Patient Access Puzzle

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Across
  1. 4. the person or entity financially responsible for a patient's medical bills.
  2. 5. acronym defined as a US federal law that establishes national standards to protect the privacy and security of a person's health information.
  3. 7. which vaccine is due December 5th and is a requirement by SSM unless a signed waiver is submitted?
  4. 8. health coverage for low-income individuals and families, including pregnant women, children, the elderly, and people with disabilities.
  5. 9. the primary person who holds and pays for a health insurance plan, also known as the policyholder.
  6. 11. Information submitted by a provider or covered person to establish that medical services were provided to a covered person.
  7. 13. dollar amount taken off your bill usually because of a contract with your hospital or doctor and your insurance company.
  8. 15. acronym defined as a federal law enacted in 1986 that requires hospitals with emergency departments to provide a medical screening exam and stabilizing treatment to anyone requesting it, regardless of their ability to pay, insurance status, or other demographic factors.
  9. 16. the process of collecting and verifying patient information to create or update a medical record for billing, treatment, and communication.
Down
  1. 1. acronym defined as advocate who helps patients and their families navigate the financial aspects of healthcare by assisting with medical bills, insurance, and accessing financial assistance programs
  2. 2. occurs when services are deemed not medically necessary or due to lack of info provided by the treating provider.
  3. 3. a preset dollar amount for paying for specific medical services.
  4. 6. a contract where an insurer agrees to pay you for a specific loss or damage in exchange for regular payments called premiums.
  5. 10. the process of making sure a patient's health insurance plan is active and will cover the specific care they're about to receive.
  6. 12. acronym defined as rules used to determine which insurance is billed first when a patient is covered by more than one insurance plan.
  7. 14. an individual who receives health insurance through a spouse, parent, or another family member.