Medical Abbreviations and prefix/suffix medical terms

A2HA: American Association of Hospital Accountants
AAA: American Automobile Association
AABB: American Association of Blood Banks
AABH: Association for Ambulatory Behavioral Healthcare
AACN: American Association of Colleges of Nursing
AACR: American Association for Cancer Research
AADA: Abbreviated Antibiotic Drug Application
AAF: Aplastic Anemia Foundation
AAFES: Army & Air Force Exchange Services
AAFP: American Academy of Family Physicians
AAHA: American Association of Homes for the Aging
AAHP: American Association of Health Plans
AAHSA: American Association of Homes & Services for the Aging
AAKP: American Association of Kidney Patients
AAMC: Association of American Medical Colleges
AAO: American Academy of Ophthalmology
AAP: American Academy of Pediatrics
AAPC: American Association of Professional Coders
AAPCC: Adjusted Average Per Capita Cost
AAPD: American Academy of Pediatric Dentistry
AAPHR: American Association of Physicians for Human Rights
AARP: American Association of Retired Persons
ABD: Aged, Blind & Disabled
ABG: Arterial Blood Gases
ABH: Association of Behavioral Healthcare
ABN: Advanced Beneficiary Notice
ABR: American Board of Radiology
ABS: Annual Beneficiary Summary
AC: Actual Charge
ACA: Amputee Coalition of America
ACC: American College of Cardiology
ACEI: Angiotensin Converting Enzyme Inhibitors
ACEP: American College of Emergency Physicians
ACF: Administration for Children & Families
ACGIH: American Conference of Government Industrial Hygienists
ACHE: American College of Healthcare Executives
ACOG: American College of Obstetricians & Gynecologists
ACP: American College of Physicians
ACPV: Average Cost per Visit
ACR: Adjusted Community (Contract) Rate
ACR: American College of Radiology
ACRP: Adjusted Community Rate Proposal
ACS: Accredited Standards Committee
ACS: American Cancer Society
ACS: American College of Surgeons
ACSI: American Customer Satisfaction Index
ACTG: AIDS Clinical Trials Group
ACYF: Administration on Children, Youth & Families
AD: Admitting Diagnosis
ADA: American Dental Association
ADA: American Dietetic Association
ADA: Americans with Disabilities Act of 1990
ADAMHA: Alcohol, Drug Abuse & Mental Health Administration
ADAP: AIDS Drug Assistance Program
ADC: Adult Day Care
ADG: Ambulatory Diagnostic Group
ADG: HOSDOM Ambulatory Diagnostic Group Hospital Dominant
ADHA: American Dental & Hygienists Association
ADJ: Adjusted Claim
ADL: Activities of Daily Living
ADMC: Advance Determination of Medicare Coverage
ADMS: Alcohol, Drug Abuse & Mental Health Services
ADP: Medicaid) Alternative Disposition Plan
ADP: Advance Planning Document
ADR: Automated Desk Review
ADT: Admission/Discharge Transfer
AFDC: Aid to Families with Dependant Children (Title IV of the SS Act)
AFEHCT: American Federation of Electronic Health Care Transactions
AFEHCT: Association for Electronic Health Care Transactions
AFHHA: American Federation of Home Health Agencies
AGPAM: American Guild of Patient Account Managers
AHA: American Heart Association
AHA: American Hospital Association
AHCA: American Health Care Association
AHFSA: Association of Health Facility Survey Agencies
AHIMA: American Health Information Management Association
AHP: Accountable Health Partnership
AHP: Accountable Health Plan
AHP: Alternative Health Plan
AHPA: American Health Planning Association
AHRQ: Agency for Healthcare Research & Quality
AICC: Anti-Inhibitor Coagulant Complex
AKF: American Kidney Fund
ALBN: Amount of Last Billing Notice
ALC: Alternate Level of Care
ALFA: Assisted Living Federation of America
ALOS: Average Length of Stay
ALS: Advanced Life Support
ALT: Average Length of Treatment
AMA: American Medical Association
AMCRA: American Medical Care & Review Association
AMCS: Automated Medical Coding System
AMHPS: Association of Minority Health Professional Schools
AMI: acute myocardial infarction (heart attack)
AMIA: American Medical Informatics Association
AMRA: American Medical Records Association
AN: Account Number (also A/N)
ANA: Administration for Native Americans
ANA: American Nurses Association
ANCHR: Access to the NCH Repository (online query to 5% sample)
ANDA: Abbreviated New Drug Applications
ANNA: American Nephrology Nurses Association
ANSI: X12 837 American National Standards Institute Health Data Committee X12 file format 837
AOA: Administration on Aging
AOA: American Optometric Association
AOA: American Osteopathic Association
AONE: American Organization of Nurse Executives
AOPA: American Orthotic & Prosthetic Association
APA: American Pharmaceutical Association
APA: American Psychiatric Association
APACHE: Acute Physiology & Chronic Health Evaluation
APC: Ambulatory Payment Class
APD: Advanced Planning Documents
APG: Ambulatory Patient Group
APG: Ambulatory Payment Group
APHA: American Public Health Association
APHP: Acute Partial Hospitalization Program
APHP: Applied as Hospital Insurance Premiums
APHSA: American Public Human Services Association
APM: Admission Pattern Monitoring
APMA: American Podiatric Medical Association
APME: Advisory Panel on Medicare Education
APR: DRG all payer refined – diagnosis related groups
APS: Acute Physiology Score
APTD: Aid to the Permanently & Totally Disabled
AQL: Acceptable Quality Level
ARC: AIDS Related Complex
ARC: American Red Cross
AS: American Samoa
ASC: Ambulatory Surgical/Surgery Center
ASCO: American Society of Clinical Oncology
ASCP: American Society of Consultant Pharmacists
ASCPT: American Society of Clinical Pharmacology & Therapeutics
ASH: Assistant Secretary for Health
ASHP: American Society of Hospital Pharmacists
ASHRM: American Society of Healthcare Risk Management
ASIM: American Society of Internal Medicine
ASMT: American Society for Medical Technologists
ASO: Administrative Services Only
ASTHO: Association of State & Territorial Health Offices
ASTS: American Society of Transplant Surgeons
ATRA: American Therapeutic Recreation Association
ATSDR: Agency for Toxic Substances & Disease Registry (EPA)
AUSCT: Autologous Stem Cell Transplantation
AVERT: AntiVirus Emergency Response Team (McAfee)
AVGS: Ambulatory Visit Groups
AZT: Azidothymidine (AIDS drug therapy)
BA: Business Associate
BAC: Beneficiary Advisory Committee
BACOM: Beneficiary Annotation & Communication Operation
BAR: Beneficiary Adjustment Report
BATF: Bureau of Alcohol, Tobacco & Firearms
BBA: Balanced Budget Act of 1997
BBRA: Balanced Budget Refinement Act of 1999 (PL 106113)
BC: BS Blue Cross/Blue Shield
BCA: Board of Contract Appeals
BCB: Beneficiary Confidentiality Board
BCBSA: Blue Cross/Blue Shield Association
BCF: Benefit Correction Form
BDA: Bill Dunbar and Associates
BDOD: Beneficiary Date of Death
BDP: Beneficiary Database Prototype
BDPC: Breakthrough Drug Pricing Committee
BDPP: Beneficiary Database Prototype Project
BEAM: Brain Electrical Activity Mapping
BEER: Beneficiary Earnings Exchange Record
BENDEX: Beneficiary & Earnings Data Exchange System
BENDEX: Beneficiary Data Exchange
BERT: EDB) Beneficiary Enrollment Retrieval System
BESS: Part B Extract & Summary System (nee BMAD)
BEST: Beneficiary Eligibility State Tape (EDB Bene Alpha File)
BEST: Beneficiary State Totals (from SPACE System)
BF: Beneficiary File
BGN: Beneficiary Given Name
BHO: Behavioral Health Organization
BI: Benefits Integrity
BIC: Beneficiary Identification Code
BIF: Beneficiary Insurance File
BIF: Benefit Information Form
BIMF: Beneficiary Inactive Master File
BIPA: Benefits, Improvements & Protection Act of 2000
BISC: Benefit Integrity support Center
BIT: Beneficiary Inquiries Taskforce
BITF: Beneficiary Implementation Task Force
BITS: Beneficiary Information Tracking System
BITS: Beneficiary Inquiry Tracking System
BIW: Beneficiary Inquiries Workgroup
BL: Black Lung
BLASER: Black Lung Automated Search & Edit Routine
BLS: Basic Life Support
BLUES: Blue Cross/Blue Shield associations
BMA: BioMedical Applications
BMACS: Part B Medicare Automated Claims Systems
BMCHRD: Bureau of Maternal & Child Health & Resources Development
BOAN: Beneficiary’s Own Account Number (SSN)
BOCMIS: Beneficiary Overpayment Control & Management Information System
BOIS: Beneficiary Online Inquiry System (HI/SMI online in HCFA)
BOME: Bureau of Medical Examiners
BOSSN: Beneficiary’s Own SSN
BP: Benefit Period
BP: Business Partner
BPC: Base Period Charge
BQAS: Part B Quality Assurance System
BRDPI: Biomedical Research & Development Price Index
BRI: Benefit Rate Increase
BSR: Part B) Bill Summary Records
BSRS: Benefit Savings Reporting System
BSS: Beneficiary Satisfaction Survey
BSS: Benefit Summary Statistics
BUTE: Beneficiary Database Update Transaction System (HDBUTE)
CABBS: Carrier Bulletin Board System
CABG: coronary artery bypass graft
CABLE: Combined A/B Local Eligibility
CABS: Carrier Access Billing System
CABWF: Combined A/B Working File (also see CWF)
CAC: Carrier Advisory Committee
CAH: Critical Access Hospital
CAHHS: California Association of Hospitals & Health Systems
