Holiday assignment Crossword

treat (a person or an animal) with cruelty or violence, especially regularly or repeatedly.
One term that can be very confusing for patients (and for doctors as well)
process of validation in which colleges, universities and other institutions of higher learning are evaluated.
the action or process of adjudicating.
-also referred to as the Allowed Amount, Approved Charge or Maximum Allowable
make a serious or urgent request, typically to the public
the use of an arbitrator to settle a dispute
is an agreement that transfers the insurance claims rights or benefits of the policy to a third-party.
a person who derives advantage from something, especially a trust, will, or life insurance policy.
This is a method used to determine when a plan is primary or secondary for a dependent child when covered by both parents' benefit plan.
the payment of a fee or grant to a doctor, school, or other person or body providing services to a number of people, such that the amount paid is determined by the number of patients, students, or customers.
a list detailing the official rate charged by a hospital for individual procedures, services, and goods.
complies with billing guidelines and requirements, has no defects or improprieties, includes substantiated medical documentation as defined by the provider notification packet and does not require special processing that would prevent timely payment.
financial institution formed to facilitate the exchange of payments, securities, or derivatives transactions.
a type of insurance in which the insured pays a share of the payment made against a claim.
the state of keeping or being kept secret or private.
concerned with quality of care over time.
a payment made by a beneficiary (especially for health services) in addition to that made by an insurer.
able to be deducted, especially from taxable income or tax to be paid.
designate (a medical procedure or insurance claim) with a lower value.
to those qualifying for both Medicare and Medicaid benefits.
payment model where services are unbundled and paid for separately.
complete listing of fees used by Medicare to pay doctors or other providers/suppliers.
wrongful or criminal deception intended to result in financial or personal gain.
wrongful or criminal deception intended to result in financial or personal gain.
which APhA supported, prohibits pharmacy benefit managers, or PBMs,
an attendant at a gate who is employed to control who goes through it.
a person, organization, or thing that guarantees something.
the process of taking legal action
type of errors and omissions (E&O) coverage
United States legal doctrine, related to activities which may be justified as reasonable, necessary, and/or appropriate, based on evidence-based clinical standards of care.
a person or group in whose name an insurance policy is held.
letter sent by a customer to a supplier to inform the supplier that their invoice has been paid.