Across
- 1. person, such as a primary care physician, or entity, such as an insurance company, that approves patient referrals to other physicians or services.
- 3. a federal program implemented by the individual states that provides financial assistance to states for insuring certain categories of the poor and indigent.
- 4. federal program that provides healthcare coverage for persons over 65 years of age as well as for disabled persons or those who suffer from kidney disease or other debilitating ailments.
- 5. an agreement to pay a fee to another physician or agency for the referral of patients; this is illegal in some states and is considered an unethical medical practice.
- 10. voluntary credentialing process usually offered by a professional organization.
- 11. a managed care concept in which the patient must use a medical provider who is under contract with the insurer for an agreed-upon fee in order to receive co-payment from the insurer.
- 12. type of managed care plan that offers a range of healthcare services to plan members for a predetermined fee per member by a limited group of providers.
- 13. a legal agreement in which physicians share in the business operation of a medical practice and become responsible for the actions of the other partners.
- 14. indicates that person whose name is listed on an official record or register has met certain requirements in his or her particular profession.
- 15. agreed-upon fee paid by the insured for certain medical services, usually $10 to $20.
Down
- 2. a party other than the patient who assumes responsibility for paying the patient’s bills (for example, an insurance company).
- 6. a mandatory credentialing process that allows an individual to perform certain skills.
- 7. type of medical practice, as established by law, that is managed by a board of directors.
- 8. type of medical plan that pays for and manages the medical care a patient receives.
- 9. designations used to identify reimbursement per condition in a hospital