CAHPS: Consumer Assessments of Health Plans Survey
CAHSA: California Association of Home Services for the Aged
CALPERS: California Public Employees Retirement System
CALSO: Death Termination System (SSA))
CAMP: Carrier Accountability Monitoring Project
CAN: Claim Account Number
CANDA: Computer Assisted New Drug Applications
CAP: community acquired pneumonia
CAPS: Capitated Ambulatory Plan
CAPS: Claims Automated Processing System (SSA MBR)
CAR: Corrective Action Review
CARE: Center for Analytical Review & Education
CARF: Commission on Accreditation of Rehabilitation Facilities
CARRPR: Carrier Payment Record
CASE: Computer Assisted Systems Engineering
CASF: Carrier Alphabetic State File
CASPRO: Clinical Area Support PRO
CAST: Carrier Alpha State Microfilm/Microfiche System
CAST: Carrier Alpha State Tape
CB: Consolidated Billing
CB: Cost Benefit
CBA: Cost/Benefit Analysis
CBR: Cost Based Reimbursement
CBS: Current Beneficiary Survey (by OACT)
CBSR: Cost Benefit Savings Report
CBSS: Customer Billing Services System
CC: Claims Control
CC: Condition Code
CCA: Catastrophic Coverage Act
CCA: Child Care Association
CCHCC: Coordinating Center for Home & Community Care
CCLR: Claims Collection Litigation Report
CCN: Carrier Control Number
CCN: Claim Control Number
CCN: Correspondence Control Number
CCO: Claims Collection Officer
CCP: Comprehensive Care Provider
CCP: Coordinated Care Plans
CCRC: Continuing Care Retirement Community
CCRC: Continuum of Care Residential Center
CCS: Community Care Setting
CCU: Carrier) Cost Containment Unit
CDB: Carrier) Correspondence Database System
CDC: Center for Disease Control
CDI: Catastrophic Drug Insurance (Trust Fund)
CDM: Hospital) Charge Description Master (Files)
CDOC: Covered Days of Care
CDR: Continuing Disability Review
CDRG: Children’s Diagnosis Related Groups
CDT: Current Dental Terminology
CE: Covered Entity
CED: Committee for Employees with Disabilities
CELIP: Claim Expansion & Line Item Processing
CES: Credential Evaluation Service
CHA: Catholic Health Association
CHAIN: Chain Provider Director System
CHAMPUS: Civilian Health & Medical Programs of the Uniformed Services (Now TRI-CARE)
CHAMPVA: Civilian Health & Medical Program of the Veterans Administration
CHAP: Child Health Assurance Program
CHAP: Community Health Accreditation Program
CHAPS: Consumer Assessment of Health Plans Survey
CHBI: Commission on Health Benefits & Integration
CHC: Community Health Center
CHC: Comprehensive Health Center
CHC: Continuous Home Care
CHCC: Center for Hospital & Community Care
CHCL: Center for Health Care Law
CHDR: Center for Health Dispute Resolution
CHER: Center of Health Economics Research (aka HERI)
CHHA: Certified Home Health Agency
CHHC: Continuous Home Health Care
CHI: Catastrophic Health Insurance
CHICN: HI Enrollment Cards Operation (HECHICN)
CHICO: Combined Health Insurance & Checkwriting Operations
CHIM: Center for Healthcare Information Management
CHIME: College of Healthcare Information Management Executives
CHIP: Catastrophic Health Care Program
CHIP: Child Health Insurance Program
CHMSA: Critical Health Manpower Shortage Area
CHN: Community Health Network
CHO: Community Health Organization
CI: Catastrophic Indicator
CIADV: Carrier/Intermediary Advance Notice
CIM: Coverage Issues Manual
CIP: Claims In Process
CLFS: Clinical Laboratory Fee Schedule
CLIA: Clinical Laboratory Improvement Act (of 1965) (Amendments 1988)
CLIA: Clinical Laboratory Interstate Act (or Amendments)
CLMA: Clinical Laboratory Management Association
CLOE: Carrier) Claims Only Entry System
CLT: Certified Lab Technician
CMD: Carrier Medical Director
CMD: Contractor Medical Directors
CMHC: Community Mental Health Center (or Clinic)
CMHS: Continuous Medical (or Medicare) History Sample (or Study)
CMM: Capability Maturity Model
CMN: Certified Medical Necessity
CMP: Competitive Medical Plan (under TEFRA)
CMP: Comprehensive Medical Plan
CMR: Comprehensive Medical Review
CMRI: California Medical Review, Inc.
CMS: Centers for Medicare and Medicaid Services (HCFA prior to July 1, 2001)
CMSS: Council of Medical Specialty Societies
CN: Claim Number (also C/N)
CNACO: Community Nursing & Ambulatory Care Organization
CNH: Community Nursing Home
CNPB: Clean NonPIP Bills
CO: Central Office
CO: Coinsurance
CO: Contract Officer
COA: Change of Address
COB: Close of Business
COB: Coordination of Benefits
COBA: Coordination of Benefits Agreement
COBC: Coordination of Benefits Contractor
COBRA: Consolidated Omnibus Budget Reconciliation Act (of 1985)
COF: Carrier Option File
COI: Change of Intermediaries
COP: Conditions of Participation
COPC: Community Oriented Primary Care
COPD: Chronic Obstructive Pulmonary Disease
CORC: Carrier of Record Control
CORF: Comprehensive Outpatient Rehabilitation Facility
CORTS: Calculation of Overpayment Recovery Timeliness System
COT: Chain of Trust
COTR: Contract Officer’s Technical Representative
CP: Claims Processing
CPA: Cost Plus Award
CPAF: Cost Plus Award Fee
CPAP: Common Provider Audit Program
CPAP: Continuous positive airway pressure
CPAS: Claims Processing Assessment System
CPD: Competitive Pricing Demonstration
CPD: Cost Per Discharge
CPDA: Current Premium Due Amount
CPDAH: CPDA Hospital Insurance
CPFA: Cost Plus Fee Award
CPFF: Cost Plus Fixed Fee
CPHA: Commission on Professional Hospital Activities
CPM: Claims Processing Manual
CPM: Clinical Performance Measure
CPM: Contractor Performance Management (Module)
CPM: EIS Contractor Performance Management / Enterprise Information System
CPO: Care Plan Oversight
CPPC: Cost Plus Percentage of Cost
CPQC: Claims Processing Quality Control
CPR: Computerized Patient Record
CPRI: Computer-based Patient Record Institute
CPS: Critical Payment System
CPSC: Consumer Products Safety Commission
CPT: Claims Processing Timeliness
CPT: Common Procedural Terminology
CPT: Cost Per Treatment
CPT: Current Procedural Terminology
CPT: 4 Current Procedural Terminology, Version 4
CPV: Cost Per Visit
CQAS: Carrier Quality Assurance System (now Part B QAS)
CQI: Continuous Quality Improvement
CQMR: Carrier Quarterly Medical Review
CR: Continuing Resolution
CRB: Change Review Board
CRD: Chronic Renal Disease (aka: ESRD (preferred))
CRG: Carrier Representative Group
CRLE: Cost Reimbursement Level of Effort
CS: Claims Services
CS: Covered Services
CSAP: Center for Substance Abuse Prevention
CSTE: Council of State & Territorial Epidemiologists
CSTP: Carrier System Testing Project (or Program)
CTC: Certified Transplant Center
CWF: Common Working File (see NCHS)
CWF: MSP Common Working File / Medicare Secondary Payer
CWFA: Common Working File Part A
CWFB: Common Working File Part B
CWFDOCO: Common Working File Documentation File
CWFHPEP: Common Working File Host Performance Evaluation Program
CWFINFOBASE: Common Working File Information Database
CWFM: Common Working File Maintenance
CWFM: IV&V Common Working File Maintenance / Independent Verification & Validation
CWFMC: Common Working File Maintenance Contractor
CWFMQA: CWF Medicare Quality Assurance System
CWFQAS: Common Working File Quality Assurance System
DA: A Drug Addiction & Alcoholism
DAP: DMERC Advisory Panel
DASMB: HHS) Deputy Assistant Secretary for Management & Budget
DAWN: Drug Abuse Warning Network
DBPS: Drug Bill Processors
DC: Diagnostic Code
DC: Discharge
DCF: Dually Certified Facility
DCP: Department of Carrier Procedures
DD: Developmental Disabilities
DDE: Direct Data Entry
DDR: Discharge During Referral
DDS: Disability Determination Service
DEA: Drug Enforcement Administration (or Agency)
DECC: Dental Content Committee
DESI: Drug Efficacy Study & Implementation Program
DFLSD: Death File Limiting State Death (SSA DUMAS National Death Repository)
DHHS: Department of Health & Human Services
DHHSAA: DHHS Audit Agency
DHWHIM: Daily Health Insurance Master Health Insurance Merge
DI: Disability Insurance
DIB: Disability Insurance Beneficiary
DICOM: Digital Imaging and Communications in Medicine
DIS: Disabled (beneficiary)
DISA: Data Interchange Standards Association
DM: S (DVA) Department of Medicine & Surgery
DME: Durable Medical Equipment
DMEFS: Durable Medical Equipment Fee Schedule
DMEPOS: Durable Medical Equipment Prosthetic, Orthotics & Supplies
DMERC: Durable Medical Equipment Regional Carrier
DOB: Date of Birth
DOC: Days of Care
DOD: Date of Death
DOE: Date of Entitlement
DOEH: Date of Entitlement to Hospital Insurance (Medicare Part A)
DOES: Date of Entitlement to Supplementary Medical Insurance (Medicare Part B)
DOM: Developmental Office Minicomputer
DOS: Date of Service
DOTH: Date of Termination of Hospital Insurance
DOTS: Date of Termination of Supplementary Medical Insurance
DP: Disability Pension
DQC: Data Quality Committee
DQSC: Data Quality Steering Committee
DR: Desk Review
DRI: Drug Rebate Initiative
DSTU: Draft Standard for Trial Use
DUA: Data Use Agreement
DUR: Drug Utilization Review
DVA: Department of Veterans Affairs (nee VA)
DVAAP: Disabled Veterans Affirmative Action Program
