AAFP AAHAM AAIHDS AAMA AAMC AAPC AARP ABN ABN ACA ACE ACGME ACHE ACMQ ACO ACPE ACS ACU ADPH ADR AF4Q AFMC AHA AHC AHCA AHII AHIMA AHIP AHP AHQI AHRMM AHRQ AHS AHVRP AIDS AlaHA ALJ AMA AMA AMCRA AMT ANA ANOC ANSI AO A American Academy of Family Physicians American Association for Healthcare Administrative Management American Association of Integrated Healthcare Delivery systems American Academy of Medical Administrators Association of American Medical Colleges American Academy of Professional Coders Formerly American Association for Retired Persons, now known simply as AARP Advance Beneficiary Notice Alabama Board of Nursing Affordable Care Act Acute Care Episode Accreditation Council on Graduate Medical Education American College of Healthcare Executives American College of Medical Quality Accountable Care Organization American College of Physician Executives American Cancer Society Ambulatory Care Unit Alabama Department of Public Health Additional Documentation Request Aligning Forces for Quality Arkansas Foundation for Medical Care (Alabama QIC) American Hospital Association Alabama Healthcare Council American Health Care Association Alabama Health Improvement Initiative American Health Information Management Association American's Health Insurance Plans Allied Health Professional Alabama Hospital Quality Initiative Association for Healthcare Resource & Materials Management Agency for Healthcare Research and Quality American Healthcare Systems Association for Healthcare Volunteers Resource Professionals Acquired Immune Deficiency Syndrome Alabama Hospital Association Administrative Law Judge Against Medical Advice American Medical Association American Medical Care and Review Association American Medical Technologists American Nurses Association Annual Notice of Change American National Standards Institute Accrediting Organization
Acronym A (continued) AOA American Osteopathic Association AONE American Organization of Nurse Executives APC Ambulatory Payment /or Patient Classifications APHCA Alabama Primary Health Care Association, Inc. APN Advanced Practice Nurse APTA American Physical Therapy Association AQA Ambulatory care Quality Alliance AQAF Alabama Quality Assurance Foundation ARRA American Recovery and Reinvestment Act ART Accredited Records Technician ASC Ambulatory Surgical Centers ASHE American Society for Healthcare Engineering ASHES American Society for Healthcare Environmental Services ASHHRA American Society for Healthcare Human Resources Administration ASHRM American Society for Healthcare Risk Management BBA Balanced Budget Act BCBS Blue Cross Blue Shield BLS Basic Life Support BME Board of Medical Examiners BMI Body Mass Index BNA Budget Neutrality Appeal BP Blood Pressure BSN Bachelor of Science in Nursing CABG Coronary Artery Bypass Graft CAD Coronary Artery Disease CAE Certified Association Executive CAH Critical Access Hospital CAHPS Consumer Assessment of Healthcare Providers and Systems CAP Competitive Acquisition Program (for Part B) CAP Contract Administration Process CAS Claim Adjustment Sequence CAT Computerized Axial Tomography CAUTI Catheter-Associated Urinary Tract Infection CB Consolidated Billing CC Complication/Comorbidity CCHD Crital Congenital Heart Disease CCI National Correct Coding Initiative CCN Community Care Network CCR Cost-to-Charge Ratio CCS Certified Coding Specialist CCU Critical Care Unit CDC Centers for Disease Control and Prevention B C
CDM CDR CDSS CE CEO CER CERT CEU CFO CHC CHF CHG CHIN CHIP CHNA CI CICU CIN CLABSI CME CMI or CMMI CMO CMP CMP CMS CNM CNO COB COBA COBC COBRA COI COMS CON COO CoP COPD CORF CPAP CPE CPOE CPR CPT CQI CR C (Continued) Charge Description Master Clinical Data Repository Clinical Decision Support System Continuing Education Chief Executive Officer Comparative Effectiveness Research Comprehensive Error Rate Testing Continuing Education Unit Chief Financial Officer Community Health Center Congestive Heart Failure Center for Healthcare Governance Community Health Information Network Children's Health Insurance Program Community Health Needs Assessment Clinical Integration Cardiac Intensive Care Unit Clinically Integrated Network Central Line-Associated Bloodstream Infection Continuing Medical Education Center for Medicare and Medicaid Innovation Chief Medical Officer Care Management Protocols Civil Monetary Penalty Centers for Medicare & Medicaid Services Certified Nurse-Midwife Chief Nursing Officer Coordination of Benefits Coordination of Benefits Agreement Coordination of Benefits Contractor Consolidated Omnibus Budget Reconciliation Act Cost of Illness Analysis Clinical Outcomes Measurement Systems Certificate of Need Chief Operating Officer Conditions of Participation Chronic Obstructive Pulmonary Disease Comprehensive Outpatient Rehabilitation Facility Continuous Positive Airway Pressure Continuing Professional Education Computerized Physician Order Entry Cardiopulmonary Resuscitation Current Procedural Terminology Continuous Quality Improvement Change Request
