Physician Medical Billing - What You Need To Know

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Across
  1. 6. The code used to identify the primary diagnosis
  2. 7. The code used to identify the primary procedure performed
  3. 9. The network of healthcare providers that a managed care plan contracts with
  4. 10. The process of getting care outside of your managed care plan's network
  5. 13. The code used to identify a secondary procedure
  6. 16. The percentage of the cost of covered services that you must pay
  7. 19. A type of contract that is not in writing
  8. 21. The maximum amount a patient is responsible for in a year
  9. 23. A type of healthcare plan offering flexibility in choosing providers
  10. 25. The code used to identify a secondary diagnosis
  11. 28. The code used to identify the primary procedure performed
  12. 29. A document that outlines the terms of an agreement
  13. 30. A type of healthcare plan that emphasizes prevention and primary care
Down
  1. 1. A document that details the services provided to a patient
  2. 2. A type of healthcare plan for veterans and their families
  3. 3. A type of healthcare plan that serves Medicare beneficiaries
  4. 4. A type of healthcare plan that primarily covers catastrophic health events
  5. 5. The percentage of healthcare costs paid by the patient after the deductible
  6. 8. A formal agreement between a healthcare provider and an insurance company
  7. 11. A claim that is missing information or contains errors
  8. 12. The process of ensuring that healthcare providers are paid accurately
  9. 14. The initial payment made by the patient for healthcare services
  10. 15. The code used to identify a referral source
  11. 17. A type of healthcare plan that combines HMO and PPO features (POS)
  12. 18. The document that outlines the terms and coverage of your health insurance
  13. 20. The agency responsible for administering Medicare and Medicaid
  14. 22. The process of reviewing and discussing a contract's terms
  15. 24. The process of getting approval for certain treatments
  16. 26. A person who evaluates and negotiates contracts for a healthcare organization
  17. 27. The code used to identify the reason for a patient's visit