Type
Crossword
Description

This crossword contains the following questions and answers:

Title XIX of the Social Security Act Medicaid
Title XXI of the Social Security Act SCHIP
Health Care Program for Seniors and Disabled MEDICARE
President Obama's signature accomplishment ACA
Federal Agency that administers Medicare and Medicaid CMS
Governor's Office that oversees health system OHT
Federal Financial Participation FFP
The percentage that the federal government pays for Medicaid assistance FMAP
CMS Group that oversees grants, demonstrations and funding opportunities for innovation CMMI
Grants to states for health system transformation SIM
A nine digit number required to become Medicaid eligible SSN
Income level that the federal government uses as a standard for measuring eligiblity FPL
Income standard that aligns with the IRS 1040 MAGI
Required to be a citizen of: USA
Required to be a _____ of Ohio RESIDENT
Childless Adults and parents between 100% - 138% of FPL make up this group EXPANSION
Benefits that the Medicaid program is not required to provide OPTIONAL
Residents with family income between 138% and 400% of FPL can receive a ___ to enroll in the health insurance exchange plan. SUBSIDY
patients enrolled in Medicare and Medicaid are ___ Eligible DUAL
Assistance with Medicare Part A and B Premiums, deductibles and copays QMB
State Agency overseeing behavioral health services OHIOMHAS
Managed care plan for dual eligibles MyCare
Pay For ____ Value
Per Member Per Month Payment Capitation
Benefits that the Medicaid Program is required to provide Mandatory
In a nursing home. Institutionalized
Payment System for Inpatient Hospital Care DRG
the act of intentionally relinquishing or abandoning a known right, claim, or privilege waiver
Appropriate proportion of LTC Institutional Residents and consumers of home and community based services Rebalance
Place where comprehensive primary care is delivered PCMH
Hospitals install ____ systems that meet meaningful use criteria EHR
US Department overseeing CMS HHS
State budget item that is highest percent of state GRF spending Education
Medicaid program of preventive health services for children EPSDT
Independent professional that certifies the capitation rates paid to Medicaid Managed Care Plans Actuary
Medicaid is comparable to private insurance for consumer access and ______. Satisfaction

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Medicare Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

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

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PATIENT ACCESS Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

Health Maintenance Organization; A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO
Fixed sum of money that beneficiary must contribute towards the cost of their healthcare before insurance benefits begin DEDUCTIBLE
Official count/list of patient population CENSUS
Not to be disclosed CONFIDENTIAL
Federal health insurance plan primarily for seniors MEDICARE
The administrative branch within the Department of Health and Human Services that is responsible for Medicare and Medicaid Services CMS
ost sharing in which the subscriber is responsible for a specific percentage of the cost of healthcare COINSURANCE
Person who is the holder of an insurance policy SUBSCRIBER
Questionnaire to determine primary payor before Medicare MSP
ederal law requiring employers to permit employees to continue their group health insurance coverage after termination COBRA
A fixed payment for a covered service COPAY
Preferred Provider Organization PPO
oint federal and state program to provide Medical insurance for the poor MEDICAID
Collection and storage on patient demographic, insurance, and clinical data REGISTRATION

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Patient Access Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

federal health insurance plan primarily for seniors medicare
setting for inpatient care hospital
federal law requiring employer to permit employees to continue their group health insurance coverage after termination cobra
conducting ourselves ethically and within the law of business practice compliance
collection and storage on patient demographic, insurance and clinical data registration
official count/list of patient population census
document verifying patient name identification
portion of bill that beneficiary must pay once insurance benefits have begun copay
a practice to reduce anxiety aidet
joint federal and state program to provide medical insurance for the poor medicaid
having a short, relatively severe course acute
not to be disclosed confidential
making an appointment scheduling
ambulatory patient outpatient
admitted for multi-day stay inpatient
healthcare consumer patient
ABN Advance _______ notice beneficiary
MSP Medicare ________ payor secondary
EMTALA Emergency Medical Treatment and ______ Act labor

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Medicare Definitions Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

It occurs every year from October 15 – December 7 Annual Election Period
An agreement between individuals with Medicare & their doctors or suppliers & Medicare Assignment
Another name for the Medicare member Beneficiary
Part of the U.S. Dept. of Health & Human Services which governs the Medicare program CMS
Medicare beneficiaries with low income & limited resources who are entitled to Medicare and some type of Medicaid benefit Dual Eligible
Managed Care structure where your primary care doctor must refer you to see other doctors, specialists, or to have tests except in an urgent or emergency situation HMO
For Medicare enrollment when a person would be eligible to enroll for the first time in Medicare Part A and Part B ICEP
For Medicare enrollment in a Part D plan Initial Election Period
The highest amount of money that can be charged for a Medicare covered service by doctors & other healthcare providers who don’t accept assignment Limiting Charge
A cooperative effort between Federal & State governments to give adequate medical care to eligible needy persons Medicaid
This is a Medicare supplement plan to cover the gaps Original Medicare does not Medigap Plan
A period of time in which Medicare-eligibles can enroll in or change their existing Medicare Advantage (Part C) plan Open Enrollment Period
Medicare’s Part D Prescription Drug Plan which is voluntary PDP
You can go to any doctor, hospital or healthcare provider as long as they accept the plan’s payment terms PFFS
Insured has the choice to go in or out of the Provider Network of doctors and hospitals in plan, but agree to pay more if they do PPO