DWA: Disabled Working Aged
DWB: Disabled Widow’s Benefits
DWI: Disabled & Working Individual (see QDWI)
DX: Diagnosis
DXGROUP: Diagnosis Group
EA: Emergency Assistance
EAB: Enumeration at Birth (SSA)
EACH: Essential Access Community Hospital
EAL: Evaluation Assurance Level
EB: ESRD Bene
ECF: Extended Care Facility
ECP: External Counterpulsation
ECP: Electronic Claims Processing System
ECRD: Early Complaint Resolution Process
ECS: Extended Care Services
ECTI: Electronic Claims Transaction Initiative
ED: Electronic Commerce
ED: Emergency Department
EDB: Enrollment Database (CMS Medicare beneficiary entitlement record)
EDBCCB: EDB Change Control Board
EDBCRP: EDB Common Rules Processor
EDBFPS: EDB Five Percent Sample
EDBO: EDB Online
EDBOTP: EDB OnLine Transaction Processing
EDBP: Enrollment Database PRISM (Staff)
EDBS: Enrollment & Direct Billing System
EDBTP: EDB Transaction Processors
EDBUPT: EDB Online Update Facility
EDBW: EDB Workbench
EDEES: ESRD Data Entry & Editing System
EDF: Execution Diagnostic Facility
EDG: Emergency Department Group
EDI: Electronic Data Interchange
EDIPAC: Electronic Data Interchange / Payment & Collection
EDPO: EDB Printout
EEG: Electroencephalograph
EFC: Exclusions From Coverage
EFTS: Electronic File Transfer System (GHP large volume transfer to HDC)
EGHP: Employer Group Health Plan
EH: Emergency Hospital
EHNAC: Electronic Healthcare Network Accreditation Commission
EIB: Employer Insured Beneficiary
EIN: Employee Identification Number (aka SUEI)
EIN: Employer Identification Number
EM: Enrollment Module
EMB: Eligible Medicare Beneficiary
EMBER: Edit for Multiple Bene Entitlement Records
EMEVS: Electronic Medicaid Eligibility Verification System
EMIA: Educators Mutual Insurance Association
EMSS: Emergency Medical Service System
EMT: Emergency Medical Technician
EMTALA: Emergency Medical Treatment and Active Labor Act
ENROLL: Enrollment
ENTMRG: Prior Entitlement Merge (HDENTMRG)
ENTRAP: ENrollment TRAnsaction Processors
EOB: Explanation of Benefits
EOC: Episode of Care
EOIS: Enrollment Online Inquiry System (use EDBOIS)
EOMB: Explanation of Medical Benefits
EP: Enrollment Period
EP: STUDIES Electrophysiological Studies
EPC: Emergency Protection Coordinators
EPESE: Established Populations for Epidemic Logic Studies for the Elderly
EPSDT: Early & Periodic Screening, Diagnosis & Treatment Program (or Services)
ERNIE: EDB Enrollment Retrieval New Interactive Edit System
ES: Emergency Service
ESRD: EndStage Renal Disease
ESRD: PMMIS ESRD Program Management & Medical Information System
ESRDBF: EndStage Renal Disease Beneficiary File
EVS: Eligibility Verification System
F: A Fraud & Abuse
FA: Field Audit
FAC: Freestanding Ambulatory Care
FAC: Freestanding Ambulatory Center
FAH: Federation of American Hospitals
FAHS: Federation of American Health Systems
FAQ: Frequently Asked Question
FASA: Federated Ambulatory Surgery Association
FASC: Freestanding Ambulatory Surgery Center
FASEB: Federation of American Societies for Experimental Biology
FBR: Federal Benefit Rate
FCCA: Federal Claims Collection Act of 1966 (31USC3711 & 4CFR)
FCCBC: Federal Coordinating Committee on Breast Cancer
FCD: First Claims Development
FCW: Freedom of Choice Waiver
FDA: Food & Drug Administration
FDG: Fluorodeoxyglucose
FDOEH: First Date of Entitlement to Hospital Insurance (Part A)
FDOES: First Date of Entitlement to Supplementary Medical Insurance (Part B)
FEC: Freestanding Emergency Center
FFS: Fee for Service
FHP: Family Health Plan
FI: Fiscal Intermediary
FICA: Federal Insurance Contributions Act
FICARR: Fiscal Intermediary/Carrier
FID: Fraud Investigation Database
FIG: Fiscal Intermediary Group
FIQAS: Fiscal Intermediary Quality Assurance System
FISS: Fiscal Intermediary Standard (or Shared) System
FMC: Foundation for Medical Care
FNS: Food & Nutrition Service (DOA)
FOIA: Freedom of Information Act of 1966, etc.
FOSC: Freestanding Outpatient Surgery Center
FQHC: Federally Qualified Health Center
FSA: Family Services Administration
FSA: Family Support Administration
FULS: Federal Upper Limits (of Medicaid drug pricing) System
FWA: Fraud, Waste & Abuse
GEB: General Enrollment Beneficiaries
GEP: General Enrollment Period
GHP: Group Health Plan
GHPPS: Group Health Plan Payment System
GHPS: Group Health Processing System
GIC: General Inpatient Care
GP: Generalized Claims Systems Procedures
GPP: Group Practice Plan
GPPP: Group Practice Prepayment Plan
GPS: Generic Performance Standards
GRECC: Geriatric Research, Education & Clinical Center
HAASC: Hospital Affiliated Ambulatory Surgical Center
HART: HCFA Accounting Records Tracking System
HAS: Hospital Annual Survey
HASEALP: HA Search Alpha Program (Beneficiary Alpha Match/Reinstate Operation)
HAVEN: Home Assessment Validation & Entry System
HBP: HospitalBased Physician
HBP: Hospital Based Physician
HCA: Hospital Corporation of America
HCBWP: Home & Community Based Waiver Program
HCC: Health Care Compare
HCC: Hierarchical Condition Category
HCCA: Health Care Commuting Area
HCFA: Health Care Financing Administration (renamed CMS effective July 1, 2001)
HCG: Health Care Group
HCH: Health Care for the Homeless
HCIRC: Health Care Information Resource Center
HCIS: HCFA Customer Information System
HCIS: Health Care Information System
HCPC: HCFA Common Procedure Code
HCPCS: Healthcare Common Procedure Coding System
HCPP: Health Care Prepayment Plan
HCQII: Health Care Quality Improvement Initiative
HCQIP: Health Care Quality Improvement Program
HCR: Health Care Reform
HCRIS: Healthcare Provider (or Hospice) (or Hospital) Cost Report Information System
HCRS: Maintain) HCRIS Process
HCTP: Health Consumer Training Program
HD: Handicapped/Disabled (do not use Handicapped, use IWD or PWD)
HD: Health Insurance Daily Operations
HDBUTE: Health Insurance Database Update Program
HDDUCS: Health Insurance Daily Update Control System
HDENTMRG: Health Insurance Daily Prior Entitlement Merge
HDHIDAD: HD Health Insurance Daily Actions Dispersion System
HDHIDUP: HD Health Insurance Daily Update Program
HDHISS: HD Health Insurance Segmented Sort System
HDI: Health Data Institute
HDID: HI Daily Identification (also see BOIS)
HDLC: HighLevel Data Link Control
HDMEDMRG: HD Medicaid Merge Program
HDMUPS: HI Daily Master Update Processing System
HDPRENT: HD Prior Entitlement Program
HDRIM: Health Insurance Retrieve Inactive Master System
HDSS: Hospital Data Support System
HECHICN: HE Health Insurance Enrollment Cards Operation
HEDIS: Healthplan Employer Data Information Sets
HEZ: Health Economic Zone
HFMA: Healthcare Financial Management Association
HH: Home Health
HHA: Home Health Agency
HHABN: Home Health Advanced Beneficiary Notice
HHC: Home Health Care
HHCOV: Home Health Coverage
HHI: Home Health Intermediary
HHL: Home Health Line
HHPPS: Home Health Prospective Payment System
HHQI: Home Health Quality Initiative
HHQIS: Home Health Quality Indicator System
HHRG: Home Health Resource Group
HHS: Department of) Health & Human Services (also DHHS)
HHS: Home Health Services
HHSAR: Health & Human Services Acquisition Regulation (48 CFR, Ch.3)
HHSSA: Home Health Services & Staffing Association
HI: Health Insurance (Medicare)
HIAA: Health Insurance Association of America
HIAM: Health Insurance Alpha Microfilm
HIB: Health Insurance Benefits (Medicare)
HIB: Hospital Insurance Benefits (Part A)
HIBRR: Health Insurance Benefits Rights & Responsibilities
HIC: Health Information Center
HIC: Health Insurance Claim
HIC: Health Insurance Company
HIC: Home Intensive Care
HICAN: Health Insurance Claim Account Number (Medicare Number)
HICDA: Hospital International Classification of Diseases Adapted
HICN: Health Insurance Claim Number (Medicare Number)
HICR: Health Insurance Correction Request
HIDA: Health Insurance Distributor’s Association
HIDAD: HI Daily Actions Dispersion System
HIDUP: HI Duplicate Payments Systems
HIFA: Health Insurance Flexibility and Accountability
HIICAP: Health Insurance Information, Counseling & Assistance Program
HIIM: Health Insurance Inquiries Manual
HIM: Health Insurance Manual
HIMA: Health Industry Manufacturers Association
HIMA: Health Insurance Master
HIMBEX: Health Insurance Master Billing Exception Process
HIMF: Health Insurance Master File
HIMSS: AHA’s) Healthcare Information & Management Systems Society
HIN: Health Industry Number
HIN: Health Insurance Networks
HIN: HI Number (see HICN)
HINN: HospitalIssued Notice of Noncoverage
HIO: Health Insurance Organization
HIP: Health Insurance Pamphlet
HIP: Health Insurance Plan
HIPAA: Health Insurance Portability & Accountability Act of 1996
HIPDB: Healthcare Integrity & Protection Data Bank
HIPPS: Health Insurance Prospective Payment System
HIQA: Health Insurance Query A (Part A inquiry data)
HIQR: Health Insurance Online Query Response
HIRAM: Health Insurance Reinstating Alphabetic Master
HIRO: Health Insurance Regional Office
HIRTF: Health Insurance Reform Task Force
HIS: Health Information Systems (3M Inc.)
