery with the financing of services provided.
- 14. / Provision in an insurance policy that requires the policyholder or patient to pay a specified dollar amount to a health care provider for each visit or medical service received.
- 16. / Workers' Compensation Form completed when the patient first seeks treatment for a work-related illness or injury.
- 17. / An order of the court that requires a witness to appear at a particular time and place to testify.
- 18. / The amount owed to a business for services or goods provided.
- 20. / Reimbursement for income lost as a result of a temporary or permanent illness or injury.
- 21. / Legal action to recover a debt; usually last resort for medical practice.
- 23. / Restricting patient information access to those with proper authorization and maintaining the security of patient information.
- 25. / Provider accepts as payment in full whatever is paid on the claim by the payer.
- 29. / A correctly completed standardized claim.
- 30. / Documented as a letter, signed by the provider, explaining why a claim should be reconsidered for payment.
Down
- 1. / Reimburses health care services to Americans over the age of 65.
- 2. / Also called manual daily accounts receivable journal; summary of all transactions.
- 3. / Insurance program, mandated by Federal and State Governments, that requires employers to cover medical expenses and loss of wages for workers who are injured on the job or have job related disorders.
- 5. / Involves linking every procedure or service code reported on an insurance claim to a condition code.
- 7. / A patient who reports that another provider referred him or her.
- 8. / Claim usually more than 120 days past due; some practices establish time frames that are less than or more than 120 days past due.
- 12. / Provision of similar services,such as hospital inpatient visits to the same patient by more than one provider on the same day.
- 15. / Cost sharing program between the federal and state governments to provide health care services to low-income Americans.
- 19. / Patient treated in provider's office, hospital clinic, ER department where the patient is released within 23 hrs.
- 22. / Performs centralize claims processing for providers and health plans.
- 24. / The person eligible to receive health care benefits.
- 26. / Person in whose name the insurance policy is issued.
- 27. / Improper or negligent professional activity or treatment by medical practitioner.
- 28. / Amount for which the patient is financially responsible before an insurance policy provides coverage.