Across
- 2. The process of collecting patient demographic and insurance information prior to receiving healthcare services.
- 5. Approximation of healthcare costs provided to patients before services are rendered.
- 7. Form provided to Medicare beneficiaries to inform them that Medicare is likely to deny payment for specific services.
- 8. A request for payment for healthcare services provided to a patient, submitted by a healthcare provider to the patient's insurance company.
- 10. The process of pursuing payment from patients or insurance companies for outstanding balances on medical bills.
- 11. Law who's primary purpose is to protect individuals' sensitive health information.
- 13. Refusal by a payer to reimburse for a healthcare service or procedure, often due to lack of medical necessity or other reasons.
- 14. Person responsible for paying medical bills, often the patient or legal guardian.
Down
- 1. Patient's financial responsibility for a percentage of covered healthcare expenses.
- 3. Compensation or payment made to healthcare providers by insurance companies or patients for services rendered.
- 4. The amount of money that a patient must pay out-of-pocket for covered healthcare services before their insurance company starts to pay.
- 6. Requires hospitals to provide emergency medical treatment to patients regardless of their ability to pay, and prohibits patient dumping.
- 9. The fixed amount that an insured person must pay for covered services, typically due at the time of service.
- 12. Required notice provided to Medicare beneficiaries upon inpatient admission to a hospital. It informs them of their rights related to hospital discharge and appeal procedures.