HIS: Health Interview Survey
HISAC: Health Insurance Screening & CrossReferencing (HMHISAC)
HISB: Health Informatics Standards Board
HISB: Healthcare Informatics Standards Board
HISDG: HCFA Information Systems Development Guide
HISKEW: Health Insurance Skeleton Eligibility Writeoff
HISPP: Healthcare Informatics Standards Planning Panel
HISS: Health Insurance Segmented Sort System (HDHISS)
HISTM: Health Insurance System Test Module
HIUM: Health Insurance Utilization Master (or Microfilm)
HIURPS: Health Insurance Utilization Records Processing System
HJCOIN: Health Insurance Central Office Inquiries
HL7: Health Level Seven
HLM: HCFA Logical Model
HMB: Hospital Market Basket
HME: Home Medical Equipment
HMHISAC: HM Health Insurance Screening & CrossReferencing Operation
HMO: CMP HMO Competitive Medical Plan
HMODR: CMS Medicare Outpatient Data Review
HMPSA: Health Manpower Shortage Area
HMSA: Health Manpower Shortage Areas
HMUPHMO: HI Master Update HMO
HMWHIM: Health Insurance Master Weekly Health Insurance Merge
HOL: HCFA OnLine
HOP: Hospital Orientation Program
HOS: Health Outcomes Survey
HOST: Healthcare Open Systems & Trials
HP: HI Payment Records Operations
HPA: Health Policy Agenda
HPAC: HI Premium Amount Collectable (MBR / BCM)
HPBSS: HCFA Part B Standard System
HPMS: Health Plan Management System
HPPC: Health Plan Purchasing Cooperative
HPSA: Health Professional (or Personnel) Shortage Area
HQ: HI Query Operations
HRET: AHAs) Hospital Research & Educational Trust
HRG: Health Research Group
HRSA: Health Resources & Services Administration (formerly HRA, formerly PHS)
HSA: Health Service Area
HSA: Health Services Administration
HSA: Health Systems Agencies
HSC: Army) Health Services Command
HSI: Health Systems International
HSP: Hospital Specific Portion
HSR: Hospital Specific Rate
HSRA: Health Resources & Services Administration
HUQA: Part A inquiry data)
HURA: Health Underserved Rural Area
HWI: Hospital Wage Index
HYBC: Hypothetical Base Year Calculations
IA: Inter/IntraAgency Agreement
IADL: Instrumental Activities of Daily Living
IBN: Incorrect Bill Notice
IBPR: Intermediary Benefit Payment Report
IBPR: Intermediary Benefits Payment Report
IBR: Intermediary Benefit Payment
IC: Initial Claims Operations
ICA: Insurance Counseling Assistance (Program)
ICCP: Individual Community Care Plan
ICD: Implantable Cardioverter Defibrillator
ICD: International Classification of Diseases
ICD: 9-CM International Classification of Diseases 9th Edition Clinical Modification
ICDA: International Classification of Diseases Adapted for the U.S.
ICF: Intermediate Care Facility
ICF: MR Intermediate Care Facility for Mental Retardation
ICN: Intermediary Control Number
ICR: Incomplete Claims Reject
ICSTP: Intermediary/Carrier System Testing Project
IEP: Initial Enrollment Period
IEQ: Initial Enrollment Questionnaire
IER: Intermediary Expenditure Report
IG: Implementation Guide
IHS: Indian Health Service
IIHI: Individually Identifiable Health Information
IL: Intermediary Letter
IM: Intermediary Manual
IMA: Individual Medical Account
IMC: International Medical Center
IMCAS: Intervening Medical Care Analysis System
IMD: Institution for Mental Disease
IME: Indirect Medical Education
IMI: Infant Mortality Initiative
IMRP: Instruction Manual for Renal Providers
INRA: Immigration Nursing Relief Act of 1989
IOC: Inspection of Care
IOL: Intraocular Lens
IOM: Institute of Medicine
IP: SNF Inpatient SNF
IPAC: Immunization Practice Advisory Committee
IPL: Independent Physiological Lab
IPPB: Intermittent Positive Pressure Breathing
IPRP: Interim Payment Review Program
IPS: Institutional Provider of Service
IRB: Intern & Resident to Bed (ratio)
IRC: Inpatient Respite Care
IRF: Inpatient Rehabilitation Facility
IRIS: Interim & Resident Information System
IRIS: Interns & Residents Information System
IRP: Insurance Reimbursement Program
IRS: Identical, Related & Similar (drugs)
ISA: In Service Area
ISCLT: International Society for Clinical Laboratory Technology
ISTP: Intermediary System Testing Program
IWD: Individuals With Disabilities
JAMA: Journal of the American Medical Association
JCA: Jewish Council for Aging
JCAHCO: Joint Commission on Accreditation of Health Care Organizations
JURIS: RRB Jurisdiction Change Operation
LARPA: Locality Adjusted Reduced Prevailing Amount
LARPA: Locality Area Reduced Prevailing Allowance
LCC: Life Cycle Cost
LCD: Local Coverage Determination
LCDM: Life Cycle Development Methodology
LCER: Limiting Charge Exception Report
LCL: Lowest Charge Levels
LGHP: Large GHP
LIL: Limitation of Liability
LMRP: Local Medical Review Policy
LOC: Level of Care
LOE: Level of Effort
LOI: Letter of Intent
LOINC: Logical Observation Identifiers, Names and Codes ™
LOS: Length of Stay
LPC: Locality (or Locally) Prevailing Charge
LRD: Lifetime Reserve Days
LTC: Long Term Care
LTCF: Long Term Care Facility
LTCIAC: Long Term Care Insurance Advisory Council
LTCM: Long Term Care Management
LTCP: Long Term Care Program
LTCU: Long Term Care Unit
LTD: Live Test Demonstration
LTE: Less Than Effective (drug)
LTP: Lifetime Psychiatric Days
LUPA: Low Utilization Payment Adjustment
LVAD: Left Ventricular Assist Device
LVRS: Lung Volume Reduction Surgery
LW: Living With
M: M Medicare & Medicaid
M: C Medicare + Choice
M: C NSF Medicare + Choice National Standard Format
M: CO Medicare + Choice Organization
MA: Medicaid Agency
MA: Medical Assistance
MAA: Medical Assistance Agency
MAA: Memorandum of Advance Agreement
MAABD: Medical Assistance to Aged, Blind & Disabled
MAAC: Maximum Allowable Actual Charge
MAC: Major Ambulatory Category
MAC: Maximum Allowable Cost (or Charge)
MACE: Medicare Alternate Claim Entry System
MADC: Major Ambulatory Diagnostic Categories
MADRS: Medicare Automated Data Retrieval System
MADS: Medicare Actuarial Data System
MAF: Medical Assistance Facility
MAH: Most Accessible Hospital
MAN: Medicare Automated Network
MAO: Medical Assistance Only
MAP: Medical Assistance Payments
MAP: Medical Assistance Program
MAPC: Maximum Allowable Prevailing Charge
MAPSA: Medicare A Provider Services Assistants
MARI: Medicare Administrative Reform Initiatives
MARS: Medicare Accounts Receivable System
MBA: Monthly Benefit Amount (SSA)
MBAS: Medicare Benefit Accounting System
MBCIS: Medicare Compliance Issues System
MBCS: Medicare Budget & Cost System
MBCSP: Medicare Beneficiary Customer Service Program
MBD: Medicare Beneficiary Database
MBE: Medicaid Budget & Expenditures
MBES: Medicaid Budget & Expenditures System
MBHCW: Medicare or Medicaid) Home & Community Based Services Waivers System
MBN: Medicare Benefit Notice
MCA: Maternity Center Association
MCAB: Medicare Contractor Administrative Budget
MCAC: Medical Coverage Advisory Committee
MCBFMR: BESS Focused Medical Review
MCBS: Medicare Current Beneficiary Survey
MCCA: Medicare Catastrophic Coverage Act of 1988 (PL 100360)
MCCB: Medicare Change Control Board
MCCOY: Managed Care Online Information System (GHP)
MCCRA: Medicare Catastrophic Coverage Repeal Act of 1989 (PL 101234)
MCDATA: MedicareMedicaid Common Data Initiative
MCDC: Medicare Contractor Data Center
MCE: Medicare Code Editor
MCE: S) Medical Care Evaluation (Studies)
MCH: Maternal & Child Health Services
MCI: Medicare Claims Inquiry
MCIGLAS: Medicare Contractor Integrated General Ledger Accounting System
MCM: Medicare Carrier Manual
MCO: Managed Care Operation
MCO: Managed Care Organization
MCOB: Medicare Contractor Oversight Board
MCPI: Medical Care Component of the Consumer Price Index
MCPI: Medicare Contractor Productivity Improvement
MCPS: Medicare (Part A) Claims Processing System (Veritus)
MCS: Mandatory Claim Submission System
MCSC: Medicare Customer Service Center
MCSID: Medicare Contractor Systems Information Database
MCSS: Medicare Contractor Standard System
MCSSMR: Medicare Contractor Standard Systems Medical Review
MCWRS: Medicare Contractor Workload Reporting (System)
MCWS: Medicare Contractor Workload System
MD: Medical Director
MDAS: Medicaid Override Application System
MDC: Medicare Data Center
MDCN: Medicare Data Communications Network
MDH: Medicare Dependent Hospital
