Under the Health Insurance Portability and Accountability Act (HIPAA), specific rules and guidelines for the transmission of electronic insurance claims.

1. Relocating or moving a patient from one health care facility or inpatient unit to another for additional treatment. Under the Medicare prospective payment system, the transferring hospital is paid based on a per diem rate and the patient’s length of stay. The diagnosis-related group (DRG) payment is made to the final discharging facility. 2. Move membership from one health insurance to another.

One of four periods during which an individual can enroll in Medicare Part A. TEP is for people age 65 or older who have Part B only and are enrolled in a Medicare managed care plan. They can sign up for Medicare Part A during any month they leave the plan or if the plan coverage ends, they have 8 months to sign up. The 8 months start the month after the month they leave the plan or the plan coverage ends. If they enroll in Part B or Part A during the general enrollment period (GEP), the coverage starts on July 1. Also see initial enrollment period (IEP), general enrollment period (GEP) , and special enrollment period (SEP) .

Review of transfers to different areas of the same hospital that are exempted from prospective payment.

Proficiency obtained through work by the insured that he or she can apply to another job using similar physical or mental limitations caused by a disability.

Group insurance plan that is changed from one insurance company to another.

Assessment of an insurance risk and establishment of a rate for a specific level of benefits that is competitive and matches with the current experience rating system.

Ability of an individual to move in and out of a bed or chair. Also see activities of daily living (ADLs) .