HCA: | Healthcare Acronyms |
Acronym | Definition | Explanation | ||
340B | 340B Drug Discount Program | A US federal government program created in 1992 that requires drug manufacturers to provide outpatient drugs to eligible health care organizations and covered entities (i.e., health systems serving Medicaid beneficiaries) at significantly reduced prices. | ||
80 20 rule | Pareto Principle | For many events, roughly 80% of the effects come from 20% of the causes
| ||
834 | EDI 834 Transaction | A type of EDI transaction from the HIPAA 5010 standard. It includes member enrollment information, benefits, plan subscription, and employee demographic information. | ||
A&AS | Advisory and Assistance Service | |||
A&G | Acquisitions and Grants | |||
A&G | Administrative and General | |||
a&o | Alert and Oriented | Sometimes written a & o | ||
A&R | Audit and Reimbursement | |||
A-PT | ActionPhase Topic | |||
A2HA | American Association of Hospital Accountants | |||
AA | Administrative Assistant | |||
AA | Alcoholics Anonymous | |||
AA | Associate Administrator | |||
AA | Associate of Arts | A two-year degree
| ||
AAA | Abdominal Aortic Aneurysm | A localized dilatation (ballooning) of the abdominal aorta exceeding the normal diameter by more than 50 percent, and is the most common form of aortic aneurysm | ||
AAA | Agricultural Adjustment Administration | |||
AAA | American Automobile Association | |||
AAASC | American Association of Ambulatory Surgery Centers | |||
AABB | American Association of Blood Banks | Formerly American Association of Blood Banks but now an international organization known only as AABB | ||
AABH | Association for Ambulatory Behavioral Healthcare | |||
AACCN | American Academy of Critical Care Nurses | |||
AACN | American Association of Colleges of Nursing | |||
AACN | American Association of Critical-Care Nurses | |||
AACR | American Association for Cancer Research | |||
AAD | American Association of Dermatology | |||
AADA | Abbreviated Antibiotic Drug Application | |||
AADGP | American Academy of Dental Group Practice | |||
AAF | Aplastic Anemia Foundation | |||
AAFES | Army and Air Force Exchange Services | |||
AAFP | American Academy of Family Physicians | |||
AAGEG | Administrative Analysis Grade Evaluation Guide | |||
AAH | Advocate Aurora Health | |||
AAHA | American Association of Homes for the Aging | |||
AAHC | Association of Academic Health Centers | Sometimes also abbreviated AHC. | ||
AAHCM | American Academy of Home Care Medicine | |||
AAHP | American Association of Health Plans | Now merged with HIAA to form AHIP | ||
AAHSA | American Association of Homes and Services for the Aging | |||
AAI | Applications Alarms Infrastructure | See also See also GTE and MTS | ||
AAIN | American Academy of Industrial Nurses | |||
AAKP | American Association of Kidney Patients | |||
AAMC | Association of American Medical Colleges | |||
AAN | American Academy of Nursing | |||
AANA | American Association of Nurse Anesthetists | |||
AANP | American Academy of Nurse Practitioners | |||
AAO | American Academy of Ophthalmology | |||
AAO | American Academy of Optometry | |||
AAOS | American Academy of Orthopaedic Surgeons | |||
AAP | American Academy of Pediatrics | |||
AAP | Asthma Action Plan | |||
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 | |||
AAPI | American Accreditation Program, Inc. | |||
AAPP | Affirmative Action Program Planning | |||
AAPPO | American Association of Preferred Provider Organizations | |||
AAPS | Association of American Physicians and Surgeons | |||
AARG | Average Annual Rate of Growth | |||
AARP | American Association of Retired Persons | |||
AARR | Approval, Adjustment, and Reject Response | |||
AB | Administrative Bulletin | BC/BSAs | ||
ABA | American Banking Association | |||
ABA | American Bar Association | |||
ABA | American Board of Anesthesiology | |||
ABA | Applied Behavior Analysis | |||
ABAI | American Board of Allergy & Immunology | |||
ABAI | Association for Behavior Analysis International | |||
ABAS | Adaptive Behavior Assessment System | |||
ABCN | American Board of Clinical Neuropsychology | |||
ABCRS | American Board of Colon and Rectal Surgery | |||
ABD | Aged, Blind, and Disabled | |||
ABD | American Board of Dermatology | |||
ABEM | American Board of Emergency Medicine | |||
