This is a Rider in a life insurance policy stating that an accidental death benefit is payable if the insured’s death was the result, directly and independently of all other causes, of bodily injury caused solely by external, violent, and accidental means. The “means” that caused the mishap must be accidental to claim benefits under the policy.
Tag: MEDICAL
Accommodation revenue code
A three-digit code used by hospitals and skilled nursing facilities to identify a specific accommodation or ancillary charge on a hospital or skilled nursing facility bill to a third-party payer.
See Also: revenue code.
Account
A ledger, ledger card, financial accounting record, or patient account ledger is a formal record of all transactions made on an individual’s financial record, listing debits, credits, and balance; this term may be computerised, or in a medical practise using a manual bookkeeping system, this term is referred to as a ledger, ledger card, financial accounting record, or patient account ledger.
accountable health plan (AHP)
A managed competition component that serves as both a provider and an insurer (payer) of health care services. AHPs compete with one another to provide the most cost-effective benefits package while also providing the highest quality of care. AHPs have preventive programmes and place an emphasis on wellness. These health plans are owned, operated, or contracted with by providers.
Also called Accountable health partnership (AHP), integrated delivery system (IDS), integrated health system (IHS), integrated health delivery system (IHDS), community accountable healthcare network (CAHN), integrated service networks (ISN), health purchasing alliance (HPA), community care network (CCN), and organised delivery systems.
Accounts receivable (A/R) transaction
Miscellaneous Medi-Cal accounting transactions as a result of cost settlements, state audits or refund checks received by the fiscal intermediary.
Accounts receivable (AR)
1. The total amount of money owed by patients to a business for professional services rendered by a provider or medical group.
2. The Money owed to a hospital facility from patients, insurance companies, managed care plans, and government programs.
Also See “day sheet”.
Accreditation
United Kingdom:
Procedure for enrolling an applicant as a Lloyd’s broker. Reaccreditation transpires following a three-year period. Before submitting an application to Lloyd’s, a UK applicant must receive authorisation from the FSA. The updated accreditation program permits foreign brokers to attain Lloyd’s broker status without the necessity of a UK-registered firm. International candidates must prove compliance with FSA-equivalent standards on the segregation of insurance funds, solvency, and professional indemnity insurance. There exist stipulations for reporting, oversight, grievance resolution, training and proficiency, as well as standards of conduct, all of which may consider regional stipulations.
United States, Healthcare:
1. Endorsement; an assessment procedure by which a curriculum or educational establishment is acknowledged by an outside organization for fulfilling specific established criteria. Accreditation can be either enduring or granted for a designated duration.
2. In reference to hospitals, it signifies that an institution adheres to specific quality benchmarks. These benchmarks are established by private, nationally acknowledged organisations that evaluate the quality of care (personnel and apparatus) in healthcare institutions typically every three years. Accreditation may be conferred by two entities: The Joint Commission (formerly referred to as the Joint Commission on Accreditation of Health Care Organisations [JCAHO]) and the American Osteopathic Association (AOA). Government entities at both the state and federal levels may acknowledge accreditation as a substitute for, or foundation of, licensure or other compulsory endorsements.
Also see certification.
Accreditation Association for Ambulatory Health Care (AAAHC)
The Accreditation Association for Ambulatory Health Care, also known as the Accreditation Association or AAAHC , was formed in 1979 to assist ambulatory health care organizations improve the quality of care provided to patients. AAAHC is the leader in ambulatory health care accreditation and accredits more than 2500 organizations in a wide variety of ambulatory health care settings including ambulatory and office-based surgery centers, managed care organizations, and Indian and student health centers. With a single focus on the ambulatory care community, the Accreditation Association offers organizations a cost-effective, flexible, and collaborative approach to accreditation. The Accreditation Association’s mission is to maintain its position as the preeminent leader in developing standards to advance and promote patient safety, quality, value, and measurement of performance for ambulatory health care through peer-based accreditation processes, education, and research.
Accreditation cycle for M+C deeming
Duration of the Centers for Medicare and Medicaid Services’ (CMS) recognition of the validity of an accrediting organization’s determination that a Medicare+Choice organization (M+CO) is “fully accredited.”
Accreditation for deeming
Some states use the findings of private accreditation organizations, in part or in whole, to supplement or substitute for state oversight of some quality-related standards. This is referred to as “deemed compliance” with a standard.