Ambulatory surgery center (ASC)

Licensed freestanding facility, other than a physician’s office, at which outpatient medical services are provided on an ambulatory basis (e.g., diagnosis, treatment, same-day surgery, rehabilitation). ASCs are hospital based (or sponsored) or independently owned (or sponsored). Surgery of an uncomplicated nature that traditionally was done on an inpatient basis but can be performed with equal efficiency without hospital admission is now being done in an ASC. To receive payment for Medicare patients, the facility must have an agreement with the Centers for Medicare and Medicaid Services (CMS) and meet specific requirements. ASCs are paid according to nine different payment groups based only on their cost similarities. Also called surgicenter or ambulatory surgical center.

Ambulatory visit groups (AVGs)

AVGs were replaced by ambulatory patient groups (APGs) as an outpatient classification system by Health Systems International (HSI). Then ambulatory surgery categories (ASCs) were adopted, replacing APGs for outpatient or 1-day surgery cases that were derived from the surgery section of the CPT. Later this was replaced by the ambulatory payment classification (APC) system.

Amendment

A formal document changing the provisions of an insurance policy signed jointly by the insurance company officer and the policy holder or his authorized representative.

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A formal document changing the provisions of an insurance policy signed jointly by the Authorized Signatory of the Insurance Company and Policyholder or his authorized representative.

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US, MEDICAL: 1. Additional entry inserted into a patient’s existing chart or progress note to correct data or to add more information. 2. Legal document or a clause added to a contract in which the terms of the contract are increased, limited, or decreased. Also called endorsement or rider.