ABEND | Abnormal Ending | |||
ABENDAID | ABEND Analysis Software | |||
ABFP | American Board of Family Practice | |||
ABG | Arterial Blood Gas | A blood test that is performed using blood from an artery. It involves puncturing an artery with a thin needle and syringe and drawing a small volume of blood. | ||
ABH | Association of Behavioral Healthcare | |||
ABIM | American Board of Internal Medicine | |||
ABMS | American Boarded in Medical Specialties | |||
ABN | Advanced Beneficiary Notice | A standardized notice that must be issued to a Medicare beneficiary before providing certain Medicare Part B (outpatient) or Part A (limited to hospice and Religious Nonmedical Healthcare Institutions only) items or services. The ABN must be issued when:It is believed that Medicare may not pay for an item or serviceMedicare usually covers the item or serviceMedicare may not consider it medically reasonable and necessary for the patient in this particular instance | ||
ABNM | American Board of Nuclear Medicine | |||
ABNS | American Board of Neurological Surgery | |||
ABO | ABO Blood Group | The major human blood type system which depends on the presence or absence of antigens known as A & B | ||
ABOG | American Board of Obstetrics and Gynecology | |||
ABOP | American Board of Ophthalmology | |||
ABOS | American Board of Orthopedic Surgery | |||
ABOto | American Board of Otolaryngology | |||
ABP | Alternative Benefit Plan | |||
ABP | American Board of Pathology | |||
ABP | American Board of Pediatrics | |||
ABPANC | American Board of Perianesthesia Nursing Certification, Inc. | |||
ABPM | American Board of Preventive Medicine | |||
ABPMR | American Board of Physical Medicine & Rehabilitation | |||
ABPN | American Board of Psychiatry and Neurology | |||
ABPP | American Board of Professional Psychology | |||
ABPS | American Board of Plastic Surgery | |||
ABR | American Board of Radiology | |||
ABRN, BC | Advanced Practice Registered Nurse, Board Certified | An advanced practice certification for nurse practitioners, clinical nurse specialists, and specialists in advanced diabetes management by the American Nurses Credentialing Center (ANCC) | ||
ABS | American Board of Surgery | |||
ABS | Annual Beneficiary Summary | |||
ABTS | American Board of Thoracic Surgery | |||
ABU | American Board of Urology | |||
ABX | Antibiotic | |||
AC | Accreditation Committee | |||
AC | Actual Charge | |||
AC | Allowable Cost | |||
AC | Ambulatory Care | |||
ac | Before Meals | i.e. take 2 tablets before meals. Also written as a.c.
| ||
ACA | Affordable Care Act | Short for the Patient Protection and Affordable Care Act (PPACA), commonly called Obamacare. | ||
ACA | Amputee Coalition of America | |||
ACA | Apparent Cause Analysis | A basic analytical approach to determining the most probable/reasonable cause(s) of error by reviewing the facts associated with the incident. This analysis assists to identify causes and circumstances which can be prioritized as the basis for process improvement efforts. | ||
ACC | Ambulatory Care Center | |||
ACC | American College of Cardiology | |||
ACC | American College of Nurse-Midwives Certification Council | |||
ACC | Automated Change Control | |||
ACCME | Accreditation Council for Continuing Medical Education | |||
ACCP | American College of Chest Physicians | |||
Acct | Account | |||
ACCT | Action Plan by Electronic Claims Transaction Institute | |||
ACD | Acid-citrate-dextrose | An anticoagulant containing citric acid, sodium citrate and dextrose. This was formerly used primarily as a whole blood preservative, but is currently used for plateletpheresis. | ||
ACD | Audit Clearance Document | |||
ACD | Automatic Cancellation Date | |||
ACDIS | Association of Clinical Documentation Improvement Specialists | |||
ACE | Additional Care Encounters | |||
ACE | Analytics Center of Excellence | |||
ACE | Automated Claims Examination | |||
ACEI | Angiotensin Converting Enzyme Inhibitors | |||
ACEP | American College of Emergency Physicians | |||
ACERS | Annual Contractor Evaluation Reporting System | |||
ACF | Administration for Children and Families | |||
ACGIH | American Conference of Government Industrial Hygienists | |||
ACGME | Accreditation Council for Graduate Medical Education | Negotiates salary, raises, work hours, case load, etc. for medical education
