Type
Crossword
Description

This crossword contains the following questions and answers:

Method used to account for a veteran's care across the country; each veteran equals a maximum value of 1.0 of these. PRP
Allocation Resource Center, home of VERA in Braintree, MA ARC
____ Payment Files identify payments to contracted and other non-VA providers considered by VERA Fee
Business ___, the understanding of what it takes for a business to make or manage money and to produce desirable results. Acumen
VERA also allocates funds for ____ and non-recurring maintenance. Research
____ Price Adjustment accounts for local variations in cost of patient care. Geographic
Data ____ ensures the accuracy in data flow process by incorporating quality control process that safeguard the data. Validation
The Patient ______ process categorizes patients into specific classes based on clinical data and utilization factors. Classification
___ provides pharmaceutical information for several classes within the hierarchy PBM
Every patient is equal to _______ PRP. One
___ Cost Adjustment provides additional funds for the most costly patients. High
The VERA Model uses a ___-year timeframe to identify the basic care veteran ppopulation because these patients do not necessarily use VA healthcare services every year. Two
Veterans Equitable Resource Allocation VERA
For Fiscal Year 2019 there are 65 classes in Patient Classification ______ Hierarchy
Non veterans are not funded in the VERA system unless they reach the ___________ level of care. Complex
A new patient class for FY 2019 is called___ PACT. Non
Customer ___________ is a top priority. Service
VERA is used to distribute General Purpose ____ to each VISN. Funds
Patient Weighted _____ is used to distribute funds from the VISN to the Medical Centers. Work

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Basics of Health Insurance Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

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

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Accounting Terms: Back to Basics Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

describes the sources and uses of cash for a reporting period Statement of cash flows
charge for using money until repaid at a future date Interest
security that represents ownership in a corporation; holders exercise control by electing a board of directors and voting on corporate policy Common stock
amount by which a company's value exceeds the value of its individual assets and liabilities Goodwill
class of ownership in a corporation that has a higher claim on its assets and earnings than common stock Preferred stock
net sales minus cost of goods sold Gross profit
record within an accounting system where increases and decreases in a specific asset, liability, equity, revenue, or expense are entered and stored Account
process of allocating the cost of an intangible asset to expense over its estimated useful life Amortization
an entry that increases asset and expense accounts, and decreases liability, equity ad revenue accounts Debit
income statement, balance sheet, statement of changes in owner’s equity, and statement of cash flows Financial statements
customers and other individuals and organizations who owe a company Debtors
journal entry at the end of an accounting period to bring an asset or liability account to its proper amount and update the related expense or revenue account Adjusting entry
total cost of an asset less its accumulated depreciation Book value
an asset created by selling products or services on credit Accounts receivable
method to assign cost to inventory that assumes items are sold in the order acquired FIFO
entity created by law and separate from its owners Corporation
inflows of assets in exchange for products and services provided to customers as part of a company’s operations Revenues
length of time an asset will be productively used in the operations of a business Useful life
occurs when expenses exceed revenues Net loss
merchandise a company owns and expects to sell in its normal operations Inventory
estimate of amount to be recovered at the end of an asset's useful life Salvage value
expense created by allocating the cost of plant and equipment to periods in which they are used; represents the expense of using an asset Depreciation
resources owned or controlled by a company that provide expected future benefits to the company Assets
a liability created by buying products or services on credit Account payable
obligations due to be paid or settled within the longer of one year of the operating cycle Current liabilities
equals a corporation’s accumulated net income (loss) for all prior periods that has not been distributed to shareholders Retained earnings

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Health Information Management Week Crossword Puzzle

Type
Crossword
Description

This crossword contains the following questions and answers:

The process of assigning numeric classifications to diagnostic statements Coding
A record that is made of paper and electronic information is called Hybrid
A legal and ethical concept that establishes the healtcare provider's responsibility in protecting PHI Confidentiality
A means to convey permission to administer care Consent
The process that MMRA does Release
When a doctor is non-compliant with paperwork Suspensionlist
We like to celebrate anything in our department Potluck
Another name for Health Information Management Medicalrecords
What is another word we use for chief Teamleader
Information that is on a facesheet Demographics
What an analyst does with paperwork before it is scanned Prepping
What is the next step after paperwork is scanned Analyze
The process of extracting information from a document abstracting
The act of transferring PHI between care providers is called Exchange

