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Alphabet Soup

By Kelly Byrnes, BS, RVT, FSVU posted Wed January 04, 2017 02:40:48 PM

  

One thing I find very confusing, when dealing with reimbursement and practice management issues, is the use of acronyms. There are so many of them!! I like to keep a list of them handy, so I can update and refer to them as needed. This is my current list. I will use these acronyms in future posts, and I will try to elaborate on them as appropriate. Hopefully, you will find this list useful.

A

ABN – Advanced Beneficiary Notice

ACA – Affordable Care Act, also called PPACA (Patient Protection and Affordable Care Act)

ACO – Accountable Care Organization

ALOS – Average Length of Stay

APC – Ambulatory Payment Classification

APMs – Alternative Payment Models

B

C

CARE Bill – Consistency, Accuracy, Responsibility and Excellence

CCI – Correct Coding Initiative

CDM – Charge Description Master files

CHIP – Children’s Health Insurance Program

CMMI – Center for Medicare and Medicaid Innovation

CMS – Centers for Medicare & Medicaid Services

CPT – Current Procedural Terminology

CQI – Continuous Quality Improvement

D

DRG – Diagnosis Related Group

E

EHR/EMR – Electronic Health Record / Electronic Medical Record

EOB – Explanation of Benefits

EOC – Episode of Care

F

FFS – Fee for Service

G

GAO – General Accountability Office

GI – Geographic Index

GPCI – Geographic Practice Cost Index

H

HBP – Hospital Based Physician

HCPCS – Healthcare Common Procedure Coding System

HHS – Department of Health and Human Services

HIPAA – Health Insurance Portability and Accountability Act

HIO – Health Information Organization

HISP – Health Information Service Provider

HOPPS – Hospital Patient Prospective Payment System

I

IDN – Integrated Delivery Network

IDS – Integrated Delivery System

IPAB – Independent Payment Advisory Board

J

JCAHO – Joint Commission for Accreditation of Health Organizations

K

L

LCD – Local Coverage Determination

LMRP – Local Medical Review Policy

M

MAC – Medicare Administrative Contracts

MACRA – Medicare Access & CHIP Reauthorization Act of 2015

MCD – Medicare Coverage Database

MCO – Managed Care Organization

MedPAC – Medicare Payment Advisory Organization

MIPS – Merit-Based Incentive Payment System

MSSP – Medicare Shared Savings Program

N

NCD – National Coverage Determination

NCHS – National Center for Health Statistics

NDPS – National Drug Pricing System

NPDB – National Practitioner Data Bank

NPI – National Provider Identifier

O

P

PAG – Policy Advisory Group

PEPP – Payment Error Prevention Program

PFFS – Private Fee-for-Service

PFS – Physician Fee Schedule

PFMs – Physician-Focused Payment Models

PIM – Program Integrity Model

PORS – Provider Overpayment Recovery System

PPO – Preferred Provider Organization

PPR – Prospective Payment Review

PQRS – Physician Quality Reporting System

PSRO – Physician Service Review Organization

PTAC – Physician-Focused Payment Model Technical Advisory Committee

PTAN – Provider Transaction Access Number

Q

QPP – Quality Payment Program

R

RAC – Reimbursement Advisory Committee

RADARS – Ranking & Data Analysis Reporting System

RBRVS – Resource-Based Relative Value Scale

RUGs – Resource Utilization Groups

RVC/RUC – AMA/Specialty Society Relative Value Scale Update Committee

RVU – Relative Value Unit

S

SAAAVE – Screening Abdominal Aortic Aneurysms Very Efficiently

T

TIN – Taxpayer Identification Number

U

V

W

X

Y

Z

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Comments

Thu January 19, 2017 01:57:06 PM

Alecia,

ICD is great acronym to add to the list!

ICD    International Classification of Disease

Thu January 19, 2017 11:16:11 AM

ICD codes?