| ||
ACH | Automated Clearing House | |||
ACHE | American College of Healthcare Executives | |||
ACHRN | Advanced Certified Hyperbaric Nurse | A certification by the Baromedical Nurses Association (BNA) | ||
ACIP | PHS Immunization Practice Advisory Committee | |||
ACL | Access Control Lists | |||
ACL | Anterior Cruciate Ligament | One of four ligaments stabilizing the knee | ||
ACLI | American Council of Life Insurance | |||
ACLS | Advanced Cardiac Life Support | |||
ACLU | American Civil Liberties Union | |||
ACM | Accredited Case Manager | An ACMA certification which is accredited by the National Commission for Certifying Agencies (NCCA) | ||
ACM | American College of Medicine | |||
ACM | Appropriate Care Measures | Formerly ACS | ||
ACM | Association of Computing Machinery | |||
ACMA | American Case Management Association | |||
ACMP | Audit/Civil Monetary Penalties | |||
ACMS | Advanced Cost Management Systems | |||
ACNS-BC | Adult Health Clinical Nurse Specialist - Board Certified | Nurse credentialing website | ||
ACO | Accountable Care Organization | |||
ACO | Accreditation and Certification Operations | Also known as Division of Accreditation and Certification Operations | ||
ACO | Administrative Contracting Officer | |||
ACOG | American College of Obstetricians and Gynecologists | |||
ACP | Advanced Care Paramedic | Canada
| ||
ACP | American College of Physicians | |||
ACPS | Advanced Claims Processing System | |||
ACPV | Average Cost per Visit | |||
ACR | Adjusted Community Rate | Also known as Adjusted Community Contract Rate | ||
ACR | American College of Radiologists | |||
ACR | American College of Radiology | |||
ACR | American College of Rheumatology | |||
ACRG | Aggregated CRG | An aggregated reporting group of CRGs in 3M's Clinical Risk Grouping Software | ||
ACRG | Annual Compound Rate of Growth | |||
ACRN | AIDS Certified Registered Nurse | A certification by the Association of Nurses in AIDS Care (ANAC) | ||
ACRP | Adjusted Community Rate Proposal | |||
ACRS | Accelerated Cost Recovery System | |||
ACS | Accredited Standards Committee | |||
ACS | Acute Coronary Syndrome | |||
ACS | American Cancer Society | |||
ACS | American College of Surgeons | |||
ACS | Appropriate Care Scores | Now called ACM | ||
ACS | Automated Cartridge System | |||
ACSC | Ambulatory Care Sensitive Conditions | |||
ACSI | American Customer Satisfaction Index | |||
ACSS | Advisory Council on Social Security | |||
ACT | Access Control Table | |||
ACT | Asthma Control Test | |||
ACTG | AIDS Clinical Trials Group | |||
ACTS | Automated Case Tracking System | |||
ACU | Automatic Calling Unit | |||
ACV | Arithmetic Coefficient of Variation | |||
ACYF | Administration on Children, Youth, and Families | |||
AD | Admitting Diagnosis | |||
AD | Associate's Degree | A two-year degree
| ||
AD | Right Ear | A dangerous abbreviation which should not be used because it can be mistaken for QD (every day) | ||
ad | to, toward, near | Adduct (move toward the center of the body)
| ||
ad lib | As Desired | |||
ADA | American Dental Association | |||
ADA | American Diabetes Association | |||
ADA | American Dietetic Association | |||
ADA | Americans with Disabilities Act | |||
ADAD | After Date of Award Document | |||
ADAMHA | Alcohol, Drug Abuse, and Mental Health Administration | |||
ADAP | AIDS Drug Assistance Program | |||
ADAPSO | Association of Data Processing Services Organization | |||
ADARS | Automated DASD Archival Restoration System | |||
AdBeh | Adaptive Behavior | |||
ADC | Adult Day Care | |||
ADC | Average Daily Census | |||
Add | Additional | |||
ADE | Adverse Drug Event | |||
ADG | Ambulatory Diagnostic Group | |||
ADG-HOSDOM | Ambulatory Diagnostic Group Hospital Dominant | |||
ADHA | American Dental and Hygienists Association | |||
ADHD | Attention Deficit Hyperactivity Disorder | Formerly known as ADD. One of the most common childhood disorders which can continue through adulthood, sypmtoms include difficulty staying focused and paying attention, difficulty controlling behavior, and hyperactivity. | ||
ADI-R | Autism Diagnostic Interview, Revised | |||
ADJ | Adjusted Claim | |||
ADL | Activities of Daily Living | |||
ADMC | Advance Determination of Medicare Coverage | |||
