Type
Crossword
Description

insurance that pays for assisted living, nursing home, and home health care long term care insurance
who can use this type of insurance anyone
how many options does this insurance offer four
what will pay for it, if you spend enough medicare
what gender uses this insurance more often woman
what percent of people use this type insurance eighty
what is the average of homemaker services forty eight thousand
what is the average of adult day health care nineteen thousand
what is the average of assisted living factilty forty eight thousand
what is the average cost of Private Room In A Nursing Home eighty nine thousand

Medicare 101 Crossword

Type
Crossword
Description

Groups of drugs that have a different cost for each group. Tier
the action you can take if you disagree with a coverage or payment decision made by Medicare, your Medicare health plan, or your Medicare Prescription Drug Plan. Appeal
An agreement by your doctor, provider, or supplier to be paid directly by Medicare, to accept the payment amount Medicare approves for the service, and not to bill you for any more than the Medicare deductible and coinsurance. Assignment
A geographic area where a health insurance plan accepts members if it limits membership based on where people live. Service area
A coverage rule used by some Medicare Prescription Drug Plans that requires you to try one or more similar, lower cost drugs to treat your condition before the plan will cover the prescribed drug. Step therapy
A person who has health care insurance through the Medicare or Medicaid programs. Beneficiary
The way that Original Medicare measures your use of hospital and skilled nursing facility (SNF) services. Benefit period
A written order from your primary care doctor for you to see a specialist or get certain medical services. Referral
A request for payment that you submit to Medicare or other health insurance when you get items and services that you think are covered. Claim
An amount you may be required to pay as your share of the cost for services after you pay any deductibles. Coinsurance
An amount added to your monthly premium for Part B or a Medicare drug plan (Part D) if you don't join when you're first eligible. You pay this higher amount as long as you have Medicare. There are some exceptions. Penalty
Approval that you must get from a Medicare drug plan before you fill your prescription in order for the prescription to be covered by your plan. Prior authorization
The amount you must pay for health care or prescriptions before Original Medicare, your prescription drug plan, or your other insurance begins to pay. Deductible
A type of Medicare prescription drug coverage determination, a drug plan's decision to cover a drug that's not on its drug list or to waive a coverage rule Exception
A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits. Formulary
A complaint about the way your Medicare health plan or Medicare drug plan is giving care. Grievance
Health care that you get when you're admitted to a health care facility, like a hospital or skilled nursing facility. Inpatient care
The facilities, providers, and suppliers your health insurer or plan has contracted with to provide health care services. Network

Basics of Health Insurance Crossword

Type
Crossword
Description

An established schedule of fees set for services performed by providers and paid by the patient fee for service
protection in return for periodic premium payments that provides reimbursement of expenses resulting from illness or injury Health insurance
the sum of money paid at the time of medical service; it is a form of coinsurance copayment
provision frequently is found in medical insurance policies whereby the policyholder and the insurance company share the cost of covered losses in a specified ratio coinsurance
Civilian Health and Medical Program of the Veterans Administration known as CHAMPUS
states that when an individual is covered under two insurance policies, the insurance plan of the policyholder whose birthday comes first in the calendar year (month and day, not year) becomes the primary insurance. birthday rule
A term used in managed care for an approved referral authorization
a payment method used by many managed care organizations in which a fixed amount of money is reimbursed to the provider for patients enrolled during a specific period of time, no matter what services were received or how many visits were made. Capitation
a letter or statement from Medicare that describes what was paid, denied, or reduced in payment. EOMB
Pays expenses involved in the care of the teeth and gums Dental care
Protects a person in the event of a certain type of accident, such as an airplane crash Special risk insurance
Often includes benefits for medical expenses payable to individuals who are injured in the insured person’s home or during an automobile accident Liability insurance
Covers a continuum of maintenance and health services for chronically ill, disabled, or mentally retarded individuals Vision care
Provides payment of a specified amount on the insured’s death Life insurance
Pays the cost of all or part of the insured person’s hospital room and board and specific hospital services Hospitalization
a review of individual cases by a committee to make sure services are medically necessary and to study how providers use medical care resources utilization review
40. An insurance term used when a primary care provider wants to send a patient to a specialist referral
periodic (monthly, quarterly, or annual) payment of a specific sum of money to an insurance company for which the insurer, in return, agrees to provide certain benefits premium
person who pays a premium to an insurance company and in whose name the policy is written in exchange for the insurance protection provided by a policy of insurance policyholder
a general practice or nonspecialist provider or physician responsible for the care of a patient for some health maintenance organizations gatekeeper