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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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Financial Terms Crossword Puzzle

Type
Crossword
Description

This crossword contains the following questions and answers:

When you’re investing or saving, this is the interest that you earn on the amount you deposit, plus any interest you’ve accumulated over time. Compoundinterest
A number used by banks and other financial institutions to measure a borrower’s credit worthiness. FICOscore
The difference between your assets and liabilities. networth
The process by which you choose what proportion of your portfolio you’d like to dedicate to various asset classes, based on your goals, personal risk tolerance and time horizon. Assetallocation
Commonly referred to as fixed-income securities. Bonds
The increase in the value of an asset or investment — like a stock or real estate — above its original purchase price. Capitalgains
The process of buying or selling securities over time in order to maintain your desired asset allocation. Rebalancing
Also called equities or shares. Stocks
This is the process of paying off your debt in regular installments over a fixed period of time. Amortization
A type of mortgage in which the interest you pay on your outstanding balance rises and falls based on a specific benchmark. ARM
An account held by an impartial third party on behalf of two parties in a transaction. Escrow
A mortgage that carries a fixed interest rate for the entire life of the loan. Fixed-rate mortgage
Employer-sponsored retirement plans, such as pensions, in which the employer promises a specified retirement benefit based on a formula that may include an employee’s earnings history, length of employment and age. Defined-benefit plans
Companies often use these as management incentives. stockoptions
The payments you make to an insurance company in return for protection from financial losses within the scope of your policy. Premium
Used to determine your taxable income, minus any additional IRS-qualified deductions that you’re eligible to take. AGI
A person who is financially dependent on your income, typically a child or an adult relative you may support. Dependent
A standard amount that can be used to reduce your taxable income if you decide not to itemize your deductions. Standarddeduction
A qualified expense that the IRS allows you to subtract from your adjusted gross income, which further reduces your taxable income. Itemizeddeduction
A type of policy that provides additional liability coverage beyond what your home, auto or boat insurance may provide. Umbrellainsurance

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Health Care Careers Crossword Puzzle

Type
Crossword
Description

This crossword contains the following questions and answers:

Examines eyes for vision problems and defects Optometrist
Provides total patient care by assessing a patients condition, administering medications, dressing changes, starting IVs, giving blood and other treatments Registered Nurse
Doctors who specialize in the care of the teeth and mouth Dentist
A person who is responsible for the planning of individual therapeutic meals to help promote healing Dietician
Relating to or using the methods or principles of science Scientific
A physician specialty who specializes in the diagnosis of diseases and infections by examining cells, tissues, and body fluids of patients pathologist
Provde a therapeutic environment for the delivery of health care Support Services
An individual awaiting or under medical care and treatment Patient
Create a picture of patient health status at a single point in time Diagnostic Services
The common name for a physician: a person skilled in the healing arts Doctor
A scientist that studies human genes Geneticist
Manintain or change the health status of the patient over time Therapeutic Services
Use scientific and technical advancements to enhance diagnostic and therapeutic abilities in health care Biotechnology
Provide functions that support and document patient care Health Informatics
Also called heart beat Pulse
A person who dispenses and suggests medications to be used in the treatment of diseases and disorders Pharmacist
Tools you use for a specific task Equipment

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Hospital Billing Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

National Provider Identification NPI
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. EOB
Portion of the bill, as defined by the insurance company which the patient owes. Deductible
Advanced Beneficiary Notice ABN
A person or persons whose account that has been sent to a collection agency for further action. Bad Debt
The cost sharing part of the bill that the patients have to pay. Coinsurance
A part of the bill that we must write off because of billing agreements with insurance companies. Contractual Adjustment
A cost sharing part of the bill that is the patient’s responsibility to pay. Copay
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 CPT code
How much cost sharing that the patient must pay for medical services often before their insurance starts to pay. Deductible
A code used for billing that describes the patient’s condition. Also called ICD-10 diagnosis code. Diagnosis code
Individual who is responsibility for the bill. Guarantor
Patient class in which the patient requires a higher degree of nursing and physician care. Inpatient
A person who is a policyholder of the insurance. Also known as the subscriber, policyholder, cardholder, or beneficiary. Insured
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. Observation
Any service received at a hospital or clinic that is not an inpatient status. Includes Emergence Room, Observation, and ancillary services. Outpatient
A form used by hospitals to file insurance claims for medical services. Used when billing for hospital technical services. UB
Part of medicare that helps pay for doctor services, outpatient care, and other medical services not paid for by Medicare Part A. Part B
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. Part A
Claim form used by doctors to file insurance claims for medical services. Used when billing for professional services. HCFA
Medicare Secondary Questionnaire MSP
Hospital Billing (abv) HB
Professional Billing (abv) PB
After a patient is discharged from, the account status is changes from Open to DNB
Hospital Account HAR
A holding tank for accounts that we have identified has issues or needs follow up performed Workqueues
Hospital Clinic System used by WVUH EPIC