ADMS | Administrative Message | |||
ADMS | Alcohol, Drug Abuse, and Mental Health Services | |||
ADOBI | Advanced DOB Information | See also Social Security Administration (SSA) | ||
ADOD | Anticipated Date of Discharge | |||
ADOS | Autism Diagnostic Observation Schedule | |||
ADOS-2 | Autism Diagnostic Observation Schedule (2nd Edition) | |||
ADP | Advance Planning Document | |||
ADP | Alternative Disposition Plan | Medicaid term | ||
ADP | Automated Data Processing | |||
ADR | Additional Documentation Request | |||
ADR | Adverse Drug Reaction | |||
ADR | Alternative Dispute Resolution | |||
ADR | Automated Date Review | |||
ADR | Automated Desk Review | |||
ADS | Alternative Delivery System | |||
ADS | Amount, Duration, and Scope | |||
ADS | Automated Data System | |||
ADS | Automated Development System | |||
ADSB | Application Development System Batch | |||
ADSO | Application Development System Online | |||
ADT | Admit, Discharge, Transfer | The most commonly used HL7 messaging type, used to exchange the patient state within a healthcare facility. ADT messages keep patient demographic and visit information synchronized across healthcare systems. Sometimes written Admission/Discharge/Transfer. | ||
ADWOH | Average Day's Work On Hand | |||
AE | Administrative Enhancement | |||
AEP | Annual Coordinated Election Period | |||
AEP | Annual Enrollment Period | |||
AEP | Appropriateness Evaluation Period | |||
AERO | Automatic Earnings Recomputation Operation | |||
AETS | Automated Error Tracking System | |||
AF | Administrative Function | |||
AFA | Alternative Form of Annuity | |||
AFCEA | Armed Forces Communications and Electronics Association | |||
AFDC | Aid to Families with Dependant Children | Title IV of the Social Security Act | ||
AFDS | Alternative Financing and Delivery System | |||
AFEHCT | American Federation of Electronic Health Care Transactions | |||
AFEHCT | Association for Electronic Health Care Transactions | |||
AFFIRM | Association of Federal Information Resources Management | |||
AFHHA | American Federation of Home Health Agencies | |||
Afib | Atrial Fibrillation | A somewhat common irregular heartbeat that sometimes requires a blood thinner to be safely discharged
| ||
AFIPS | American Federation of Information Resources Societies | |||
AFL-CIO | American Federation of Labor-Congress of Industrial Organizations | |||
AFMR | American Federation for Medical Research | |||
AFN | Accumulation File Number | |||
AFPS | Accounting for Pay System | |||
AFSCME | American Federation of State, County, and Municipal Employees | |||
AG | Affiliated Group | |||
ag | Albumin to Globulin Ratio | Usually written a/g. Seen as a lab test.
| ||
AG | Attorney General | |||
AGA | Association of Government Accounts | |||
AGD | Academy of General Dentistry | |||
AGNS | AT&T Global Network Services | |||
AGPAM | American Guild of Patient Account Managers | |||
AHA | American Heart Association | |||
AHA | American Hospital Association | |||
AHC | Ambulatory Health Care | A Joint Commission (JC) accreditation program | ||
AHCA | American Health Care Association | |||
AHCCCS | Arizona Healthcare Cost Containment System | Arizona's Medicaid program | ||
AHCPR | Agency for Health Care Policy and Research | |||
AHES | Average Hourly Earnings | |||
AHF | Antihemophilic Factor | Another name for Factor VIII, one of a number of coagulation (clotting) factors. See also AHG. | ||
AHFSA | Association of Health Facility Survey Agencies | |||
AHG | Antihemophilic Globulin | Another name for Factor VIII, one of a number of coagulation (clotting) factors. See also AHF. | ||
AHIMA | American Health Information Management Association | |||
AHIP | America's Health Insurance Plans | A national political advocacy and trade association with about 1,300 member companies that sell health insurance coverage to more than 200 million Americans. AHIP was formed through the merger of HIAA and AAHP. | ||
AHLA | American Health Lawyers Association | |||
AHNA | American Holistic Nurses Association | |||
AHP | Accountable Health Partnership | |||
AHP | Accountable Health Plan | |||
AHP | Allied Health Professional | |||
AHP | Alternative Health Plan | |||
AHP | Association of Healthcare Philanthropy | |||
AHP | Average Historical Payment | |||
AHPA | American Health Planning Association | |||