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college Readiness Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

provides billions of dollars nationally in the form of grants, loans, and student employment for students to pursue post secondary education Financial Aid Administrator
a collection of different types of financial aid from multiple sources Financial Aid Package
students, parents, and borrowers are required to use an. FSA ID
a set amount of time after you graduate, leave school, or drop below half-time enrollment before you must begin repayment on your loan. Grace Period
one who meets at least one of the following criteria: You are working on a degree beyond a bachelor's, such as a master's or doctorate. You have a child or children, or other legal dependents, who receive more than half their financial support from you. Independent Student
the proportion of a loan that is charged as interest to the borrower, typically expressed as an annual percentage of the loan outstanding. interest
Some money for college is awarded without regard for financial need. Merit Based Aid
is defined as a formal process focus on how a product addresses the needs of a human. Need Analysis
the final price paid for goods or services after subtracting tax and any other costs Net Price
payment in excess of what is due over payment
A quantitative estimate of the parents ability to contribute to the post secondary educational expenses of an independent student parent Contribution
the amount of money borrowed by the student principal
a signed document containing a written promise to pay a stated sum to a specified person or the bearer at a specified date or on demand. promissory note
omeone who is enrolled or accepted for enrollment in an eligible institution for the purpose of obtaining a degree or certificate offered by the school. regular student
a federal regulation requiring the U-M Office of Financial Aid to monitor the progress of each student who is receiving financial aid as they move toward completing their degree satisfactory academic progress
The system used in the United States to draft young people into armedservice. Though the United States at present has no draft, young men are required by law to register with the Selective Service when they reach the age of eighteen. selective service registration
a paper or electronic document that gives you some basic information about your eligibility for federal student aid and lists your answers to the questions on your Free Application for Federal Student Aid student aid report
Support financially subsidized
the amount of income used to calculate an individual's or a company's income tax due. taxable income
the Higher Education Act of 1965 (HEA) covers the administration of the United States federal student financial aid programs title IV Programs
The Federal Government pays the interest for Direct Subsidized Loans while the student is in college or while the loan is in deferment unsubsidized
all incommode received that is not reported to the IRS untaxed income
the process of establishing the truth, accuracy, or validity of something. verification

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Medicare 101 Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

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

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Paycheck Basics Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

Amount subtracted from gorss pay Deductions
wages going directly to employee's bank account from eemployer's Direct Deposit
Federal Insurance Contribution Act: including social security and medicare FICA
Form used to prove citizenship Form I-9
States the amount of money earned and taxes paid throughout the previous year: wage and tax statement Form W-2
Determines the amount of money withheld for taxes: Employee's Withholding Allowance Certificate Form W-4
Total amount of money earned before payroll withholdings Gross Income
Health program for disabled and elderly Medicare
Amount of check often referred to as the "Take home Pay" Net Income
Length of time for which an employee's wages are calculated Pay Period
Paper Payment for earned wages Paycheck
Document that employee's receive either as a notice of payment and deductions Paycheck stub
Electronic card that carries the earned wages on it Payroll card
Items deducted from gross income Payroll deductions
Provides retirement income for the elderly and pays for disability benefits Social Security
Net income and the amount and employee receives after payroll deductions Take Home Pay
Required charges of citizens by local, state, and federal governments Taxes
Amount required by law for employers to withhold from earned wages to pay taxes Withholding Tax
Accumulated deductions for the year Year to Date

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executive departments and presidents cabinet. Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

Serves as the financial division of the government treasury
Oversees the u.s. Armed forces through the joints chiefs of staff Defense
Responsible for the nations nuclear weapons progam, reactors, and radioactive waste. Energy
Provides federal assistance to education Education
Works to ensure safe safe, efficient and convenient land,sea rail and air. Transportation
Collects and analyzes data on employment Labor
manages federal Medicare and Medicaid Health services
Overseas medical care and other services for veterans and families after their service Veterans affair
Charged with protecting the security of america's borders, shores, land and the safety of its people Homeland security
Promotes and protects the industrial and commercial parts of the economy Commerce
Enforces antitrust laws. Justice
Develops conservation programs Agriculture
Oversees relationships with American and Indian nations. Inferior
Ensures equal housing opportunities. housing
When was the first cabinet 1789
Secretary is state Jefferson
Cabinet secretaries must be loyal to one of whom? Memebers of congress
How much does a secretary make per year? 199,700
Who is the secretary of treasury? Hamilton
How many positions is the bainey made up of? Four

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Health Care Systems Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

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

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Quality Week Crossword Puzzle

Type
Crossword
Description

This crossword contains the following questions and answers:

Federal program for low income population medicaid
Federally funded health insurance for 65 yrs or older medicare
A Doctor who treats only a certain part of the body or a certain condition specialist
A member disagreement regarding unauthorized health services appeal
A person's wishes regarding medical treatment, often including a living will advancedirective
Law restricting access to a patient's personal health information hipaa
Formal member complaint grievance
Unanticipated event resulting in death or serious injury (2 words) sentinelevent
Admitted to the hospital a second time within 30 days readmission
Process to help identify what, how and why an event occured to prevent future occurence (3 words) rootcauseanalysis
The right care, at the right time, in a format that the member can understand, is described as what kind of access? meaningful
An official inspection of an organization's accounts or processes audit
A life-threatening condition that arises when the body's response to infection injures its own tissues sepsis
Quality Improvement Project QIP
Patient _________is the measure of how content a patient is with their healthcare and an important indicator of quality. satisfaction
Lodging of a blockage-causing material inside a blood vessel embolism
The California agency that protects managed health care consumer's rights and ensures a stable health care delivery system. DMHC
A standard or point of reference against which things may be compared or assessed benchmark
List of drugs approved by an insurance plan formulary

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