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.

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.