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CMAA Crossword Puzzle #2

Across
Preferred provider organization
International classifications of diseases
Devvelped in 1973 for spouses, children of veterans
Pays for outpatient services
Percentage owed by patient after deductible has been met and copayment has been paid
Civilian health and medical program of the uniformed services (Champus)
Inform third party payers that circumstances for a particular code have been altered
Medication coverage
A provider who has contracted with an insurer
Diagnostic Related Group
Required by medicare when a service is provided not covered or if patient is unsure
Advanced beneficiary notice
A predetermined amount an insured must pay each year before insurance will pay
Flexible Spending Accounts
Superbill
Structure of payment based on number served
Fraud practice of putting codes together to ignore modifires
Down
Approval obtained before the patient is admitted to the hospital
Independant practice association
Current procedural terminology
A health care delivery system that combines the delivery of health care and payment of the services
Pays for inpatient services
Medicare advantage
Coordination of benefits
Pay based on codes that are submitted
Person entitled to benefits
Insurance companies that reimburse for health care services
Monies paid for an insurance contract
Healthcare common procedure coding system
Point of Service Plan