CRBSI CRNA CRNP CSR CT CURP CVD CWF CXO DAB DDE DE DEA DGME DHR DHS DMD DME DMO DNA DNR DO DOA DOD DOH DOJ DOS DPP DRG DSH DTB DUR DVT E/M OR E&M EAH EBM ECF ECG ECP ECPS ED EDI EEG C (Continued) Catheter-Related Bloodstream Infections Certified Registered Nurse Anesthetist Certified Registered Nurse Practitioner Central Supply Room Computed Tomography Concurrent Utilization Review Program Cardiovascular Disease Common Working File Chief Experience Officer D Department of Appeals Board Direct Data Entry Dual Eligible Drug Enforcement Agency Direct Graduate Medical Education Department of Human Resources Designated Health Service Doctor of Medical Dentistry Durable Medical Equipment Disease Management Organization Detection by Nucleic Acid Do Not Resuscitate Doctor of Optometry / or Osteopathy Dead on Arrival Department of Defense Department of Health Department of Justice Date of Service Disproportionate Patient Percentage Diagnosis-Related Group Disproportionate Share Hospital Door to Balloon time Drug Utilization Review Deep Vein Thrombosis E Evaluation & Management Essential Access Hospital Evidence-Based Medicine Extended Care Facility Electrocardiogram Essential Community Providers Expert Claims Processing System Emergency Department Electronic Data Interchange Electroencephalogram / or Electroencephalogram
Acronym E (Continued) EFT Electronic Funds Transfer EHR Electronic Health Record EKG Electrocardiogram ELE Express Lane Eligibility ELR Electronic Lab Reporting EMR Electronic Medical Record EMS Emergency Medical Services / or System EMSC Emergency Medical Services for Children EMT Emergency Medical Technician EMTALA Emergency Medical Treatment and Active Labor Act EOB Explanation of Benefits EOC Effectiveness Of Care EOC Evidence Of Coverage EOP Elements Of Performance EPO Exclusive Provider Organization ER Emergency Room ERSD or ESRD End-Stage Renal Disease erx Electronic Prescribing ESI Epidural Steroid Injection FACHE Fellow, American College of Healthcare Executives FAH Federation of American Hospitals FAHS Federation of American Health Systems FAQ Frequently Asked Questions FBI Federal Bureau of Investigation FCA False Claims Act FDA Food and Drug Administration FDR First tier, Downstream or Related entities FED Freestanding Emergency Departments FERA Fraud Enforcement & Recovery Act of 2009 FFP Federal Financial Participation FFS Fee For Service FI Fiscal Intermediary FICA Federal Insurance Contribution Act FISS Fiscal Intermediary Standard (or Shared) System FMAP Federal Medical Assistance Percentage FMV Fair Market Value FOIA Freedom Of Information Act FP Family Practitioner FPPE Focused Professional Practice Evaluation FQHC Federally Qualified Health Center FTC Federal Trade Commission FTE Full-Time Equivalent FTP File Transfer Protocol F
G GAO Government Accountability Office GDP Gross Domestic Product GINQ General Inquiry (claims inquiry with Medicare-Cahaba customer service) GME Graduate Medical Education GP General Practitioner H HAC Hospital Acquired Condition HAI Hospital Acquired Infection HAS Health Savings Account HB House Bill HCAHPS Hospital Consumer Assessment of Healthcare Providers and Systems HCFAC Health Care Fraud & Abuse HCPCS Healthcare Common Procedure Coding System HCPP Health Care Prepayment Plan HFMA Healthcare Financial Management Association HHA Home Health Agency HHS U.S. Department of Health and Human Services HIE Health Information Exchange HIGLAS Health Care Integrated General Ledger Accounting System HIM Health Information Management HIMSS Health Information and Management Systems Society HIPAA Health Insurance Portability and Accountability Act of 1996 HIS Hospital Information System HIT Health Information Technology HIV Human Immunodeficiency Virus HMO Health Management / or Maintenance Organization HPOE Hospitals in Pursuit Of Excellence HPS Hospital Purchasing Service HQA Hospital Quality Alliance HRET Health Research & Educational Trust HRSA Health Resources and Services Administration HVBP Hospital Value-Based Purchasing I I/O Input/Output ICCU Intensive Coronary Care Unit ICD 9-CM International Classification of Diseases, 9th Revision, Clinical Modification ICD-10 International Classification of Diseases, 10th revision ICF Intermediate Care Facility ICN Internal /or Inquiry /or Intermediary Control Number ICU Intensive Care Unit IEC Institutional Ethics Committee IFD Institute for Diversity in Health Management IHF International Hospital Federation IHI Institute for Healthcare Improvement
