Specialty Pharmacy Insurance & Healthcare

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Across
  1. 2. A request for payment submitted by the provider or hospital to the health insurer.
  2. 3. International Classification of Diseases
  3. 7. Companies such as Life Sciences Companies, Patients and Caregivers, Physicians and Staff and Technology Vendors.
  4. 9. software built on top of basic EHR features that allows providers to prescribe medications, order tests, and give other types of instructions electronically.
  5. 10. Medical supplies such as wheelchairs, oxygen, catheter, glucose monitors, crutches, walkers, etc.
  6. 11. Several federal regulations intended to improve the efficiency and effectiveness of health care and establish privacy.
  7. 13. When an insurance plan does not pay for treatment, this is the process of objecting to this decision.
  8. 15. An individual’s identifying information such as name, address, birth date, Social Security Number, telephone numbers, insurance ID numbers, or information pertaining to healthcare diagnosis or treatment.
  9. 17. A unique 10 digit identification number required by HIPAA
  10. 18. This is a 5-digit code assigned for reporting a procedure performed by the provider.
  11. 19. When a patient requires permission from the insurance company before receiving certain treatments or services.
Down
  1. 1. The amount a patient is responsible for paying that is not covered by the insurance plan.
  2. 4. This is a medical record in digital format of a patient’s hospital or provider treatment and is a comprehensive collection of the patient’s medical records created and stored at several locations.
  3. 5. 10th revision of the International Classification of Diseases.
  4. 6. Requirement of insurance plan that provider obtains approval from plan before it will cover the costs of a specific medicine, medical device or procedure.
  5. 8. The portion of the charges that are the responsibility of the patient.
  6. 12. Permission given by a provider for a patient to see a specialist.
  7. 14. Focuses on high cost, high touch medication therapy for patients with complex disease states.
  8. 16. This is a medical record in digital format of a patient’s hospital or provider treatment managed at the provider’s location.