1.01 Terminology  Crossword

Illness has sudden onset from which the resident is expected to recover
Center for Aide Regulation and Education
Continuing Care Retirement Communties
Illness has slow or gradual onset, for which there is no known cure
To find a problem in a LTC facility during a survey
Medical facilities ran by several specialists working in cooperation associated with a hospital or medical school that deals with outpatients
The ability to do a task well
Civil Money Penalty
Centers for Medicare and Medicaid Services
The state nursing home review team leaves an exit report after the inspection or survey that outlines deficiencies noted during the inspection
Division of Health Service Regulation
Identification of a medical condition as determined by a physician
Paraprofessionals who provide frontline care and assistance to individuals
Sudden occurrence of a serious and urgent nature that demands immediate attention
Abuse or neglect of a patient or healthcare facility
Elderly care
Homes for the Aged
Health Care Personnel Registry
Provide care in the home for people needing health services, but not hospitalization
Care given in facilities or homes for people with less than 6 months to live
Pertains to treating, fixing, or correcting a medical or surgical problem
An illness from which the resident is not expected to recover and will die
Care for persons with mental illness and disorders
Federal health insurance program for people 65 and older and people with permanent kidney failure or certain disabilities
Medical assistance program for low-income people and children

Medicare 101 Crossword

Medicare 101 Crossword

Groups of drugs that have a different cost for each group.
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.
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.
A geographic area where a health insurance plan accepts members if it limits membership based on where people live.
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.
A person who has health care insurance through the Medicare or Medicaid programs.
The way that Original Medicare measures your use of hospital and skilled nursing facility (SNF) services.
A written order from your primary care doctor for you to see a specialist or get certain medical services.
A request for payment that you submit to Medicare or other health insurance when you get items and services that you think are covered.
An amount you may be required to pay as your share of the cost for services after you pay any deductibles.
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.
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.
The amount you must pay for health care or prescriptions before Original Medicare, your prescription drug plan, or your other insurance begins to pay.
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
A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits.
A complaint about the way your Medicare health plan or Medicare drug plan is giving care.
Health care that you get when you're admitted to a health care facility, like a hospital or skilled nursing facility.
The facilities, providers, and suppliers your health insurer or plan has contracted with to provide health care services.

Basics of Health Insurance Crossword

Basics of Health Insurance Crossword

An established schedule of fees set for services performed by providers and paid by the patient
protection in return for periodic premium payments that provides reimbursement of expenses resulting from illness or injury
the sum of money paid at the time of medical service; it is a form of coinsurance
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
Civilian Health and Medical Program of the Veterans Administration known as
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.
A term used in managed care for an approved referral
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.
a letter or statement from Medicare that describes what was paid, denied, or reduced in payment.
Pays expenses involved in the care of the teeth and gums
Protects a person in the event of a certain type of accident, such as an airplane crash
Often includes benefits for medical expenses payable to individuals who are injured in the insured person’s home or during an automobile accident
Covers a continuum of maintenance and health services for chronically ill, disabled, or mentally retarded individuals
Provides payment of a specified amount on the insured’s death
Pays the cost of all or part of the insured person’s hospital room and board and specific hospital services
a review of individual cases by a committee to make sure services are medically necessary and to study how providers use medical care resources
40. An insurance term used when a primary care provider wants to send a patient to a specialist
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
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
a general practice or nonspecialist provider or physician responsible for the care of a patient for some health maintenance organizations

Medicare Terms Crossword

Medicare Terms Crossword

means that your doctor, provider, or supplier must accept the Medicare-approved amount as full payment for covered services
this visit is available once every twelve months after the first twelve months of Part B coverage
the percentage you pay for covered services after you have met your deductible
a fixed amount one pays to receive a medical service, usually at the time of service
the amount one pays annually before the plan begins to pay. This does not apply to services that require a copay
is long lasting, used for a medical reason, and typically used in an individual's home
the plan contract that gives detailed information about the plan, including: what is and is not covered, what an individual pays, etc.
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.
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.
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.
a status for individuals starting when one is formally admitted to a hospital with a doctor’s order
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
in a PPO, you pay less if you use doctors, hospitals, and other health care providers that belong to the plan’s network
the periodic payment to Medicare, an insurance company, or a health care plan for health or prescription drug coverage
services to prevent illness or detect illness at an early stage
the doctor you see first for most health problems
a written order from a primary care doctor for a patient to see a specialist or get certain medical services, often required by HMOs

Health Insurance Crossword Puzzle

Health Insurance Crossword Puzzle

What does the acronym PPO stand for?
What is the acronym for Health Maintenance Organization?
There are two types of medical billing: Institutional and _______________________.
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.
What type of claim form is used by hospitals?
Another name for a Health Information Specialist is a _________________________ Specialist.
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.
What is the amount you pay for health care services before your health insurance begins to pay?
A __________ is a fixed amount you pay for a health care service?
A primary care physician is also known as a _______________________.
What is the abbreviation for out-of-network?
What is the abbreviation for in-network?
What type of managed care plan lets you choose between an HMO or a PPO each time you need care?
How many parts does Medicare have?
A 1996 federal law that is sometimes called the "privacy rule", outlining how certain entities can use or disclose personal health information.
The reason for the visit or surgery that defines the disease process or injury.
M48.1 is an example of what type of code?
What does UB stand for in UB-04?
The healthcare system, funded by the U.S. Department of Defense, that active and retired military and their dependents use.
The entity that reimburses the provider for services. Insurance companies, Medicare, Medicaid, and third-party administrators are all payers in the healthcare industry.
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 _______________?

