The right of a insured to relinquish ownership of the insured property to the underwriter in exchange for a constructive total loss payment. The underwriter is not bound to accept abandonment but in doing so, he accepts responsibility for the property and liabilities attaching thereto, in addition to paying the full sum insured.
Marine: Mainly applies to marine insurance ( See Salvage ).
Property: It is expressly prohibited in most property polices.
Medical: To discontinue medical care by a provider without proper notice after accepting a patient.
Alternative Billing Codes.
Adverse Benefit Determination.
When compared to the national average, medical services that differ from what is considered usual or normal.
Autologous Bone Marrow Transplant (ABMT).
Advance Beneficiary Notice (ABN).
1. To select information from a patient’s medical record using hard copy or electronic equipment for statistical purposes or to submit an insurance claim for reimbursement.
2. At the end of a patient’s hospital stay, the attending physician prepares a report that summarises the diagnosis, treatment, and results and outlines any further treatment after discharge. This is referred to as a discharge summary.
See Also: Case Summary Card.
Individual who electronically or manually selects and extracts information from a patient’s medical record from computer files or paper files. Coded diagnoses can be used in a facility to track morbidity and mortality, infectious disease, and index disease information for quality of care and utilisation review. Another use for extracted data is the submission of insurance claims.
Under the Medicare programme, incidents or practises that are not usually considered fraudulent but are inconsistent with accepted sound medical business or fiscal practises (e.g., billing for noncovered services, excessive charges, improper billing practises, billing Medicare beneficiaries at a higher rate than other patients, submitting bills to Medicare instead of to primary third-party payers, billing for medically unnecessary services, violating the Medicare particpation agreement, billing for medically unnecessary services, violating the Medicare particpation agreement and billing for medically unnecessary services.