MDRI: Medicaid Drug Rebate Initiative
MDS: Medicare Decision Support
MDS: Mortality Data System
MDSRH: Medicare Dependent Small Rural Hospital
MDSS: Medicare Decision Support System
ME: Medical Effectiveness
ME: Medical Endurance
MEASURES: Medicare/Medicaid Automated Survey Reporting System
MECA: Medicare Expanded Choice Act of 1987
MECCA: Medicare Catastrophic Coverage Act of 1988 (also MCCA)
MECT: Multiple Electroconvulsive Therapy
MED: Medicare Enrollment Data (System)
MED: Medicare Exclusion Database
MED: ED Medical Education
MEDAL: Medicare/Medicaid Eligibility Data Linkage
MEDB: Manage the EDB System
MEDB: Medicare Part B
MEDIBAPS: Medicare Budget Allocation Process System
MEDICAID: Medical Aid (State administered health insurance program)
MEDIGAP: Medicare Gap (Medicare complementary insurance program)
MEDIRS: Medicaid Eligibility Determination & Information Retrieval System
MEDMRG: Medicaid Merge Program (HDMEDMRG)
MEDPAC: Medicare Payment Advisory Commission
MEDPAR: Medicare Provider Analysis & Review
MEDPARD: Medicare Participating Physician/Supplier Directory
MEDSTAT: Medicaid Statistical Information (Reporting) System (now MSIS)
MEDTEP: Medical Treatment Effectiveness Program
MEF: Master Earnings File (SSA)
MEI: Medical Economic Index
MEI: Medicare Economic Index
MEQC: Medicaid Eligibility Quality Control (System)
MES: Medicare Entitlement System
MET: Medicaid Eligibility Terminal
MEWA: Medicare & Multiple Employer Welfare Associations
MFAIC: Medicare Fraud & Abuse Information Coordinator
MFCU: Medicaid Fraud Control Unit
MFIS: Medicare Fraud Information Specialist
MFS: Medicare Fee Schedule
MFSDB: Medicare Fee Schedule Database
MFSR: Medicare Focused Medical Review Status Report
MGA: Medicaid Grant Awards
MGCRB: Medical Geographical Classification Review Board
MGCRB: Medicare Geographic Classification Review Board
MHB: Maximum Hospital Benefit
MHOS: Medicare Health Outcomes Survey
MHS: Medical History Sample
MI: Manual Issuance
MI: Medical Insurance (Part B or SMI)
MIB: Medical Information Bureau
MIB: Medical Insurance Bureau
MICH: Maternal, Infant & Child Health
MICO: Midwestern Consortium (Chicago & Kansas City HIROs)
MIDES: Intermediary) Medicare Internal Data Entry System
MIG: Medicare Insured Group
MIH: Maternal & Infant Health Initiative
MIM: Medicare Intermediary Manual
MIMS: Medicare Information Management System
MIP: Medicare Integrity Program
MIR: Medicare Information Request
MIRPS: Miscellaneous Information Reference PostEntitlement System (SSA MBR)
MMA: Medicare Modernization Act (of 1999)
MMACS: Medicare/Medicaid Automated Certification System
MMAP: AARP) Medicare/Medicaid Assistance Program
MMCITS: Medicaid Managed Care Information Tracking System
MMCQI: Medicare Managed Care Quality Improvement
MMCS: Medicare Managed Care System
MMDDCCYY: Month-Month/Day-Day/Century-Century/Year-Year (i.e., 02/26/2001) (also MMDDYYYY)
MMDDYY: MonthMonth/DayDay/YearYear
MMIS: Medicaid Management Information System
MMORP: Medicare Management & Open Review Program
MMP: Mixed Model Plan (GPP/IPP combination)
MMPS: Medicare Mortality Predictor System
MMWR: Morbidity & Mortality Weekly Report
MN: Medical Necessity
MN: Medically Needy
MNIL: Medically Needy Income Levels
MOLI: Mirtel OnLine Inquiry System (HCFA access to RRB Database)
MOR: Medicaid Overpayment Report
MPARTS: Mistaken Payment Recovery Tracking System
MPC: Medical Patterns of Care
MPCC: Medicare Premium Collection Center
MPCS: Medicare Premium Collection System
MPD: Medicare Provider Database
MPDB: Medicare Prescription Drug Beneficiaries
MPF: Master Provider File
MPFS: Medicare Physician Fee Schedule
MPFSDB: Medicare Physician Fee Schedule Data Base
MPI: Medicare Provider Inventory
MPIER: Medicare Physician Identification & Eligibility Registry (or Record)
MPIES: Medicare Physician Identification & Eligibility System
MPR: carrier) Master Procedure Record
MPRS: Medical Policy Retrieval System
MPS: Market Penetration Survey
MQA: Medicare Quality Assurance (CWF data validation)
MQAG: Medicare Quality Advisory Group
MQC: Medicaid Quality Control
MQGE: Medicare Qualified Government Employee
MQIS: Medicare Quality Indicator System
MQM: Medicare Quality Monitor
MQSA: Mammography Quality Standards Act of 1992
MR: Medical Review
MR: Mortality Ratio
MR: DD Mentally Retarded / Developmentally Disabled
MR: UR Medical Review / Utilization Review
MRA: Minimum Retirement Age
MRAR: Medical Review Annual Report
MRB: Medical Review Board
MRCRA: Medicare Regulatory & Contractor Reform Act of 2001
MRI: Medical Records Institute
MRRS: Medicaid Retrospective Reimbursement System
MRS: 1 Medical Review System Version 1 (aka: Part B Medical Review Savings Reporting System)
MRT: Medical Review Team
MRTAG: Mortality Review Technical Advisory Group
MSA: Medical Savings Accounts
MSA: Medical Statistical Area
MSAT: Medicaid Strategic Analysis Team
MSC: Medicare Status Code
MSC: Message Switching Centers (SSA ARS/SSADARS)
MSHIP: Medicare Supplemental Health Insurance Programs
MSIS: Medicaid Statistical Information System (formerly MedStat)
MSN: Medicare Summary Notice
MSOM: Modernized Systems Operations Manual (SSA)
MSP: Medicare Secondary Payor
MSPFQA: Medicare Secondary Payer Functional Quality Assurance (Steering Committee)
MSPLS: Medicare Secondary Payer Litigation Support
MSPPAY: Medicare Secondary Payor Payment Module
MSPQA: Medicare Secondary Payer Quality Assurance
MSS: Medical Social Sevices
MSS: Medicare Statistical System
MSSC: Medicare Systems / State & County (Reimbursement)
MTAG: Medicare Technical Advisory Group
MTEA: Medical Treatment Effectiveness Agenda
MTI: Medicare Telephone Inquiry
MTS: Medicare Target Scenario
MTSO: Medical Transcription Service Organization
MUA: Medically Undeserved Area
MUDS: Medicare Utilization Data System
MUPPET: Medicare UPdate Processors for Enrollment Transactions (nee NEWDUP)
MVPS: Medicare Volume Performance Standard
MWRS: Medicare Workload Report System
N: R Needs & Requirements
NAATP: National Association of Addiction Treatment Providers
NABP: National Association of Boards of Pharmacy
NACDS: National Association of Chain Drug Stores
NACHC: National Association of Community Health Centers
NACHRI: National Association of Children’s Hospitals & Related Institutions
NACRH: National Advisory Committee on Rural Health
NADSA: National Adult Day Services Association
NAHC: National Association for Home Care
NAHDO: National Association of Health Data Organizations
NAIC: National Association of Insurance Commissioners
NAIT: National Alliance for Infusion Therapy
NAMDRC: National Association for Medical Directors of Respiratory Care
NAMES: National Association of Medical Equipment Suppliers
NAMI: National Alliance for the Mentally Ill
NAP: National Advisory Council
NAPH: National Association of Public Hospitals
NAPHS: National Association of Psychiatric Health Systems
NARA: National Association of Rehabilitation Agencies
NARD: National Association of Retail Druggists
NARF: National Association of Rehabilitation Facilities
NASLTCOP: National Association of Long Term Care Ombudsman Program
NASMD: National Association of State Medicaid Directors
NASOP: National Association of State Ombudsman Programs
NAV: Carrier) Name & Address Verification
NBME: National Board of Medical Examiners
NCA: National Coverage Analysis
NCAI: National Coalition for Adult Immunization
NCAL: National Coalition for Assisted Living
NCCLS: National Council of Clinical Laboratory Services
NCCNHR: National Citizen’s Coalition for Nursing Home Reform
NCCR: National Colorectal Cancer Roundtable
NCD: National Coverage Determination
NCGME: National Council on Graduate Medical Education
NCHBPL: National Claims History Beneficiary Program Liability
NCHICA: North Carolina Healthcare Information and Communications Alliance
NCHLS: National Council on Health Laboratory Services
NCHS: National Center for Health Statistics
NCHS: National Center for Health Statistics (or Studies)
NCHSR: National Center for Health Services & Research
NCI: National Cancer Institute
NCNHR: National Coalition on Nursing Home Reform
