Type
Word Search
Description

ABUSE AND FRAUD
ALLOWED CHARGES
AMBULATORY
APDRG
APPEALS PROCESS
BLUECROSS BLUESHIELD
CAPITATION
CHARGEMASTER
CLOSED CLAIMS
CMS
CPT
DELIVERY SYSTEMS
DRG
ELECTRONIC REMITTANCE
GENERALISTS
HCPCS
HIPPA
HOSPITAL
MEDICAID
MEDICARE
MSDRG
OCCUPATIONAL HEALTH
OPEN CLAIMS
PHYSICIAN
PHYSICIAN FEE SCHEDULE
PPS
PRIVACY
REVENUE CYCLE MONITORING
THIRD PARTY PAYER
VALUE ADDED NETWORK

Medical Coding Word Search

Type
Word Search
Description

AMA
BILLING
CATAGORIES
CENTER FOR MEDICARE
CLASSIFICATIONS
CLINICAL MODIFICATION
CM
CMS
CPT
E-CODES
EVALUATION
EXEMPT
HCPCS
ICD
LEVELS
MANAGEMENT
MEDICAID SERVICES
MEDICARE
MODIFIER
NCHS
PATHOLOGY
PROFESSIONAL COMPONENT
SUBCATEGORY
SUBCLASSIFICATION
TECHNICAL COMPONENT
WHO
WORLD HEALTH ORGANIZATION
Z-CODES

Insurance Billing/Terminology Crossword

Type
Crossword
Description

The process of establishing the need for a service? medical necessity
A provider's list of charges for services provided. fee schedule
The amount the insurance company determines to be customary price for a service, usually less that what the provider charges? allowed amount
Fixed percentages of the cost of a service paid by the patient or a second insurance? coinsurance
Fixed amount paid by the patient at the time of service? copayment
Payment for health insurance policy? premium
A complete correct claim or a claim with no errors? clean claim
The primary provider who arranges for specialists or hospitalizations? gatekeeper
The medical insurance policy that is billed first? primary policy
National Provider Identification NPI
Centers for Medicare and Medicaid Services CMS
Managed Care Organization MCO
Diagnosis Related Group DRG
Medigap MG
Advance Beneficiary Notice ABN
Coordination of Benefits COB
Primary Care Provider PCP
Fee-For-Service FFS
Common for insurance to require approval for? elective procedures
Used to identify a procedure on a claim form? CPT
Family members of the insured are called? dependents

Insurance Word Search

Type
Word Search
Description

Benefit Cap
Blue Cross Blue Shield
Coinsurance
Commercial Insurance Plan
Copay
Covered
Deductible
Dosage
Formulary Exception
Healthcare Provider
Medical Doctor Office
Medicare Part D Plan
Non Covered
Out of Pocket Max
Patient
Payer
Pharmacy Benefit Manager
Prior Authorization
Provider
Registered Nurse
Specialty Pharmacy
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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

Bingo

Type
Bingo Cards
Description

Payment
Financial Class
Condition Code
Workers Comp
Revenue
Eob
Allowance
Diagnosis
Medicaid
Charges
CRCS
Physician
UB
Acct Balance
Admit Date
Recon
Denial
AS400
Adjustment
Claim form
HCFA
Medicare
Epic
Cpt Code

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Patient Access Crossword

Type
Crossword
Description

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

Acronyms Word Search

Type
Word Search
Description

Penalty
Appeal
Basic Health Plan
Case Management System
Cop
Cost Sharing Reduction
Department of Labor
Eligibility Appeals
Federal Appeals Entity
Federal Poverty Level
Federal Tax Information
Government Printing Office
Health and Human Services
Hippa
Homeland Security
Identification
Internal Revenue Code
Internal Revenue Service
Minimum Essential Coverage
Poverty Level
Premium
Protected health Info
Qualified Health Plan
Quality Assurance
Quality Improvement
Small Business
Social Security Number
State Based Marketplace
State Medicaid Agency
Tax Credit

Revenue Cycle Terminology Crossword Puzzle

Type
Crossword
Description

Advanced Beneficiary Notice ABN
The person who receives benefits and/or coverage under a healthcare plan Beneficiary
Centers for Medicare & Medicaid Services CMS
Statement of healthcare services, and their costs, submitted by a provider requesting payment Claim
Claim form used to submit professional/physician claims CMS1500
Claim form used to submit professional/physician claims COB
Claim form used to submit professional/physician claims Deductible
Information describing a patient, such as birth date, address, and pesonal identifiers Demographics
Diagnosis-Related Group DRG
Digital version of the medical record for an individual EMR
The individual responsible for outstanding balances Guarantor
Law designed to provide privacy standards to protect patients' medical records and other health information HIPAA
A unique 10-digit numeric identifier assigned by CMS to health care providers NPI
Physician or facility which provides a healthcare service Provider
The individual who carries the insurance coverage or the policy holder Subscriber
Claim form used to submit institutional/hospital claims UB04

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

HIP Week Crossword

Type
Crossword
Description

When a patient is admitted for treatment of the secondary site of the primary neoplasm. The secondary site is known as the ____________ site. metastisis
A code from severe sepsis should not be assigned unless severe sepsis or an associated acute organ ___________ is documented dysfunction
The following choices: Y, N, U, or W, are used for determining if the diagnosis was __________ on admission. present
A _______ followed by contrasting/comparative diagnoses guideline was deleted effective Oct 1st, 2014. symptom
DRG stands for __________ related group. diagnosis
A ____________ is the release, transfer, provision of access to, or divulging of information in any other manner outside of VHA. disclosure
A written document whereby a competent individual appoints another as the individual's agent is considered a power of ___________. attorney
A written, signed document allowing VA to disclose records. authorization
DME stands for ___________ medical equipment. durable
The CMS-1500 form, also known as a _________, is the official standard Medicare and Medicaid health insurance claim form required by CMS. hcfa