Week 2 HC123 Study Guide

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Across
  1. 2. claim with errors or questions
  2. 6. allows the billing specialist to submit claims directly to the insurance carrier
  3. 7. process that sends information back and forth between two or more individuals by computer linkages
  4. 9. length of time from claims submission to claims payment
  5. 10. service that is not included by the insur-
  6. 11. payment
  7. 12. the ability to share information online
  8. 16. a claim that clears the editing process
  9. 17. a set of claims are filed at one time
  10. 18. payment for services rendered
  11. 21. policies and procedures that govern release of confidential information
Down
  1. 1. information that is not open to public inspection
  2. 3. coding accuracy, verification of services provided, and accountability to regulatory agencies when errors are made
  3. 4. privacy and security rules
  4. 5. Individually identifiable health information transmitted or maintained in any form or medium
  5. 8. plan
  6. 13. submitted by dialup, internet or magnetic tape
  7. 14. insurance claim information is submitted to an organization that in turn distributes the claims to the appropriate insurance company
  8. 15. service that requires preauthorization from the payer
  9. 19. method of choice for filing insurance claims since the 1980s
  10. 20. the driving forces behind ECS;promotes the advantages of using ECS