NCOA: National Change of Address (SSA & USPS)
NCOA: National Council on the Aging
NCP: National Coverage Policy
NCPDP: National Council of Prescription Drug Programs
NCPSSM: National Committee to Preserve Social Security & Medicare
NCQA: National Committee for Quality Assurance
NCQHC: National Committee for Quality Health Care
NCSB: Neurological, Cognitive, Sensory & Behavorial (Variables)
NCSC: National Council of Senior Citizens
NCVHS: PHS) National Center for Vital & Health Statistics
NDC: National Drug Code
NDEP: National Diabetes Education Program
NDI: National Death Index
NDMS: National Disaster Medical System
NDPS: National Drug Pricing System
NDR: National Death Repository (SSA)
NEHA: New England Health Assembly
NEJM: New England Journal of Medicine
NESRD: NonEnd Stage Renal Disease
NETT: National Emphysema Treatment Trial
NF: Nursing Facility
NFID: National Foundation for Infectious Diseases
NGFSFHP: National Guaranty Fund for SelfFunded Health Plans
NH: Nursing Home
NHA: Nursing Home Administrator
NHAC: National Health Advisory Committee
NHB: National Health Board
NHCAA: National Health Care AntiFraud Association
NHCMQ: Nursing Home Case Mix & Quality Demonstration
NHDAC: National Health Data Advisory Council
NHE: Nation’s Health Expenditures
NHELP: National Health Law Program
NHI: National Health Insurance
NHI: Nursing Home Information
NHII: National Health Information Infrastructure
NHIS: National Health Interview Survey
NHO: National Hospice Organization
NHSC: National Health Service Corps
NIA: National Institute on Aging
NIAID: National Institute of Allergies & Infectious Diseases
NIAMSD: National Institute of Arthritis & Musculoskeletal & Skin Diseases
NICOA: National Indian Council on Aging
NIDA: National Institute on Drug Abuse
NIDDKD: National Institute of Diabetes, Digestive & Kidney Diseases
NIDR: National Institute of Dental Research
NIF: National Insurance File
NIH: National Institutes of Health
NIMBE: Not Including Medicare Benefits Exhausted
NIMH: National Institute of Mental Health
NIMMS: National Integrated Medicaid Management System
NINDS: National Institute of Neurological Disorders & Stroke
NIOSH: National Institute for Occupational Safety & Health
NKF: National Kidney Foundation
NLM: National Library of Medicine
NLN: National League of Nursing
NMAO: NonMedical Assistance Only (Cash/Deemed Cash)
NME: National Medical Enterprises
NMEP: National Medicare Education Program
NMES: National Medical Expenditure Survey
NMES: Neuromuscular Electrical Stimulation
NMFA: National Medicare Fraud Alert
NMFAI: National Medicaid Fraud & Abuse Institute
NMUD: National Medicare Utilization Database
NNWP: Noncontact Normothermic Wound Therapy
NOA: Notice of Admission
NOCHD: Notice of Correction Hearing Decision
NOCO: Northeastern Consortium (Boston, New York & Philadelphia HIROs)
NODMAR: Notice of Discharge & Medicare Appeal Rights
NOI: Notice of Intent
NOMCI: Notice of Medigap Claim Information
NOPA: Northwest Organ Procurement Agency
NP: Nurse Practitioner
NP: PA Nurse Practitioners / Physician Assistants
NPDB: National Practitioner Data Bank
NPF: National Provider File
NPI: National Provider Identifier
NPIP: Non Periodic Interim Payment
NPRM: National Provider Reimbursement Manual
NPRM: Notice of Proposed Rule Making
NPRM: Notice of Proposed Rulemaking
NRA: National Rifle Association
NRC: National Research Council
NRM: Notice of Rule Making
NRP: Network Resource Planning (tool)
NSC: National Supplier Clearinghouse
NTH: NonTransplant Hospital
NTRS: National Therapeutic Recreation Society
NVA: NonVeterans Administration
NVAC: National Vaccine Advisory Committee
NVP: National Vaccine Program
OAA: Old Age Assistance
OAA: Older Americans Act
OASB: Old Age & Survivors Benefits
OASDHI: Old Age, Survivors, Disability & Health Insurance
OASDI: Old Age, Survivors & Disability Insurance
OASH: Office of the Assistant Secretary for Health
OASI: Old Age & Survivors Insurance
OCD: Operational Capability Demonstration
OCFAA: Office of Civil Fraud & Administrative Adjudication
OCR: Office of Civil Rights
OCR: Optical Character Recognition
ODL: Outpatient Diagnostic Laboratory
OFB: Outpatient Feedback
OGC: HHS) Office of the General Council
OHCDS: Organized Health Care Delivery System
OHDS: Office of Human Development Services
OHTA: PHS) Office of Health Technology Assessment
OIC: Opportunity to Improve Care
OIG: Office of the Inspector General
OLTC: Other Long Term Care
OMCH: Office of Maternal & Child Health
OMESP: Omnibus Medicare Enrollment System Processor
OMM: Office of Medicaid Management, MB
OMR: Optical Mark Reading
OMRA: Other Medicare Required Assessment
OOSA: Out of Service Area (use OSA)
OP: Outpatient
OP: Overpayment
OPA: Organ Procurement Agency
OPD: OutPatient Department
OPM: Office of Personnel Management (formerly CSC)
OPO: Organ Procurement Organization
OPPS: Outpatient Prospective Payment System
OPTN: Organ Procurement & Transplantation Network
ORF: Outpatient Rehabilitation Facility
ORHP: HRSA) Office of Rural Health Policy
ORSI: Office of Retirement & Survivors Insurance
OSH: ACT Occupational Safety & Health Act
OSHA: Occupational Safety & Health Administration
OSP: Outpatient Speech Pathology
OWL: Older Women’s League
P: B Provider / Beneficiary
PAC: Patient Assessment Computerized (System)
PAC: PreAdmission Certification
PAC: Products of Ambulatory Care
PACE: Planning, Assigning, Controlling & Evaluating System
PACE: Program for All Inclusive Care for the Elderly
PACEMKR: Pacemaker System
PACS: Patient Care & Services
PAG: Policy Advisory Group
PAHP: Prepaid Ambulatory Health Plan
PAL: Patient Accounting Language (IBM software)
PAL: Provider Audit List
PARD: Provider Audit & Reimbursement Department
PARL: Physician/Supplier Assignment Rate List
PART: A Medicare Hospital Insurance
PART: B Medicare Supplementary Medical Insurance
PAS: Premium Accrual Stop
PASARR: Preadmission Screening & Annual Resident Review
PAYERID: Payer Identification (national provider identifier initiative)
PBA: Part B Advisory
PBC: Premium Billing Code
PBP: Provider Based Physician
PCA: Physicians Comparability Allowance
PCAS: Patient Care Algorithm
PCCM: Primary Care Case Management
PCCMP: Primary Care Case Management Provider
PCD: Premium Conversion Date
PCDB: Provider/Contractor Data Base
PCE: Personal Care Expenditures
PCH: Primary Care Hospital
PCP: Primary Care Physician (or Provider)
PCPR: Provider Claims Processing Requirements
PCRS: Carrier) Performance Control Reporting System
PCYA: Presidential Classroom for Young Americans
PD: Physical Database
PDA: Premium Due Amount
PDBO: Public Disability Benefit Offset
PDMA: Prescription Drug Marketing Act of 1988
PDOTH: Prior Date of Termination of Hospital Insurance
PDR: Physician’s Desk Reference
PDS: Peer (Review Organization) Data System
PDT: Physical Design Team
PEB: Performance Evaluation Board (contracts)
PEBES: SSA) Personal Earnings & Benefit Estimate Statement
PEBS: Personal Earnings & Benefit Statement
PEBTAG: Provider Electronic Billing Technical Advisory Group
PECOS: Provider Enrollment, Chain & Ownership System
PEP: Partial Episode Payment
PEPP: Payment Error Prevention Program
PEPPER: Post Entitlement Premium Payment & Enrollment Program (SSA)
PEW: PRO Efficiency Workgroup
PFCRA: Program Fraud Civil Remedies Act
PFF: Physician Fee Freeze
PFFS: Private FeeForService Plan
PH: Partial Hospitalization
PHCE: Personal Health Care Expenditures
PHCP: Prepaid Health Care Plan
PHDDS: PRO Hospital Discharge Data Set
PHEC: PostHospital Extended Care
PHHH: PostHospital Home Health
PHI: Personal Health Information
PHI: Premium Hospital Insurance
PHI: Protected Health Information
PHIC: Partnership for Health Insurance Counseling
PHIP: Pharmacist’s Incentive Program
PHOS: Post Hospital Outcome Study
PHP: Partial Hospitalization Program
PHP: Prepaid Health Plan
PHPO: Prepaid Health Plan Option
PHPO: Private Health Plan Option
PHTP: Priority Health Training Programs
PHY: SUP Physician/Supplier
PIA: Primary Insured Amount (MBR)
PIC: PRO Intermediary Carrier
PICC: Peripherally-inserted central catheter
