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CPAR Week 1 Crossword

Week 1 Vocabulary focused Crossword puzzle
Across
The process of sending a patient from one practitioner to another for health care services.
Insured's spouse and children who meet eligibility requirements; insured under the same group policy.
A patient who has been admitted for at least one night to a hospital for the purpose of receiving diagnostic treatment / other medical service.
Registration form containing patient's registration information.
Conditions or situations not considered covered under contract or plan.
A cap on the benefits under a policy.
A medical condition that starts suddenly and requires immediate care.
Carrier or program that is secondary to the primary insurance carrier or program.
Statement sent to covered individuals explaining services provided, amount to be billed, and payments made.
Medicare regulation; all outpatient services related to admission performed within 3 days of hospital admission must be bundled and billed as one.
Systems and techniques used to control the use of health care services.
A code on the UB-04 used to identify a specific accommodation charge, ancillary service charge, or a type of billing calculation.
Amount of money that is written off and not collected due to contract with payer.
Refers to the source from which a patient was admitted to a facility.
Down
Intentional misrepresentations that can result in criminal prosecution, civil liability, and administrative sanctions. (knowingly; willingly)
An affiliation of providers through formal and informal contracts and agreements.
Under Medicare, each beneficiary has 60 additional days of inpatient hospital services after using 90 days of inpatient hospital services during a spell of illness.
Facility or program providing care for the terminally ill.
A request for the individual's insurance company to pay for services obtained from a health care provider.
Person responsible for interviewing patients and assisting them in making suitable arrangements to meet their financial obligations to the payer.
Term used to describe and measure the various health care services and encounters rendered in connection with an identified period of illness.
Period past the due date of a premium during which coverage may not be cancelled.
Requirement that health plans guarantee continuous coverage without waiting periods for persons moving between plans.
Maximum out-of-pocket expenses an insured must pay due to deductibles and co-payments.
Dollar amount used by Medicare to pay hospitals for inpatient services; based on average of all patients with the same diagnosis.