AHPB | Adjusted Historical Payment Basis | |||
AHQA | American Health Quality Association | |||
AHRQ | Agency for Healthcare Research and Quality | |||
AHSEA | Adjusted Hourly Salary Equivalency Amount | |||
AHSR | Association for Health Services Research | |||
AHSS | Adhoc Sampling Survey | |||
AI | Audit Intermediary | |||
AIC | Amount In Controversy | |||
AICC | Anti-Inhibitor Coagulant Complex | |||
AICPA | American Institute of Certified Public Accountants | |||
AICR | Alternative Internal Control Review | |||
AID | Agency for Informational Development | |||
AID | Agency for International Development | |||
AIDET | Acknowledge Introduce Duration Explanation Thank you | An acronym used by the Studer Group to remind staff about how to acknowledge patients and customers | ||
AIDS | Acquired Immunodeficiency Syndrome | A disease of the immune system caused by HIV. During the initial infection, a person may experience a brief period of influenza-like illness, typically followed by a prolonged period without symptoms. As the illness progresses, it interferes more and more with the immune system, making the person much more likely to get infections, including opportunistic infections, and tumors that do not usually affect people who have working immune systems. | ||
AIF | Applications Interface Facility | |||
AIIM | Association for Information and Image Management | Trade association | ||
AIM | Architecture Implementation Management | |||
AIM | Automated Insertion Machine | |||
AIMS | Audit Information Management System | |||
AINS | Advanced Information Network System | |||
AIR | All Inclusive Rate | A Medicare reimbursement rate which is the opposite of an FFS rate | ||
AJMC | American Journal of Managed Care | |||
AKA | Above the Knee Amputation | Amputation of the lower leg, above the knee | ||
AKF | American Kidney Fund | |||
AKI | Acute Kidney Injury | |||
ALA | American Lung Association | |||
ALBN | Amount of Last Billing Notice | |||
ALC | Active License Counter | |||
ALC | Active Location Counter | |||
ALC | Alternate Level of Care | |||
ALE | Annual Loss Expectancy | |||
ALF | Assisted Living Facility | |||
ALFA | Assisted Living Federation of America | |||
ALJ | Administrative Law Judge | |||
ALNCCB | American Legal Nurse Consultant Certification Board | |||
ALNF | Auto Liability NoFault | |||
ALOS | Average Length of Stay | The arithmetic mean (traditional average) length of stay. It is calculated by See also GMLOS. | ||
ALOSV | Average Length of Stay Variance | |||
ALS | Advanced Life Support | |||
ALS | Advanced Logistics System | |||
ALSO | Automatic Lump Sum Operation | |||
ALT | Average Length of Treatment | |||
AM | Adjustment Module | |||
AM | Amplitude Modulation | |||
AMA | Against Medical Advice | If a patient decides to leave against the advice of their doctor, they sign this form to relieve the hospital of responsibility | ||
AMA | American Medical Association | |||
AMA | Australian Medical Association | |||
AMA-PCPI | American Medical Association Physician Consortium for Performance Improvement | |||
AMASDS | Asset Management and Automated Software Distribution System | |||
AMBHA | American Managed Behavioral Healthcare Association | |||
AMC | Academic Medical Center | |||
AMCP | Academy of Managed Care Pharmacy | |||
AMCRA | American Medical Care and Review Association | |||
AMCS | Automated Medical Coding System | |||
AMGA | American Medical Group Association | |||
AMHPS | Association of Minority Health Professional Schools | |||
AMI | Acute Myocardial Infarction | Commonly known as a heart attack. Results from the interruption of blood supply to a part of the heart, causing heart cells to die. | ||
AMIA | American Medical Informatics Association | |||
AMIS | American Management Information System | |||
AML | Arithmetic Mean of the Logarithm | |||
AMOC | Automated Manual Ordering Cycle | |||
AMP | Asthma Management Plan | Sometimes called AAP | ||
AMP | Average Manufacturer's Price | |||
AMPRA | American Medical Rehabilitation Providers Association | |||
AMR | Acquisition Management Review | |||
AMR | Automated Medical Record | |||
AMRA | American Medical Records Association | |||
AMS | Activities Management System | |||
AMSA | American Medical Student Association | |||