IOCP IOM IP IPF IPPS IRB IRE IRF IS IS or IOS ISMP IT IV J10 JAMA JAR JCAHO JV LCD LDR LDRP LHRP LIP LOA LOB LOC LOS LPN LTC LTCF LTCH LTD LWBS MA MA MAC MAC MAO MASA MCC MCO I (Continued) Intensive Outpatient Care Program Institute Of Medicine Inpatient Inpatient Psychiatric Hospital Inpatient Prospective Payment System Institutional Review Board Independent Review Entity Inpatient Rehabilitation Facility Information Systems Intensity of Service Institute for Safe Medicine Practices Information Technology Intravenous J Medicare Jurisdiction for MAC (AL, GA, TN) Journal of the American Medical Association Joint Annual Report of Hospitals Joint Commission on Accreditation of Healthcare Organizations Joint Venture L Local Coverage Determinations Labor & Delivery Room Labor/Delivery/Recovery/Post-partum Leapfrog Hospital Recognition Program Low Income Percentage Leave Of Absence Line of Business Level of Care Length Of Stay Licensed Practical Nurse Long-Term Care Long-Term Care Facility Long-Term Care Hospital Long-Term Care Disability Left Without Being Seen M Medical Assistant Medicare Advantage Maximum Allowable Charges Medicare Administrative Contractor Medicare Advantage Organization Medical Association of the State of Alabama Major Complication/Comorbidity Managed Care Organization
MCR MCS MD MDC MDP MedPAC MedPAR MEI MFP MGMA MHA MI MIC MICU MIP MIS MLN MLP MLR MMIS MOC MPA MPH MR MRI MRSA MSA MSN MSN MSO MSP MSSP MSW MTM MU MUA MUE MUP NACH NAMM NB NBCH NBME NCCI M (Continued) Medicare Cost Report Managed Care System Doctor of Medicine Major Diagnostic Category Medical Disclosure Panel Medicare Payment Advisory Commission Medicare Payment Analysis and Review Medicare Economic Index Money Follows the Person Medical Group Management Association Master of Health Administration / or Hospital Administration Myocardial Infarction Medicaid Integrity Contractor Medical Intensive Care Unit Medicare Integrity Program Management Information System Medicare Learning Network Mid-Level Practitioner Medical Loss Ratio Medical Management Information System Maintenance of Certification Master of Public Administration Master of Public Health Medical Review Magnetic Resonance Imaging Methicillin-Resistant Staphylococcus Aureus Metropolitan Statistical Area Master of Science in Nursing Medicare Summary Notice Management Service Organization Medicare Secondary Payer Medicare Shared Savings Program Master of Social Work Medication Therapy Management ful Use Medically Underserved Area Medically Unlikely Edit Medically Underserved Population N National Association of Children's Hospitals North American Medical Management Newborn National Business Coalition on Health National Board of Medical Examiners National Correct Coding Initiative
NCD NCHL NCQA NDC NEJM NFP NH NICU NIH NMW NOC NP NPI NPR NQF NRHA OB-GYN OBRA OBS OCE OCR OD OIG OMB OMHA OP OPC OPM OPPE OPPS OPT OR ORHP OSHA OT OTC P4P PA PA PAAC PACU PAP N (Continued) National Coverage Determinations National Center for Healthcare Leadership National Committee for Quality Assurance National Drug Code New England Journal of Medicine Not-for-Profit Nursing Home Neurosurgical / or Neonatal Intensive Care Unit National Institutes of Health Nurse Midwife Not Otherwise Classified Nurse Practitioner National Provider Identifier Notice of Program Reimbursement National Quality Forum National Rural Health Association O Obstetrics & Gynecology Omnibus Budget Reconciliation Act Observation Status Outpatient Code Editor Office for Civil Rights Doctor of Optometry Office of Inspector General Office of Management and Budget Office of Medicare Hearings and Appeals Outpatient Out Patient Clinic Office of Personnel Management Ongoing Professional Practice Evaluation Outpatient Prospective Payment System Outpatient Physical Therapy Operating Room Office of Rural Health Policy Occupational Safety and Health Administration Occupational Therapy / or Therapist Over-The-Counter P Pay for Performance Physician Assistant Professional Association Pre-Anesthesia Assessment Clinic Post Anesthesia Care Unit Positive Airway Pressure
