Hospital Billing Crossword

National Provider Identification
The note received from the insurance company after getting medical services from a doctor or hospital. It tells what was billed, the payment amount approved or denied by the insurance, the amount paid, and what the patient must pay.
Portion of the bill, as defined by the insurance company which the patient owes.
Advanced Beneficiary Notice
A person or persons whose account that has been sent to a collection agency for further action.
The cost sharing part of the bill that the patients have to pay.
A part of the bill that we must write off because of billing agreements with insurance companies.
A cost sharing part of the bill that is the patient’s responsibility to pay.
A coding system used to describe what treatment or services were given to the patient by their provider. Used for hospital outpatient services billed on an UB and professional services billed on HCFA 1500s
How much cost sharing that the patient must pay for medical services often before their insurance starts to pay.
A code used for billing that describes the patient’s condition. Also called ICD-10 diagnosis code.
Individual who is responsibility for the bill.
Patient class in which the patient requires a higher degree of nursing and physician care.
A person who is a policyholder of the insurance. Also known as the subscriber, policyholder, cardholder, or beneficiary.
Type of service used by doctors and hospitals to decide whether a patient needs inpatient hospital care or whether they can recover at home or in an outpatient area. Usually charged by the hour.
Any service received at a hospital or clinic that is not an inpatient status. Includes Emergence Room, Observation, and ancillary services.
A form used by hospitals to file insurance claims for medical services. Used when billing for hospital technical services.
Part of medicare that helps pay for doctor services, outpatient care, and other medical services not paid for by Medicare Part A.
Part of Medicare that usually referred to as Hospital Insurance, it helps pay for inpatient care in hospitals and hospices, as well as some skilled nursing costs.
Claim form used by doctors to file insurance claims for medical services. Used when billing for professional services.
Medicare Secondary Questionnaire
Hospital Billing (abv)
Professional Billing (abv)
After a patient is discharged from, the account status is changes from Open to
Hospital Account
A holding tank for accounts that we have identified has issues or needs follow up performed
Hospital Clinic System used by WVUH