AMSN | Academy of Medical-Surgical Nurses | |||
AMW | Average Monthly Wage | |||
AN | Account Number | Also written A/N | ||
ANA | Administration for Native Americans | |||
ANA | American Nurses Association | |||
ANAC | Association of Nurses in AIDS Care | |||
ANCC | American Nurses Credentialing Center | |||
ANCHR | Access to the NCH Repository | Online query to 5% sample | ||
ANCI | American National Standards Institute | |||
AND | Academy of Nutrition and Dietetics | Formerly American Dietetic Association
| ||
AND | Allow Natural Death | An order similar to DNR or DNAR | ||
ANDA | Abbreviated New Drug Applications | |||
ANE | Association of Nurse Executives | |||
ANF | Australian Nursing Federation | |||
Angio | Angiogram | A test using x-ray technology and a contrast agent (dye) to see the body's blood vessels to study narrow, blocked, enlarged or malformed arteries or veins, including brain, heart, abdomen and legs | ||
ANNA | American Nephrology Nurses' Association | |||
ANOC | Annual Notice of Change | An annual notice from a Medicare plan which includes any changes in coverage, costs, or service area that will be effective in January. | ||
ANOVA | Analysis of Variance | |||
ANP | Adult Nurse Practitioner | A job title or an acronym for a program name (ANP Program)
| ||
ANSCII | American National Standard Code for Information Interchange | |||
ANSI | American National Standards Institute | |||
AO | Accreditation Organization | |||
AOA | Administration on Aging | |||
AOA | American Optometric Association | |||
AOA | American Osteopathic Association | |||
AOA | Australian Orthopaedic Association | |||
AOB | Adjusted Occupied Bed | |||
AOB | Assignment of Benefits | |||
AOCN | Advanced Oncology Certified Nurse | A certification by the Oncology Nursing Certification Corporation (ONCC) | ||
AOCNP | Advanced Oncology Certified Nurse Practitioner | A certification by the Oncology Nursing Certification Corporation (ONCC) | ||
AOCNS | Advanced Oncology Certified Clinical Nurse Specialist | A certification by the Oncology Nursing Certification Corporation (ONCC) | ||
AOLS | All Other Local Screens | |||
AONE | American Organization of Nurse Executives | |||
AOPA | American Orthotic and Prosthetic Association | |||
AOR | After Outliers Removed | |||
AOR | Application Owning Region | |||
AORN | Association of periOperative Registered Nurses | |||
AP | Accounts Payable | Also written as A/P | ||
AP | Award Processing | |||
APA | American Pharmaceutical Association | |||
APA | American Psychiatric Association | |||
APA | American Psychological Association | |||
APACHE | Acute Physiology and Chronic Health Evaluation | |||
APC | Ambulatory Payment Classification | The CMS method of paying for facility outpatient services. Non-Medicare insurances primarily utilize CPT codes instead. | ||
APC | Average Per Capita | |||
APC | Average Projected Costs | |||
APCD | All-Payer Claims Database | A comparative database which includes commercial health plans, Medicare, and Medicaid | ||
APCSS | Automated Production Control and Scheduling System | |||
APD | Adjusted Patient Day | |||
APD | Advanced Planning Documents | |||
APDA | Accretion Premium Due Amount | |||
APDSR | Average Per Diem State Rate | |||
APF | Authorized Program Facility | |||
APG | Ambulatory Patient Group | |||
APG | Ambulatory Payment Group | |||
APGAR | American Pediatric Gross Assessment Record | A backronym
| ||
APHA | American Public Health Association | |||
APHP | Acute Partial Hospitalization Program | |||
APHP | Applied as Hospital Insurance Premiums | |||
APHSA | American Public Human Services Association | |||
API | Application Programming Interface | |||
APM | Admission Pattern Monitoring | |||
APM | Audit Priority Matrix | |||
APMA | American Podiatric Medical Association | |||
APME | Advisory Panel on Medicare Education | |||
APN | Advanced Practice Nurse | |||
APO | Awards Processing Operation | |||
APP | Advanced Practice Provider | Typically includes Nurse Practitioners (NPs) and Physician Assistants (PAs) | ||
APP | Application Portability Profile | |||
APPC | Advanced Program-to-Program Communication | A protocol, developed by IBM, which computer programs can use to communicate over a network. APPC is at the application layer in the OSI model, it enables communications between programs on different computers, from portables and workstations to midrange and host computers. | ||
