Across
- 2. _________ Classification of Diseases (ICD)
- 3. Federal law that requires plans to provide plan information to participants and requires plans to have a grievance and appeals process.
- 5. Ongoing review of care during a patient's hospital stay
- 8. Ambulatory _________ Center - a location where outpatient care can be given
- 9. National _______ Code (NDC)
- 10. Location that inpatient care is given
- 11. _________ Drug Code (NDC) - coding system for identifying drugs
- 13. ________ Management - a process used by health insurers to evaluate the necessity and appropriateness of healthcare services
Down
- 1. Review of medical records and claims after services have been provided
- 4. Healthcare Common Procedure Coding System
- 6. Current _________ Terminology (CPT) numeric coding system used to describe medical, surgical and diagnostic services.
- 7. Evaluation of medical necessity before services are provided
- 12. Amendment to ERISA that sets standards for protecting health information