Method or procedure used to settle insurance claims other than through a lawsuit. See also arbitration.
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UK: A generic term meaning all methods of dispute resolution other than the court. ADR embraces: arbitration, adjudication, conciliation, early neutral evaluation, expert determination, executive tribunal (or mini-trial) or mediation. ADR is actively encouraged as a part of the pre-action protocols in the Civil Procedure Rules.
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Methods other than lawsuits that are designed to resolve legal disputes. Examples are arbitration and mediation.
Another system for financing medical services that is different from a fee-for-service method (e.g., capitation).
Method designed to provide the account with a more favorable cash flow (e.g., self-funding and deferred premiums).
Nontraditional medical care given by providers such as acupuncture, aroma therapy, chiropractic, diet, exercise, faith healing, homeopathy, Indian Ayurvedic medicine, massage, meditation, mind/body therapies, nutritional and herbal medicine, stress management, and therapeutic touch. A number of health insurance companies and managed care organizations have begun to provide insurance coverage for a few of these alternative therapies. Alternative billing codes (ABCs) are used to bill for these services. Also see integrative health care and alternative billing codes (ABCs). Website: www.alternativelink.com
In workers’ compensation case, the placement of an injured worker in another job with the same employer as a temporary or permanent accommodation to the workers’ disability.
HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating services performed by a physician associated with a team. Use of this modifier affects Medicare payment.
Air or water vehicle specifically designed, equipped, and staffed for life-saving assistance and transportation of the sick or injured.
Land vehicle specifically designed, equipped, and staffed for life-saving assistance and transportation of the sick or injured.
In the Medicare program, a fee schedule for the payment of ambulance services that became effective April 1, 2002. This involves a 5-year transition during which payment is based on a blended amount—part fee schedule and part provider or supplier’s reasonable cost.
1. A patient capable of moving without assistance. Also see activities of daily living (ADLs). 2. Descriptive term used when services are provided to a patient in a physician’s office, clinic, or hospital outpatient department.