APPS | Automated Plan Payment System | |||
APR | Accreditation Participation Requirement | |||
APR | Acquisition Procurement Request | |||
APR | Agency Procurement Request | |||
APR | Average Payment Rate | |||
APR-DRG | All Patient Refined Diagnosis Related Group | |||
APRN, BC-P | Advanced Practice Registered Nurse, Board Certified-Palliative Care Management | A certification by the Hospice and Palliative Nurses Association (HPNA) in association with the American Nurses Credentialing Center (ANCC) | ||
APRN,BC | Adult Nurse Practitioner | An NP certification by the American Nurses Credentialing Center (ANCC) | ||
APS | Acquisition Planning Schedule | |||
APS | Acute Physiology Score | |||
APS | Adjudication Payment System | |||
APS | American Pain Society | |||
APS | Annual Person Summary System | |||
APS | Application Productivity System | |||
APSA | American Political Science Association | |||
APT | Automated Production Turnover | |||
APTC | Advanced Premium Tax Credit | A tax credit, provided by the Affordable Care Act, assisting qualified individuals in paying for health insurance through the Marketplace. Advance payments of the tax credit can be used by qualified individuals at the time of purchase on the Marketplace to lower monthly premium costs. If the amount of advance credit payments you get for the year is less than the tax credit you're due, you'll get the difference as a refundable credit when you file your federal income tax return. If your advance payments for the year are more than the amount of your credit, you must repay the excess advance payments with your tax return. Also sometimes called premium tax credit. | ||
APTD | Aid to the Permanently and Totally Disabled | |||
aPTT | Activated Partial Thromboplastin Time | Measures the ability of the blood to clot properly. Values used in combination with other tests. See also PTT, INR, or PT. | ||
APU | Adolescent Psychiatric Unit | |||
APU | Annual Payment Update | |||
APU | Antepartum Unit | |||
APWA | American Public Welfare Association | Changed to APHSA | ||
AQA | Ambulatory Care Quality | Formerly known as the Ambulatory Quality Alliance | ||
AQI | Audit Quality Initiative | |||
AQL | Acceptable Quality Level | |||
AQRP | Audit Quality Review Program | |||
AR | Accounts Receivable | Also written as A/R | ||
AR | Alpha Representation | |||
ar | Aortic Regurgitation | |||
AR | Applicant and/or Recipient | |||
ARA | American Rheumatological Association | |||
ARA | Assistant Regional Administrator | |||
ARA | Associate Regional Administrator | |||
ARB | Angiotensin II Receptor Blockers | |||
ARC | AIDS-Related Complex | AIDS (Acquired Immune Deficiency Syndrome) Related Complex/Conditions | ||
ARC | American Red Cross | |||
ARC | Association for Retarded Citizens | |||
ARCR | Access and Revenue Cycle Readiness | Epic's incentive program which coincides with implementation of their software. | ||
ARCS | Accounts Receivable and Collection System | |||
ARDMS | American Association of Diagnostic Medical Sonographers | |||
ARF | Actuarial Reduction Factor Program | |||
ARF | Acute Renal Failure | |||
ARF | Area Resource File | |||
ARIMA | Arithmetic Moving Average | |||
ARK | Arkansas Part B System | |||
ARMIS | Ad Hoc Reports Management Information System | |||
ARMS | Adhoc Reports Management System | |||
ARMS | Automated Resource Management System | |||
ARN | Association of Rehabilitation Nurses | |||
ARNA | American Radiological Nurses Association | |||
ARO | Annualized Rate of Occurence | |||
ARP | Admission Review Program | |||
ARRT | American Registry of Radiologic Technologists | |||
ARS | Active Record Status | |||
ARS | Advanced Record System | |||
ARS | Advanced Retrieval System | |||
ARS | Age/Race/Sex | |||
ARS | Agricultural Research Service | |||
ARS | Altanthus Response System | |||
ARSTOP | ARS Telephone Communications Operating Procedures | |||
ARTS | Automated Reporting and Tracking System | |||
ARU | Audio Response Unit | |||
ARU | Automated Response Unit | Phone system with automated routing | ||
AS | Administrative Simplification | |||
AS | Advanced System | |||
AS | American Samoa | |||
as | Aortic Stenosis | |||
AS | Application System | |||