PID: Payer Identification System
PIDS: People or Individual with Disabilities (aka POIWD)
PIG: Program Integrity Group, OFM, CMS
PIHP: Prepaid Inpatient Health Plan
PIMR: Program Integrity Management Reporting
PIN: Physician Identification Number
PIN: Primary Insured Number (MBR)
PIN: Provider Identification Number
PIP: Physician Incentive Plan
PIPC: Public Information Program Circular
PIPDCG: Principal Inpatient Diagnostic Cost Group
PIR: Periodic Interim Reimbursement
PITS: PRO Information Tracking System
PLAN: Protection for Long Term Assistance Needs
PMC: Patient Management Categories
PME: Partial Month Eligible (Medicaid)
PMMIS: Program Management & Medical Information System
PO: Post Office
POC: Patterns of Care
POC: Plan of Care
POCI: Physician Ownership/Compensation Interest
POIWD: People or Individuals with Disabilities (aka PIDS)
POL: Physician Office Laboratories
POR: Provider Overpayment Recovery
POR: Provider Overpayment Report
PORS: Provider Overpayment Recovery System
PORS: Provider Overpayment Reporting System
PORT: Patient Outcome Research Team (or Treatment)
PORTS: Patient Outcome Research Teams
POS: Point of Service
POS: Provider of Service(s) (System)
POT: Plan of Treatment
PP: Prospective Payment
PPA: Premium Paid Amount
PPAC: Practicing Provider Advisory Council
PPAC: Prospective Payment Assessment Commission
PPC: Processing Payment Cycle
PPG: Primary Care Physician Groups
PPLS: Policy Planning Liaison Staff
PPO: Preferred Provider Organization
PPR: Physician Payment Reform
PPR: Prospective Payment Review
PPR: IMI Physician Payment Reform Impact Monitoring Initiative
PPRC: Physician Payment Review Commission
PPRMS: Physician Payment Review Monitoring System
PPRTF: Physician Payment Reform Task Force
PPS: Prepayment Screen
PPS: Proposed Price Setting
PPS: Prospective Payment System (Medicare Part A)
PPS: Prospective Pricing System
PPSP: Physician’s Primary Sponsor Plan
PR: Peer Review
PRA: Per Resident Amount
PRA: Percent Reactive Antibody
PRAF: Physician Reviewer Assignment Format
PRES: Policy Review & Evaluation Staff
PRICER: PPS pricing software for inpatient stays system)
PRM: Provider Reimbursement Manual
PRMDS: Provider Minimum Data Set
PRO: Peer Review Organization (renamed to QIO)
PRO: Principal Regional Official
PRO: Professional Review Organization
PRO: FI Professional Review Organization / Fiscal Intermediary
PROM: Protocol for Regional Office Monitoring
PROMPTS: Peer Review Organization Monitoring Protocol & Tracking System
PROPAC: Prospective Payment Assessment Commission (Task Force)
PRP: Prospective Reimbursement Plan
PRP: Provider Reimbursement Profile
PRPD: Payment Reform Policy Development
PRRB: Provider Reimbursement Review Board
PRS: Prepayment Review System
PRVSF: Provider Summary File
PS: Physician Sequential
PS: RR Provider Statistical & Reimbursement Report
PSAF: Physician/Supplier Action File
PSC: Program Service Center (SSA) (formerly Payment Center (PC))
PSF: Provider Specific File
PSGH: Policy Standards & Guidelines Handbook
PSM: Physician Summary Master
PSO: Physician Security Officer
PSOR: Physician & Supplier Overpayment Report
PSOR: Physician Supplier Overpayment Recovery
PSOR: Provider Statistical & Overpayment Report
PSP: Provider/Supplier Service Plan
PSPRICE: Physician Fee Schedule System
PSR: Provider Statistics & Reimbursement Report (aka PS&R)
PSR: Provider Summary Report
PSRB: Performance Standards Review Board
PSRO: Performance Standards Review Organization
PSRO: Physician Service Review Organization
PSRS: Provider Statistical & Reimbursement System
PTA: Part A (of Medicare)
PTA: Prior To Admission
PTA: Percutaneous Transluminal Angioplasty
PTAC: Premium Target Advisory Commission
PTAMUS: Part A Medicare Utilization System
PTAPTT: Part A Processing Times Tabulation
PTB: Part B (of Medicare)
PTS: Provider Terminal System
PU: ME/DE Public Use / Medical Effectiveness / Demonstration & Evaluation
PUDI: Prior Unqualifing Disabled Indicator (also RISI)
PUP: Provider Update Operation
PVB: Provider Bills
PWD: Persons With Disabilities
Q: A Questions & Answers
QAHB: Carrier) Quality Assurance Program Handbook
QDWI: Qualified Disabled & Working Individual (aka QWDI)
QI: Quality Indicator
QIO: Quality Improvement Organization
QMB: Qualified Medicare Beneficiary (OBRA 1989 PL101239,Sect.6013)
QMRP: Qualified Mental Retardation Professional
QWDI: Qualified Working Disabled Individual (aka QDWI)
RA: Regional Administrator
RA: Risk Assessment
RAC: Reimbursement Advisory Committee
RAD: Respiratory Assist Device
RADARS: HCFA) Ranking & Data Analysis Reporting System
RAP: Request for Accelerated Payment
RAP: Request for Anticipated Payment
RAPS: Resident Assessment Protocol System
RASC: Regional Administrative Support Center, HHS
RC: Reasonable Charge (or Cost)
RC: Regional Carrier
RCC: Ratio of Cost to Charges
RCCAC: Ratio of Charges to Charges Applied to Costs
RCT: Randomized Clinical Trials
RCT: Registered Care Technologist
RDF: Renal Dialysis Facility
RE: Carrier) Reasonable Expectancies (or Expectations)
REBUS: Renal Beneficiary & Utilization System
RECOUP: Recovery of Unpaid Premiums (MBR)
REMAS: Report on Medicare as Secondary Payor System
REMIS: Renal Management Information System
RH: Rural Hospital
RHC: Rural Health Center
RHC: Rural Health Claim
RHC: Rural Health Clinic
RHHI: Regional Home Health Intermediary
RHHIPEP: Regional Home Health Intermediary Performance Evaluation Program
RHIR: Resident Health Insurance Representative
RHP: Rebundling of Hospital Payment
RI: Regional Intermediary
RISI: Renal Insured Status Indicator (also PUDI)
RMA: Refugee Medical Assistance
RMAPS: Rocky Mountain Part A Processing System
RMFA: Restricted Medicare Fraud Alert
RMRP: Regional Medical Review Policy
RN: Registered Nurse
RNHCI: Religious NonMedical Health Care Institution
RO: Regional Office
ROAM: ROAR Master (SSA)
ROAMS: Regional Office Appeals Management System
ROAR: Recovery of Overpayments Accounting & Reporting System (SSA)
ROAR: Regional Office Automating Representatives for Managed Care Operations (ROAR for MCO)
ROCL: Regional Office Contractor Letter
ROF: Regional Office Flag
ROM: Regional Office Manual
ROMGRS: Regional Office Managers
ROPES: Regional Office Performance Evaluation System
ROPO: Regional Office Project Officer
ROSTAR: Regional Office System Tracking for Audit Reimbursement
ROUG: Regional Office Users Group
RPA: Renal Physicians Association
RPBC: Rejected Provider Bill Control (Process)
RPCH: Regional Primary Care Hospital
RPCH: Rural Primary Care Hospital
RPO: Regional Personnel Officer
RRB: Railroad Retirement Board
RRC: Rural Referral Center
RSDHI: Retirement, Survivors, Disability, & Health Insurance
RSDI: Retirement, Survivors, & Disability Insurance
RSF: Renal Services Facility
RSI: Retirement & Survivors Insurance
RSVP: Retired Senior Volunteer Project
RT: Respiratory Therapy
RTI: Return to Intermediary
RTP: Return To Provider (or Plan)
RUNT: RRB Universal RIC
S: HMO Social Health Maintenance Organization
SA: Scheduled Allowance
SA: State Agency
SACP: AHA) Society for Ambulatory Care Professionals
SAD: Service Area Directory (SSA)
SADMERC: Statistical Analysis Durable Medical Equipment Regional Carrier
SAEP: State Agency Evaluation Plan
SAHD: Staff Assisted Home Dialysis
SALT: Suspensions & Life Terminations System (MBR)
SAMHSA: Supstance Abuse & Mental Health Services Administration
SBC: School Based Clinics
SBI: State Buy In
SBIGPPP: State BuyIn Group Practice Prepayment Plan
SBRS: Senior Biomedical Research Service
SCACA: Seniors Coalition Against Catastrophic Act
SCH: Sole Community Hospital
SCHIP: State Child Health Insurance Program
SCIC: Significant Change In Condition
SCORE: Service Corps of Retired Executives
SDO: Servicing District Office (SSA)
SDP: Single Drug Pricer
SEER: Surveillance, Epidemiology & End Results (Program)
SELF: Secretary’s Executive Leadership Forum
SEP: Special Enrollment Period
SEPSC: Southeastern Program Service Center, SSA
SF: 36 Medical Outcomes Study 36 Item Short Form Health Survey
SFRO: SanFrancisco Regional Office
SG: Surgeon General
