In the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code book, an alpha list of causes and places of injuries and poisoning, located at the back of Volume 2. This assists in trying to choose an accurate diagnostic code for an injury or poisoning case.
Insurance Encyclopedia
Alteration of Port of Departure
Where the place of departure is specified by the Policy, and the ship instead of sailing from tat place sails from any other port, the risk does not attach.
Altering patient records
Unethical and illegal practice of changing or adding an amendment to a patient’s medical records either to obtain more reimbursement or due to a pending audit or legal review of records.
Alternate beneficiary
Individual entitled to the proceeds of a life insurance policy if no primary beneficiary is living when the insured dies. Also called contingent beneficiary, secondary beneficiary, or successor beneficiary.
Alternate delivery system (ADS)
1. Any health care delivery system other than traditional fee-for-service (e.g., health maintenance organization [HMO], preferred provider organization [PPO], individual practice association [IPA]). 2. Provision of health services in settings that are more cost effective than an inpatient, acute-care hospital such as skilled and intermediate nursing facilities, hospice program, and in-home services.
Alternate Delivery Systems
Health services provided in other than an inpatient, acute-care hospital, day care hospital, which are designed to provide needed services in a more cost-effective manner.
Alternate financing mechanism
See: alternative funding mechanism.
Alternate treatment plan
Strategy for treatment of a patient other than in a hospital.
Alternate valuation date
For tax purposes, the value of a decedent’s estate is made as of the date of death. However, the estate executor may elect to value all estate assets 6 months from the date of death, the alternate valuation date.
Alternative basis clause
A business interruption policy clause to provide the insured with an alternative basis for adjusting a claim when the interruption is short and the turnover method impractical. The practice is for the insurer and the loss adjuster to calculate the loss on a ‘sales value of output’ basis, provided that the lost output cannot be regained within the indemnity period. Insurers are sufficiently flexible in their approach to allow this practice to be adopted even if the clause is not included.