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Healthcare Vocabulary Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

A contract with a company where the subscriber pays a regular premium in exchange for a defined set of benefits Health Insurance
Reffered to as family doctor/PCP this person administers routine and preventive care, and makes referrals for specialty services when needed. Primary Care Provider
A provider who focuses on one area of medicine. Like a cardiologist or neurologist Specialist
A contracted, pre-determined dollar amount insurance company requires a patient to pay for a particular medical service. (It requires patients to pay a small amount upfront to deter people from seeking medical care that may not be necessary.) Copay
The contracted rate a health insurance company will pay toward a specific medical service. Allowable Charges
A contracted, pre-determined percentage of the allowable charge that a patient is required to pay for a particular medical service (after the deductible is met and before the out-of-pocket maximum is met). CoInsurance
A pre-determined annual amount patient must pay before insurance begins to cover. Deductible
Annual maximum amount patient is required to pay for in-network medical services per his/her insurance plan contract (typically, copay + coins + deductible) Out of Pocket
The person who is responsible for payment of the monthly premium, or whose employment is the basis for the coverage. Subscriber
A person entitled to health insurance benefits under the subscriber’s plan. Covered Member
Insurance Company Payor
A specific package of benefits negotiated between the company and the employer. Plan
Dates during which the insurance plan is active. Effective Dates
Explanation of Benefits is a statement from the insurance company that details payments and adjustments made for services. EOBs go to both the provider and the patient. EOB
/Response from the insurance company that states no payment will be made. (service could be not covered by the insurance plan, or the insurance company may need more information.) Denial
The order in which the claim is sent to insurance companies. If patient has more than one insurance plan, we must determine which insurance should be billed primary, secondary, etc. Primary: the first insurance company designated to pay toward their allowable charges. Secondary: the second insurance company designated to pay toward their allowable charges. Filing Order
The pathway a patient takes from one provider to another. Referrals may be required by insurance before a patient can be seen by the other provider. Referral
The process whereby a physician must obtain insurance approval before a patient receives certain treatment or drugs (study, test, procedure, surgery.) Authorization

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Health Insurance Crossword Puzzle

Type
Crossword
Description

This crossword contains the following questions and answers:

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

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Happy Nurses Week 2016 Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

Improving quality of life by reducing the symptoms knowing we cannot cure the disease. palliation
Nursing presence is a non-pharmaceutical nursing intervention offered to patients who may not be responding to medications or other treatments to provide comfort and support. presence
Care provided to any person, any age, in any place to ensure the best quality of life. May be written as part of a palliative plan of care which is documented in CPRS palliative
Commonly used medications which can be used to palliate symptoms of pain or dyspnea opioids
Commonly used medications which can be used to palliate symptoms of anxiety or insomnia anxiolytic
Last name of GEC Service Chief. Silverman
Psychosocial, emotional, and spiritual process of grieving the loss of a loved one bereavement
Last name of our PCCT Social Worker. Dill-Bloomberg
Dr. Miller's first name. Maura
Last name of PCCT Nurse Practitioner Bhandari
Our hospice unit was dedicated in 2015 on the 19 of what month? August
Inability to sleep during the night insomnia
A national best practice and ritual to honor deceased Veterans after death The Final Journey
Care provided for terminally ill people with prognosis of 6 months or less hospice
An expected competency for all Nurses who provide palliative care compassion
Date the first Veteran was admitted to VA Hospice 19 October 2015
Last name of Hospice and Palliative Care Program Support Assistant Rodriguez
Symptom of impaired breathing related to advanced disease or active dying process dyspnea
Common expected effect of opioid use. Constipation
Last name of our Hospice Chaplain House
Last name of our Hospice Social Worker and Medical Center Bereavement Coordinator Valpatic

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