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ANSWER SHEETGetting RRAACROSS2. Federal law requiring employers to permitemployees to continue their group healthinsurance coverage after termination5. Person who is the holder of an insurancepolicy6. Osteopathic physician7. Written authorization form policyholder fortheir insurance company to pay benefitsdirectly to the care provider9. Portion of bill that beneficiary mustcontribute once insurance benefits have begun( pay)10. Insurance claims review process usedwhen a beneficiary is insured by two or CMSDOWN1. The process of accurately accounting for allADT activity within or across entities –(Census )3. Person designated to receive proceeds of aninsurance policy4. Fixed sum of money that beneficiary mustcontribute towards the cost of their healthcarebefore insurance benefits begin8. Conducting ourselves ethically and withinthe law of business practices13. Bill submitted to insurance company forpayment
Getting Started (Cont’d)11. Health Insurance and AccountabilityAct12. Cost sharing in which the subscriber isresponsible for a specific percentage of the costof healthcare14. Type of large group insurance plan whereemployees have access to care anywhere in thecountry without a referral15. System similar to DRGs used foroutpatient services17. Master Index of Patients18. Form used in managed care plans for thePCP’s authorization for certain specialist andcertain services16. The Administrative branch within theDepartment of Health and Human Services thatis responsible for Medicare and MedicaidServices
ANSWER SHEETGetting 18DIEMMBO4R5IABE17AC37MEDICAREIACROSS1. Questionnaire to determine primary payorbefore Medicare3. EMTA A5. An organization that administers healthinsurance plans or claims but does not assumethe risk (TPA)6. Create a registration record for a futureinpatient service10. Insurance plans that provide its memberswith incentives to use designated healthcareproviders11. Diagnosis coding systemC9HO129SU ERL2013U22MDDOWN2. Health Information (PHI - protected byHIPAA)3. Legal responsibility or accountability4. An Insured individual is legally obligated topay for services rendered by a provider7. Federal health insurance plan primarily forseniors8. System similar to DRGs used for outpatientservices9. Setting for inpatient care
Getting Deeper (Cont’d)12. physician’s written or verbal instructiondirecting a patient’s diagnostic and therapeutictreatment14. Unique Physician Identifier18. Joint federal and state program to provideMedical insurance for the poor19. medical bills21. Payment for insurance coverage23. Document educating patient aboutinsurance payments or denials13. Form used in managed care plans for thePCP’s authorization for certain specialist andcertain services15. Principal ( Physician); 1st (Payor)16. Having a short and relatively severe course17. Per (day)18. Questionnaire used to identify the primarypayor over Medicare20. Enforcement arm of CMS whose mandateis to fight waste, fraud, and abuse22. Medical Doctor
ANSWER SHEETPatient Access s1. Not to be disclosed7. Physician8. Collection and storage on patientdemographic, insurance, and clinical data9. Same SurgeryDown2. Ambulatory Patient3. Document verifying patient name4. Diagnosis Related Group13. Providing patient room number tocallers and visitors (Patient )6. Average Length of Stay14. Route, by way of10. Directions, maps, information on howto get to correct location11. Corporate Identifier12. Admitted for multi-day stay16. Physician Assistant15. Making appointment16. Healthcare Consumer17. Ask the advice of a colleague or othercare provider18. Official count/list of patient population5. Overdue
ANSWER SHEETAlphabet Soup1PAO2RN3T689BDE11P13IND17EXXSECONDARY18PP22D OTEIFS14DL19ADTACCREDITATIONBLITY47MINCIALABORM EDIASEI2012SAACROSS1. HIPAA (Health Insurance andAccountability Act4. National File of Medicare Claim –Common Working File8. PSDA (Patient Self Act)9. ABN (Advance Notice)10. International Classification of Disease(9th Revision commonly in use)11. Patient Access Services12. CMS (Centers for and MedicaidServices)14. CDC – Centers for Control andPrevention15. Overtime17. EOB ( of Benefits)21. Nurse Practioner22. Osteopathic Physician23. Diagnosis Related ADOWN1. Physician Assistant2. Registered Nurse3. JCAHO (Joint Commission on ofHealthcare Organizations4. COB ( of Benefits)5. Organization contracted with CMS toprocess and pay Medicare claims - FiscalIntermediary6. MSP (Medicare Payor)7. EMTALA (Emergency MedicalTreatment and Act)13. MPI (Master Patient )16. 3rd Party Administrator18. Preferred Provider Organization19. Admission, Discharge, Transfer20. Office of Inspector General5
ANSWER SHEETInformation RICR34NOWALLTERPDOI15KAGY11ACYB18UFILEDISKACROSS1. Computer Equipment, machinery7. Application Service Provider9. Skills, tools, equipment; the practicaluse of scientific knowledge in industry andeveryday life10. set of statements, functions, optionsthat link users to computer programs orallow data to flow between programs13. “Net” - World Wide ( )14. Master Person Index15. Input device used in typing18. void, empty field19. Task, Utility, Job; special purpose ortask of a computer key21. Spaces for data entry; an area ofknowledge, interest or LCDRSDOWN2. Letters, Numbers, Punctuation, Symbols - dataaccepted in computer fields or coding3. act, perform4. Paper – background image on monitor5. Group of similar input data processed during singlemachine run6. World Wide Web8. Secret combination of alphanumeric characters usedto protect computer access11. organized collection of data that is stored in thememory of a computer, and can be accessed andmanipulated as a single named unit12. member of database16. Input devise used to control pointer on computerscreen17. Portable, off-line data storage devise20. Electronic Clinical Record; Clinical Data Repository
The process of accurately accounting for all ADT activity within or across entities – (Census _) 5. Person who is the holder of an insurance policy ; 3. Person designated to receive proceeds of an insurance policy . 6. Osteopathi
