PATIENT ACCOUNT MANAGEMENT WEEK 2019

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Across
  1. 1. The transference of narrative descriptions of diseases, injuries and medical procedures into numeric designations.(ICD 10, CPT, HCPCS)
  2. 4. Charges for services rendered or price of goods sold.
  3. 5. Identification of a disease from which an individual patient suffers or a condition for which the patient needs or received medical care.
  4. 8. A two-character code, attached to a CPT code, which is used to indicate that a service or procedure has been altered by some specific circumstances that either increases or decreases the value of the CPT code.
  5. 11. The steps through which a claim is processed by a third party payer to verify coverage, eligibility, appropriateness of services rendered and establish the amount of reimbursement.
  6. 12. Approval by the insurance company of a planned inpatient admission or outpatient procedure which is obtained prior to the admission or registration taking place.
  7. 15. A type of cost sharing in which beneficiaries pay a fixed dollar amount for a covered service.
  8. 16. A bill requesting that insurance company pays for medical services.
Down
  1. 1. The dollar amount of hospital bills.
  2. 2. An institution for diagnosis and treatment of sick or injured patients.
  3. 3. A type of cost sharing in which beneficiaries pay a fixed percentage of the cost of charge for a covered service.
  4. 4. The actual sum of money due.
  5. 6. Type of cost sharing which requires a beneficiary to pay a specified amount of covered medical services before the health plan or insurer assumes liability for all or part of the remaining costs.
  6. 7. A person receiving treatment, surgery, emergency care, therapy or other services without being admitted as an inpatient to the hospital facility.
  7. 9. Accounts that are partially or fully uncollectible and must be written off as bad debts, charity care, etc.
  8. 10. Process of collecting and presenting to the payer all agreed upon data elements that are necessary to secure payment for services rendered. Includes initial billing, follow-up, cash posting and AR management.
  9. 13. Currency and available funds on deposit at banks.
  10. 14. A patient registration ordered by a physician with the intent to provide ongoing services of duration that usually exceeds 24 hours.