PAP-NAP PAR PCC PCCM PCI PCMH PCN PCORI PCP PDMP PDx PET PFS PharmD PHI PHO PHS PIC PICC PIM PIP PLB PMD PMO POA POE POS PPACA PPO PPP PPRC PPS PQRI PRI PRO PRRB PS&R PSA PSC PSN PSO Pt PT PTS PwC P (Continued) Positive Airway Pressure testing procedure Provider Audit Remibursement Provider Claim Center Primary Care Case Management Percutaneous Coronary Intervention Patient-Centered Medical Home Primary Care Network Patient-Centered Outcomes Research Institute Primary Care Physician Prescription Drug Monitoring Program Principle Diagnosis Positron Emission Tomography Physician Fee Schedule (Medicare) Doctor of Pharmacy Protected Health Information Physician-Hospital Organization Public Health Service Program Integrity Contractor Peripherally Inserted Central Catheter Program Integrity Manual Periodic Interim Payment Provider Level Balance Preferred Medical Doctor Principal Medical Officer Present on Admission Provider Outreach & Education Point Of Service Patient Protection and Affordable Care Act Preferred Provider Organization Preferred Provider Plan Physician Payment Review Commission Prospective Payment System Physician Quality Reporting Initiative Provider Resources, Inc. Professional Review Organization Provider Reimbursement Review Board Provider Statistical & Reimbursement Report Patient Safety Alert Program Safeguard Contractor Provider Sponsored Network Patient Safety Organization Patient Physical Therapy / or Therapist Provider Tracking System PricewaterhouseCoopers
QA QACSC QARI QHP QI QIC QIO QM R&E RA RA RAC RAD RCH RCO RFID RFP RHC RHIO RIC RN ROA ROE ROI RPh RPN RPT RRC RT RT RTP RUG RVC RVS RVU SA SARS SB SB SCH SEIU Q Quality Assessment / or Assurance Qualified Alabama Controlled Substances Registration Certificate Quality Assurance Reform Initiative Qualified Health Plan Quality Improvement Qualified Independent Contractor (audit) Quality Improvement Organization Quality Management R Research and Education Recovery Auditor Remittance Advice Recovery Audit Contractor Radiation Absorbed Dose Rural Community Hospital Regional Care Organization Radio Frequency Identification Request For Proposal Rural Health Clinic Regional Health Information Organization Revenue Integrity Committee Registered Nurse Return On Asset Return On Equity Return On Investment Registered Pharmacist Registered Practical Nurse Registered Physical Therapist Rural Referral Center Registered Technician Respiratory Therapy / or Therapist Return to Provider Resource Utilization Group RAC Validation Contractor Relative Value Scale Relative Value Unit S State Agency Severe Acute Respiratory Syndrome Senate Bill Summary of Benefits Sole Community Hospital Service Employees International Union
S (Continued) SGR Sustainable Growth Rate SHCC Statewide Health Coordinating Council SHM Society for Hospital Medicine SHPDA State Health Planning and Development Agency SHSMD Society for Healthcare Strategy and Market Development SICU Surgical Intensive Care Unit SIDS Sudden Infant Death Syndrome SIM State Innovation Models SLP Speech Language Pathology SMDA Safety Medical Devices Act SMRC Supplemental Medical Review Contractors SNF Skilled Nursing Facility SOA / SOX Sarbanes-Oxley Act of 2002 SOBRA Sixth Omnibus Budget Reconciliation Act SoC Systems of Care SOW Statement of Work SPA State Plan Amendment SPECT Single Photon Emission Computed Tomography SSA Social Security Administration SSI Social Security Income SSI Surgical Site Infection ST Speech Therapy or Speech Therapist STEMI ST Elevation Myocardial Infarction SVP Senior Vice President 2MN TANF TC TCC TCM TEI THR TJC TJR TKR TMS TOB TPA TQI TQM T Two Midnight Rule Temporary Assistance to Needy Families Technical Component Total Case Compensation Transitional Care Management Transforaminal Epidural Injection Total Hip Replacement The Joint Commission Total Joint Replacement Total Knee Replacement Telehealth Medical Services Type of Bill Third-Party Administrator Total Quality Improvement Total Quality Management
U UB Uniform Billing UB-04 Uniform Billing (revised version of the UB-92) UB-92 Uniform Billing - Form 92 UD Unit Dose UHC United HealthCare UIRS Unusual Incident Reporting System UM Utilization Management UPIN Universal Physician Identification Number UR Utilization Review URI Upper Respiratory Infection VA Veterans Administration VAP Ventilator Associated Pneumonia VBP Value-Based Purchasing VHA Voluntary Hospitals of America VOP Value Of Production VPS Volume Performance Standards WC Workers' Compensation WHO World Health Organization WIC Women, Infants and Children Program WPS Wisconsin Physicians Service YTD Year-to-Date ZPIC Zone Program Integrity Contractors V W Y Z