ABN

Advanced Beneficiary

Notice

AFDC

Aid to Families with Dependent Children

AHA

American Hospital Association

AHCA

Agency for Health Care Administration

ALOS

Average Length

of Stay

AMA

Against Medical Advice

OR

American Medical Association

American National Standards Institute

 APR

Annual Percentage Rate

 ASC

Ambulatory Surgical Center

ATB

Aged Trial Balance

BBA

Balanced Budget Act

BNI

Beneficiary Notices Initiative

CAH

Critical Access Hospital

CCI

Correct Coding

Initiative

CCS

Crippled Children's

Service

CDM

Charge Description Master

(Chargemaster)

CDT

Current Dental Terminology

CEO

Chief Executive Officer

CFO

Chief Financial Officer

CHAMPUS

Civilian Health and Medical Program of the Uniformed Services

CHAMPVA

CHCBP

Continued Health Care Benefit Program

CLIA

Clinical Laboratory Improvement Amendment

CMHC

Community Mental

Health Clinic

CMS

Centers for Medicare and Medicaid Services

COB

Coordination of

Benefits

COBRA

Consolidated Omnibus Budget Reconciliation Act

CORF

Comprehensive Outpatient Rehabilitation Facility

CPT

Current Procedural Terminology

CPU

Central Processing

Unit

CRA

Credit Reporting

Agency

CWF

Common Working

File

DEERS

Defense Enrollment Eligibility Reporting System

DEFRA

Deficit Equity and Reduction Act

DHHS

Department of Health and Human Services

DME

Durable Medical Equipment

DOJ

Department of Justice

DRA

Deficit Reduction Act

MS-DRG

Medicare Severity-Diagnosis Related Groups

EDI

Electronic Data Interchange

 EGHP

Employer Group

Health Plan

EIN

Employer Identification Number

E/M

Evaluation and Management

EMTALA

Emergency Medical Treatment and Active Labor Act

EOMB

Explanation of Medicare Benefits

ESRD

End Stage

Renal Disease

FCRA

Fair Credit

Reporting Act

FDCPA

Fair Debt Collection Practices Act

FECA

Federal Employees' Compensation Act

FEP

Federal Employee

Prgram

FFS

Fee For Service

FI

Fiscal Intermediary

FOIA

Freedom of

Information Act

GAAP

Generally Accepted Accounting Principles

GAO

General Accounting

Office

GPO

Government Printing Office

HCPCS

Healthcare Common Procedure Coding System

HHA

Home Health

Agency

HICN

Health Insurance Coverage Number OR

 Health Insurance Claim Number

HIPAA

Health Insurance Portability and Accountability Act

HMO

Health Maintenance Organization

HPSA

Health Provider

Shortage Area

HSA

Healthcare Savings Accounts

ICD-9-CM

International Classification of Diseases, Volume 9, Clinical Modification

ICF

Intermediate Care

Facility

ICR

Image Character Recognition

IDE

Investigational Device Excemption

IEQ

Initial Enrollment Questionnaire

IG

Implementation Guide

IHS

Indian Health

Service

IPPS

Impatient Prospective Payment System

JCAHO

Joint Commission on Accreditation of Healthcare Organizations

(The Joint Commission)

LMRP

Local Medical

Review Policies

MAAC

Maximum Allowable

Actual Charge

MAC

Medicare Administrative Contractor

 MCO

Managed Care Organizations

MD

Doctorate of Medicine

MDC

Major Diagnostic Categories

MHI

Medicare Hospital Insurance

MIC

Medicaid Integrity Congractors

MIP

Medicaid Integrity Program

MMA

Medicare

Modernization Act

MSA

Medical Savings

Account

MSP

Medicare

Secondary Payor

MSN

Medicare

Summary Notice

MTF

Military

Treatment Facility

MVPS

Medicare Volume Performance Standard

NAIC

National Association of Insurance Commissioners

NAS

Non-Availability Statement

NCD

National Coverage Determinations

NDC

National Drug Code

NOC

Not Otherwise

Classified

NPI

National Provider Identifier

NPP

Non Physician

Practitioner

NUBC

National Uniform Billing Committee

NUCC

National Uniform Claim Committee

OIG

Office of Inspector

General

OBRA

Omnibus Budget Reconciliation Act

 ORT

Operation Restore

Trust

OSHA

Occupational Safety and Health Act

PAT

Pre-Admission Testing

PCP

Primary Care Provider

PIP

Periodic Interim Payment

PM

Program Memorandums

POE

Parallel Operating Environment

PPO

Preferred Provider Organization

PPS

Prospective Payment System

PSDA

Patient Self

Determination Act

PSRO

Professional Standards Review Organization

QA

Quality Assurance

RBRVS

Resource-Based Relative Value Scale

RRB

Railroad Retirement

Board

RTC

Residential Treatment Centers

RUG

Resource Utilization

Group

RVU

Relative Value Unit

SCHIP

State Children's Health Insurance Program

SNF

Skilled Nursing Facility

SSA

Social Security Administration

SSI

Supplemental Security Income

SSN

Social Security Number

SUBC

State Uniform Billing Committee

TAN

Treatment Authorization Number

TEFRA

Tax Equity and Fiscal Responsibility Act

Title I

Hill Burton

Title V

Maternal Health

and Child

 Title XVIII

Medicare

Title XIX

Medicaid

Title XXI

State Children's Health Insurance Program

TOB

Type of Bill

TPA

Third Party

Administrator

UB-04

Uniform Bill 2004

(implemented in 2007)

UCR

Usual Customary and Reasonable

UPIN

Unique Physician Identification Number

UR

Utilization Review

USPHS

U.S. Public

Health Service

USTF

Uniformed Service Treatment Facility

VA

Veterans Administration

VCIS

Voice Case

Information System

WC

Workers

Compensation

WHO

World Health

Organization