Health Insurance Crossword Puzzle

Type
Crossword
Description

What does the acronym PPO stand for? Preferred Provider Organization
What is the acronym for Health Maintenance Organization? HMO
There are two types of medical billing: Institutional and _______________________. Professional
An __________ is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. EOB
What type of claim form is used by hospitals? UB-04
Another name for a Health Information Specialist is a _________________________ Specialist. Reimbursement
An _____________________________ is a digital version of the traditional paper-based medical record for an individual. The EMR represents a medical record within a single facility, such as a doctor's office or a clinic. EMR
What is the amount you pay for health care services before your health insurance begins to pay? Deductible
A __________ is a fixed amount you pay for a health care service? Copay
A primary care physician is also known as a _______________________. Gatekeeper
What is the abbreviation for out-of-network? OON
What is the abbreviation for in-network? INN
What type of managed care plan lets you choose between an HMO or a PPO each time you need care? POS
How many parts does Medicare have? Four
A 1996 federal law that is sometimes called the "privacy rule", outlining how certain entities can use or disclose personal health information. HIPAA
The reason for the visit or surgery that defines the disease process or injury. Medical Necessity
M48.1 is an example of what type of code? ICD-10
What does UB stand for in UB-04? Uniform Bill
The healthcare system, funded by the U.S. Department of Defense, that active and retired military and their dependents use. Tricare
The entity that reimburses the provider for services. Insurance companies, Medicare, Medicaid, and third-party administrators are all payers in the healthcare industry. Payer
Any health care plan, provider, or service that transmits health care information in an electronic form and is thereby governed by laws and regulations in the handling of such data. It's called a covered _______________? Entity

The Healthcare Delivery System Crossword

Type
Crossword
Description

The emphasis of the health care industry is shifting from managing illness to managing health of a community and the environment Population Wellness
What type of care describes a variety of health, personal, and social services provided over a prolonged period Continuing
Type of care that is a service that provides short-term relief or “time off” for people providing home care to people that are ill, disabled, or frail Respite
Health services that are provided in the patients place of residence Home care
Health care services in which patients who are recovering from illness or disability receive rehabilitation and supportive care Restorative
Federally funded national health insurance program for people over 65 years of age in the U.S. Medicare
Facility that offers skilled care from a licensed nursing staff Skilled nursing
Is a caring discipline Nursing
Is a system of family-centered care that allows patients to live with comfort, independence, and dignity while easing the pains of terminal illness Hospice
What health service model shows that population based health care services provide the basis for preventive services Pyramid

Health Care Systems Crossword

Type
Crossword
Description

What type of public health care agency is operated by the government? Official
The U.S. of health and human services is the official agency at what level? Federal
Health activities that take place at the international level go through what organization? World Health Organization
Health care that provides a diverse range of medical services is called? Acute Care
What is a one day surgical care center? Ambulatory Surgery Center
These provide follow up care to patients after hospitalization Outpatient Clinic
A hospital that is dependent on gifts & donations as a source of revenue Nonprofit
The philosophy of this is to maintain comfort as death approaches Hospice Care
Places for people who are not candidates residing in a nursing home Adult Day Care Center
Home with services that emphasizes privacy and choice Assisted Care
The monthly fee that a person must pay for health care insurance coverage Premium
What takes place after an acute illness or injury? Rehabilitation
Care that can be initiated at any stage of illness whether terminal or not Palliative Care
What is the need to hold costs within fixed limits? Cost Containment
Meets the health care needs of our veterans Veterans Health Administration
What program is for adults ages 65 and older? Medicare
What program provides medical assistance for low income families? Medicaid
Independent nonprofit organization that serves as an advisor to improve the nations health Institute of Medicine

Medicare Terms Crossword

Type
Crossword
Description

means that your doctor, provider, or supplier must accept the Medicare-approved amount as full payment for covered services Assignment
this visit is available once every twelve months after the first twelve months of Part B coverage AnnualWellnessVisit
the percentage you pay for covered services after you have met your deductible Coinsurance
a fixed amount one pays to receive a medical service, usually at the time of service Copay
the amount one pays annually before the plan begins to pay. This does not apply to services that require a copay Deductible
is long lasting, used for a medical reason, and typically used in an individual's home DME
ESRD EndStageRenalDisease
the plan contract that gives detailed information about the plan, including: what is and is not covered, what an individual pays, etc. EOC
a monthly summary sent to an individual to let them know what services were billed, what was paid by whom, and what amount the individual is responsible to pay. EOB
in this type of plan you can only go to doctors, other health care providers, or hospitals in the plan’s network except in an urgent or emergency situation. HMO
care that is usually given when an individual has decided that they no longer want care to cure terminal illness and/or one’s doctor has determined that efforts to cure an illness aren’t working. Hospice
a status for individuals starting when one is formally admitted to a hospital with a doctor’s order Inpatient
a status for individuals getting emergency department services, observation services, surgery, lab tests, X-rays, or any other hospital services, and the doctor hasn’t written an order to admit them to a hospital as an inpatient Outpatient
in a PPO, you pay less if you use doctors, hospitals, and other health care providers that belong to the plan’s network PPO
the periodic payment to Medicare, an insurance company, or a health care plan for health or prescription drug coverage Premium
services to prevent illness or detect illness at an early stage Preventive
the doctor you see first for most health problems PrimaryCareDoctor
a written order from a primary care doctor for a patient to see a specialist or get certain medical services, often required by HMOs Referral

