change of ownership (CHOW)

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.

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 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.
***
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).

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 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.