Basics of RCM

3. Type of facility that provides medical care, rehabilitation, and assistance with daily activities for people recovering after surgery or illness.
8. The period before the insurance coverage becomes active.
13. The initial contact in healthcare, often called the “Gatekeeper.”
14. A professional involved in diagnosing or treating patients.
16. The date on which insurance coverage begins.
18. An illness or condition that existed before the insurance policy was purchased.

1. The person who buys the policy and pays the premium.
2. A law that protects healthcare information and helps manage administrative costs.
4. A person visiting a medical facility for the first time or after more than 36 months from the last visit
5. The agreement between an individual and an insurer that defines the coverage terms.
6. The maximum amount or visit that an insurance policy will cover for a subscriber or dependent..
7. This entity helps protect against healthcare risks by taking care of the health care expenses.
9. This type of patient requires less than 24 hours of treatment.
10. A small payment made by the patient before receiving services on every visit.
11. This health service provides comfort and care for terminally ill patients.
12. A healthcare professional specialized in a particular field, also known as the rendering provider
15. This is paid by the subscriber regularly to maintain insurance coverage.
17. Family members covered by the policy but don't pay the premium.