SGA: Substantial Gainful Activity
SHC: Select Health Care
SHCC: State Health Coordinating Council
SHI: Supplemental Health Insurance
SHINE: Serving Health Information Needs of Elders
SHIP: AFGE) Supplemental Health Insurance Plan
SHIP: Medicare) Supplemental Health Insurance Programs
SHIP: Senior Health Insurance Program
SHIP: State Health Insurance Assistance Program
SHN: State Health Notes
SHPDA: State Health Planning & Development Agency
SHS: Society for Health Systems
SI: Single Intermediary
SIC: State Insurance Commission
SICE: Social Insurance Claims Examiner
SIR: Carrier) System Improvement Request
SLIMB: Specified LowIncome Medicare Beneficiary
SLIP: A Supplemental Low Income Patient Adjustment
SLMB: see SLIMB)
SLMB: Specified Low-income Medicare Beneficiary
SMART: System for MSP Automated Recovery & Tracking
SMDA: State Medicaid Directors Association
SMG: State Medicaid Group
SMI: Standardized Medreview Instrument
SMI: Supplementary Medical Insurance (Part B of Medicare)
SMIB: Supplementary Medical Insurance (also Part B)
SMM: State Medicaid Manual
SMQC: System for Monitoring Quality of Care
SMRF: State Medicaid Research Files (aka SMURF)
SMURF: State Medicaid Uniform Research File (aka SMRF)
SNC: Skilled Nursing Care
SNCRIS: Skilled Nursing Cost Reporting Information System
SNCT: Sensory Nerve Conduction Threshold
SNF: Skilled Nursing Facility
SNFMDS: SNF Minimum Data Set
SNIP: Strategic National Implementation Process
SOB: Statement of Benefits
SOB: Shortness of breath
SOCO: Southeastern Consortium (Atlanta & Dallas HIROs)
SOP: Status of Provider
SOR: Carrier) Section Operating Report
SPECTRUM: State Performance Evaluation & Comprehensive Test of Reimbursement Under Medicaid
SS: Social Security
SSA: Social Security Act
SSA: Social Security Administration
SSA: State Survey Agency
SSACCS: SSA Claims Control System
SSARA: SSA Reform Act of 1994 (establishes SSA as independent agency)
SSB: Social Security Board (now SSA)
SSDI: Social Security Disability Insurance
SSH: Short Stay Hospital
SSI: Supplemental Security Income
SSIPML: Second State Issuing Professional Medical License
SSN: Social Security Number
SSO: Social Security Office (also DO)
SSOP: Second Surgical Opinion Program
SSP: State Supplemental Payments
SSPML: Second State Professional Medical License
SSR: Social Security Rulings
STAR: Medicaid) Systems Test for Alternative Reimbursement
STD: ShortTerm Disability
SUBC: State Uniform Billing Committee
SVES: State Verification & Exchange System (SSA)
T1: Title I of the Social Security Act (Grants for OldAge Assistance & Medical Assistance for Aged)
T10: Title X of the Social Security Act (Aid to the Blind)
T14: Title XIV of the Social Security Act (Grants to States for Aid to the Disabled
T16: Title XVI of the Social Security Act (SSI)
T18: Title XVIII of the Social Security Act (Medicare)
T19: Title XIX of the Social Security Act (MAA (Medicaid))
T2: Title II of the Social Security Act (SS benefits)
T2R: Title II Redesign (SSA)
T4: Title IV of the Social Security Act (AFDC)
TA: Technology Assessment
TAP: Terminal Acquisition Project (SSA)
TBD: To Be Determined
TDD: Telecommunications Device for the Deaf
TDOC: Total Days of Care
TEDH: Third Party Entitlement Date for Hospital Insurance
TEDS: Third Party Entitlement Date for Supplementary Medical Insurance
TENS: Transcutaneous Electrical Nerve Stimulation
TH: Teaching Hospital
THD: Total Hospice Days
THE: Trailblazers Health Enterprises, Inc. (MD component of TX BC/BS)
TIPPS: Test of Intermediary Prospective Payment System
TITLE: I Grants to States for old age assistance & medical assistance for the aged
TITLE: II Federal old age, survivors & disability insurance benefits (OASDI)
TITLE: IV Grants to States for aid & services to needy famlies with children (AFDC)
TITLE: X Grants to States for aid to the blind (AB)
TITLE: XIV Grants to States for aid to the permanently & totally disabled (DI)
TITLE: XIX Grants to States for medical assistance programs (MAA)(Medicaid)
TITLE: XVI Grants to States for aid to the aged, blind and disabled (ABD) & Supplemental Security Income (SSI)
TITLE: XVIII Health Insurance (Medicare)
TITLE: XX State operated home health care entitlement program
TITLE: XXI State Child Health Programs
TMR: Transmyocardial Revascularization
TNHP: Teaching Nursing Home Program
TOP: Type of Provider
TOPS: Transitional Outpatient Payments System
TOS: Type of Service
TP: Third Party
TPA: Third Party Administrator
TPA: Tissue Plasminogen Activator
TPAO: Third Party Annotation Operation
TPBEST: Third Party Billing Extract Statistical Totals
TPBLAST: Third Party BuyIn Liability Accretions for Screening & Taping
TPCH: Third Party Code for Hospital Insurance
TPCS: Third Party Code for Supplementary Medical Insurance
TPDB: Third Party Data Base
TPEXLAX: Third Party Expel Lapsed, Antiquated & XR Records
TPF: Third Party File
TPG: Third Party Groups
TPL: Third Party Liability
TPLAB: Third Party List Agency Billing
TPM: Third Party Master
TPO: Treatment, Payment, Operations
TPPAYD: Third Party Payment Data
TPPC: Third Party Premium Collection
TPPG: Third Party Private Group
TPQY: Third Party Query System
TPR: Third Party Record
TPRP: Third Party Rules Processor
TRACE: Third Party Recovery Audit Coordinated Effort
TRPBETA: Third Party BuyIn Exceptions for TP Agencies
TSG: The Surgeon General
TTDH: Third Party Termination Date for Hospital Insurance
TTDS: Third Party Termination Date for Supplementary Medical Insurance
TTY: Text Telephones
TWWIA: Ticket to Work & Work Incentives Act of 1999
UAMCDS: Uniform Ambulatory Medical Care Data Set
UHCIA: Uniform Health Care Information Act
UHDDS: Uniform Hospital Discharge Data Set
UHIN: Utah Health Information Network
UHIS: Unbundling of Hospital Inpatient Services
UHP: Unbundling of Hospital Payment
UHP: United Health Plan
UL: Underwriters Laboratory
UMO: Utilization Management Organization
UMW: United Mine Workers
UNCEFACT: United Nations Centre for Facilitation of Procedures and Practices for Administration, Commerce, and Transport
UNEDIFACT: United Nations Rules for Electronic Data Interchange for Administration, Commerce, and Transport
UNIBILL: Uniform Bill (Intermediary Submitted Files of Processed Medicare Provider Bills)
UPIN: Unique Physician Identification Number
UPL: Medicaid) Upper Payment Limit
UPS: United Parcel Service
URC: Intermediary) Utilization Review Coordinator
URO: Utilization Review Organization
USPS: United States Postal Service
USRDS: United States Renal Data System
VAD: Ventricular Assist Device
VADATS: Veterans Administration Data Automatic Transmission System
VICP: Vaccine Injury Compensation Program
VIP: Voucher Insurance Plan
VISION: Vital Information System to Improve Outcomes in Nephrology
VMS: Viable Medicare Systems
VMS: VIPS (Viable Information Processing Systems) Medicare System
VMS: VIPS Medicare System
VNA: Visiting Nurses Association
VPAC: Variable Premium Amount Collectable
VPN: Virtual Private Network
VRA: Veteran’s Readjustment Appointment
VRU: Ventilator Rehabilitation Unit
WA: Working Aged
WAR: Working Aged Recovery
WECO: Western Consortium (Denver, San Francisco & Seattle HIROs)
WHCOA: White House Conference on Aging
WHCRA: Women’s Health & Cancer Rights Act of 1998
WHO: World Health Organization
WIC: Women, Infant & Children Program, DOA
WNPSC: Western Program Service Center, SSA
WOCN: Wound Ostomy Continence Nurses
WPC: Washington Publishing Company
XA: Extended Architecture Operation System (SSA)
XIV: Title 14 Grants to States for Aid to the Permanently & Totally Disabled
XIX: Title 19 Grants to States for Medical Assistance Programs (MAA)
XIXED: Title 19 Entitlement Date
XVI: Title 16 Grants to States for Aid to the Aged, Blind or Disabled or Aid & Medical Assistance for the
XVIII: Title 18 Medicare
XX: Title 20 State operated home health care entitlement program
XXI: Title 21 State Child Health Program
Y2K: Year 2000
YOB: Year of Birth
YR: Year
YTD: YearToDate
YYYY: Year (i.e., mmddyyyy)

Medical Abbreviations and prefix/suffix medical terms

Recent...

The BDA Process

Our Process

Recent Posts

Topics

Related