Across |
8. | computerized Medicare system that prevents overpayments (3 Words) |
10. | OIG's annual list of planned projects (3 Words) |
11. | setting fees by comparing usual fees, customary fees, and reasonable fees |
12. | audit conducted by an outside organization (2 Words) |
13. | periodic prepayment to a provider for specified services to each member (2 Words) |
14. | program designed to audit Medicare claims (3 Words) |
16. | reporting undocumented services the coder assumes have been provided due to the nature of the case or condition (2 Words) |
17. | providing free services to other physicians (2 Words) |
20. | individuals or companies not permitted to participate in federal health care programs (2 Words) |
21. | collecting the difference between a provider's usual fee and a payer's lower allowed charge (2 Words) |
22. | list of a practice's frequently reported procedures and diagnoses (3 Words) |
23. | system of assigning unit values to medical services based on their required skill and time (3 Words) |
25. | maximum charge a plan pays for a service or procedure (2 Words) |
26. | computerized system that identifies improper or incorrect |