Situation when a provider undergoes a change in the proprietorship of their medical practice. A Medicare provider is required to notify the Centers for Medicare and Medicaid Services of the identity of both old and new owners, effective date of change, how the new entity will be organized, and a seller’s terminating cost report.
Tag: RAW
Change of ownership clause
An Institute Time/International Hull Clause enabling the insurer to cancel the policy in the event of the vessel being sold or transferred to new management during the currency of the policy if they do not approve the change. If the vessel has sailed, the cancellation is suspended until arrival at the port of final discharge.
Change of Underwriting Policy Clause
Requires that the reinsured does not, after arranging the reinsurance treaty, change its underwriting practices with regard to the business covered by the treaty without the reinsurer’s consent.
Change of voyage
Voluntary change of the ship’s destination from the contemplated voyage that occurs after the commencement of the risk, under a hull or cargo voyage policy. The insurer’s liability ends immediately the decision is made and it is immaterial that a loss occurs when the ship is still on the original course. Institute Cargo Clauses provide that a change of voyage is held covered at a premium to be agreed if prompt notice is given to the insurer.
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Section 47 of the Marine Insurance Act provides that (01) where, after the commencement of the risk the designation of the ship is voluntarily changed from the destination contemplated by the Policy, there is said to be a change of voyage. (02) Unless the Policy otherwise provides, where there is a change of voyage the Insurer is discharged from liability as from the time of change that is to say, as from the time when the determination to change is manifested; and it is immaterial that the ship may not in fact have left the course of voyage contemplated by the Policy when the loss occurs.
Channeling
Process of directing patients to certain providers and hospitals by a managed care plan, provider, or medical group (e.g., managed care plan that sends [channels] patients to providers within the plan’s network).
Channeling (Health Insurance)
A hospital insurance policy that covers unemployed hospital physicians in the case of medical professional liability. This is done to tie physicians to a particular hospital and increase patient admissions to the hospital.
Chapter
First major section in the Tabular List in the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code book. A chapter represents a body system or type of condition.
Chapter 11 bankruptcy
Type of bankruptcy case that is used for reorganization of a business enterprise when the company is unable to meet its debts but would like to continue business and would be unable to do so if creditors took away its assets.
Chapter 12 bankruptcy
Type of bankruptcy case that is used for reorganization when a farmer is unable to meet his or her debts.
Chapter 13 bankruptcy
Type of bankruptcy case that is designed to protect the wage earner from creditors while allowing the wage earner to make arrangements to repay a portion of his or her bills (about 70%) over a 3- or 5-year period. Also called wage earner’s bankruptcy.