Health Care Systems Crossword

Health Care Systems  Crossword

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

Health Science 2 Puzzle Crossword

Health Science 2 Puzzle Crossword

Advances in medicine reach the general public through the
These facilities are equipped to handle a broad range of medical needs, including emergency and surgical services
Unlike general hospitals, specialty hospitals limit their practices to a specific age or condition.
Federal, state, and local governments operate these hospitals.
This type of medical facility often is the home to research and educational programs
these facilities house elderly patients who can no longer live independently because of heath or other issues.
those that do not require a hospital stay
meaning illnesses that will be fatal
or care for the terminally ill, is also often delivered in the home.
controlling symptoms and making the person as comfortable as possible while allowing them to die with dignity.
is both a health service and health insurance.
. One of the largest government insurance programs is
especially among the elderly who are more likely to have health issues
the government also provides insurance for those who cannot afford it
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.
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,
these professionals acquire more education and skills than a registered nurse and can perform some services generally reserved for doctors.
These health professionals are responsible for filling prescriptions and dispensing medications.
the study of disease
the relationships between social and economic elements, also shape health services

The Healthcare Delivery System Crossword

The Healthcare Delivery System  Crossword

The emphasis of the health care industry is shifting from managing illness to managing health of a community and the environment
What type of care describes a variety of health, personal, and social services provided over a prolonged period
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
Health services that are provided in the patients place of residence
Health care services in which patients who are recovering from illness or disability receive rehabilitation and supportive care
Federally funded national health insurance program for people over 65 years of age in the U.S.
Facility that offers skilled care from a licensed nursing staff
Is a caring discipline
Is a system of family-centered care that allows patients to live with comfort, independence, and dignity while easing the pains of terminal illness
What health service model shows that population based health care services provide the basis for preventive services

The Nursing Assistant in Long Term Care Chapter 1 Crossword

The Nursing Assistant in Long Term Care Chapter 1 Crossword

Another name for a long-term care facility is
Care given by specialists to restore or improve function after an illness or injury
Care given to people who have six months or less to live
Helps residents get support services, such as counseling
Trains residents to compensate for disabilities during ADLs and other activities
Administers therapy in the form of heat, cold, massage, ultrasound, electricity, and exercise to muscles, bones, and joints
Diagnoses disease or disability and prescribes treatment
Creates diets for residents with special needs
Teaches exercises to help the resident improve or overcome speech problems
Helps residents socialize and stay active

Medicare Crossword

Medicare Crossword

A federal health insurance program for people over 65, disabled or have End State Renal Disease
Covers inpatient care in hospitals, skilled nursing facilities and some hospice and home health
Covers doctors services, outpatient care, PT/OT and some home health.
Allows private health insurance companies to provide Medicare benefits through HMO's & PPO's
_________________ Plans take the place of original Mediare.
coverage that helps lower prescription drug costs
Beneficiary's Policy number
Beginning _____ 2018, we will see new cards without SSN's
Includes individuals enrolled in Medicare A&B and Medicaid
Dual eligible patients are 65 year old or disabled and ______________
__________ Covers all or part of Medicare co-pays, co-insurance and deductibles for those with dual eligibility
When Medicare does not have primary payment responsibility it is known as Medicare ________ payer.
End Stage Renal Disease
Group Health Plan

1.01 NF Crossword

1.01 NF Crossword

An acute illness has a sudden onset from which the resident is expected to recover
Center for aide regulation and education
Continuing care retirement community (includes skilled nursing)
A disease that persists for a long time. Chronic diseases generally cannot be prevented by vaccines or cured by medication, nor do they just disappear. Chronic diseases tend to become more common with age.
To find a problem though a survey
An establishment or hospital department where outpatients are given medical treatment
The ability to do something successfully
Civil Money Penalty
Centers for Medicare and Medicaid services
The surveyors' professional knowledge and interpretation of Medicare and / or Medicaid or Clinical Laboratory Improvement Amendments requirements
Division of Health Service Regulation
Medical conditions determined by a doctor
Assisted individuals with their daily living, provided safety, and comfort
Direct Care Worker
The collective physical and psychological occurrences of patients surveyed
The study of health, wellness, and disease later in life
Homes for the aged license
Health Care Personnel Registry
Care that is performed at the patients home
A business or organization established to provide a particular service
Given in facilities or homes for people who have approximately 6 months or less to live. Care that focuses on the care and dignity of a person who is very sick/dying rather on curing him or her.
an institution providing medical and surgical treatment and nursing care for sick or injured people.
People who need 24 hour skilled care
Pertaining to the science of treatment that includes drugs, diet, exercise and other non-surgical means.
That assists low-income families or individuals in paying for long-term medical and custodial care costs