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Across 4. A supplemental policy designed to cover the gaps in Medicare coverage. 7. A primary Medicare claim that is automatically sent to Medicaid. 8. People with this condition automatically qualify for Medicare benefits. 9. The part of Medicare that covers inpatient hospital services. 10. The maximum amount a non-participating physician can charge a Medicare patient. 12. The part of Medicare that covers outpatient hospital and physician services. 13. A federal office dedicated to combating fraud, abuse, and waste, and to improve the efficiency of HHS programs. 16. Otherwise known as Medicare Part C: Offers expanded benefits through private health plans. 17. Intricate cleaning of a claim by a clearinghouse before submission.

Down 1. A local determination as to whether a Medicare service is reasonable and necessary. 2. Healthcare Common Procedure Coding System 3. Audits the processed claims by MAC and recovers improperly paid claims. 5. Consolidated Omnibus Budget Reconciliation Act: allows an individual to maintain health care coverage 6. Unknowingly billing for procedures that were not medically necessary. 11. Also known as Medicare Advantage, administered through a commercial insurance company. 14. The part of Medicare that covers drugs and pharmaceuticals. 15. Knowingly billing for procedures that were not performed.