Health Science 2 Puzzle Crossword

Type
Crossword
Description

Advances in medicine reach the general public through the health care system
These facilities are equipped to handle a broad range of medical needs, including emergency and surgical services General hospitals
Unlike general hospitals, specialty hospitals limit their practices to a specific age or condition. Specialty hospitals
Federal, state, and local governments operate these hospitals. Government hospitals
This type of medical facility often is the home to research and educational programs University or College hospitals
these facilities house elderly patients who can no longer live independently because of heath or other issues. Long-term care facilities
those that do not require a hospital stay outpatient procedures
meaning illnesses that will be fatal terminal illnesses
or care for the terminally ill, is also often delivered in the home. Hospice care
controlling symptoms and making the person as comfortable as possible while allowing them to die with dignity. palliative care,
is both a health service and health insurance. HMO
. One of the largest government insurance programs is Medicare
especially among the elderly who are more likely to have health issues Medigap
the government also provides insurance for those who cannot afford it Medicaid
are the professionals who administer the health care. They all work together to make sure that all aspects of the patient’s health are monitored. Health care teams
the doctor patients see regularly to maintain overall health, is the leader of the team. These doctors are known as general practitioners, or family doctors, primary care physician
these professionals acquire more education and skills than a registered nurse and can perform some services generally reserved for doctors. nurse practitioners
These health professionals are responsible for filling prescriptions and dispensing medications. Pharmacists
the study of disease Epidemiology
the relationships between social and economic elements, also shape health services Socioeconomics

Health Careers Chapter 2 Word Search

Type
Word Search
Description

assisted living
chain of command
clinic
copay
deductible
dental office
genetic counseling
government funded
HIPAA
HMO
home health
hospice
hospital
laboratory
long term care
medicaid
medical office
medicare
meidgap
mental health
organizational chart
palliative
PHI
PPO
premium
preventative care
privacy
provider list
rehabilitation clinic
SCHIPS
surgicenter
tricare
veterans
workers compensation

Nursing Week Word Search

Type
Word Search
Description

Assessment
Assist
Bandage
Basin
Blood pressure
Caring
cholesterol
Clinics
Community
Compassionate
Emergency
Florence Nightingale
Friendly
Gloves
Gown
Health
Helpful
Home Care
Hospital
Long Term care
mask
Medical
Medication
Mental health
needle
Nurse
Obstetrics
Patient
Pulse
Respirations
Sphygmomanometer
stat
Stethoscope
Stitches
tachycardia
Tape
teaching
teamwork
Treatments

Health Insurance Crossword

Type
Crossword
Description

A system of health care in which patients agree to visit only certain doctors and hospitals Managed care
The acronym for Health Maintenance Organization. HMO
Also known as a primary care physician. Gate Keeper
What is the amount you pay for health care services before your health insurance begins to pay? Deductible
A sum paid to cover money that has been spent or lost. Reimbursement
A federal law that is sometimes called the "privacy rule". HIPAA
What type of claim form is used by a hospital? UB04
Meaning of PPO. Preferred Provider Organization
Having inadequate insurance coverage. Underinsured
The insured pays a share of payment made against a claim. Coinsurance
A federal system of health insurance for those requiring financial assistance. Medicaid
Federal health insurance program for people 65 years or older. Medicare
Dental benefits Employer Sponsored Coverage
A payment owed by the person insured at the time a covered service is rendered, covering part of the cost of the service. Copayment
Provides health care and financial protection. Universal Health Insurance
M48.1 is an example of what type of code? ICD104
Organization paying for some serious treatments people need. Third Party System
Subscription medical, less restrictive than HMO. PPO
Focus solely on preventative care. Preventative Care
Government pays for all health cost. Single Payer System
Not covered by insurance. Uninsured
Premium cost and medical expenses by health care plan. Cost Sharing