AS | Left Ear | A dangerous abbreviation which should not be used because it can be mistaken for QD (every day) | ||
ASA | American Society of Anesthesiologists | An educational, research, and scientific association of physicians organized to raise the standards of the medical practice of anesthesiology and to improve patient care. ASA also created the Physical Status Classification System for pre-anesthetized patients:ASA Physical Status 1 - A normal healthy patientASA Physical Status 2 - A patient with mild systemic diseaseASA Physical Status 3 - A patient with severe systemic diseaseASA Physical Status 4 - A patient with severe systemic disease that is a constant threat to lifeASA Physical Status 5 - A moribund patient who is not expected to survive without the operationASA Physical Status 6 - A declared brain-dead patient whose organs are being removed for donor purposes | ||
asa | Aspirin | |||
ASAE | American Society of Association Executives | |||
ASAP | American Society of Automation in Pharmacy | |||
ASAP | Automated Standard Application for Payments | |||
ASAP | Epic Emergency Department Application | Epic's emergency department information system application | ||
ASBCA | Armed Services Board of Contract Appeals | |||
ASC | Accredited Standards Committee | See also ANSI | ||
ASC | Ambulatory Surgery Center | |||
ASC | Ambulatory Surgical Center | |||
ASC | Ambulatory Surgical/Surgery Center | |||
ASCA | Administrative Simplification Compliance Act | |||
ASCEPT | Australasian Society of Clinical & Experimental Pharmacologists and Toxicologists | |||
ASCII | American Standard Code for Information Interchange | See also ANSCII | ||
ASCM | Application Software Configuration Management | |||
ASCO | American Society of Clinical Oncology | |||
ASCP | American Society for Clinical Pathology | |||
ASCP | American Society of Consultant Pharmacists | |||
ASCPT | American Society of Clinical Pharmacology and Therapeutics | |||
ASCT | American Society of Cytotechnology | |||
ASCW | Audit Selection Criteria Worksheet | |||
ASD | Autism Spectrum Disorder | |||
ASER/SA | Annual State Evaluation Report/State Assessments | |||
ASF | Automatic System Facility | |||
ASH | American Society of Hematology | |||
ASH | Assistant Secretary for Health | |||
ASHA | American Speech-Language-Hearing Association | |||
ashd | Atherosclerotic Heart Disease | |||
ASHE | American Society for Healthcare Engineering | |||
ASHP | American Society of Health Systems Pharmacists | |||
ASHP | American Society of Hospital Pharmacists | |||
ASHRM | American Society of Healthcare Risk Management | |||
ASI | Alert Screen Initiative | |||
ASIC | Application Specific Integrated Circuit | |||
ASIM | American Society of Internal Medicine | |||
ASIS | Association Society of Industrial Security | |||
ASL | Ambulatory Surgery Location | |||
ASL | American Sign Language | |||
ASM | Annuity and Survivors Master | |||
ASMB | Assistant Secretary for Management and Budget | |||
ASMH | Assembler H Software | |||
ASMI | Australian Self-Medication Industry | |||
ASMSO | American Society of Medication Safety Officers | |||
ASMT | American Society for Medical Technologists | |||
ASO | Administration Services Only Contract | |||
ASO | Administrative Services Only | |||
ASO | Application Services Organization | |||
ASP | Acquisition Strategy Plan | |||
ASP | Application Service Provider | A business providing computer-based services to customers over a network. For example, health systems may provide access to their EHR to community providers. | ||
ASPA | American Society of Public Administrators | |||
ASPE | Assistant Secretary for Planning and Evaluation | |||
ASPEN | Automated Survey Processing Environment | |||
ASPER | Assistant Secretary for Personnel | |||
ASPS | American Society of Plastic Surgeons | |||
ASQ | Ages and Stages Questionnaire | |||
ASRT | American Society of Radiologic Technologists | |||
ASSH | American Society for Surgery of the Hand | |||
ASTER | Automated System for Transaction Exception Resolution | |||
ASTHO | Association of State and Territorial Health Offices | |||
ASTM | American Society for Testing and Materials | |||
ASTME31 | ASTM Committee 31 | |||
ASTS | American Society of Transplant Surgeons | |||
ATARS | Audits Tracking and Reporting System | |||
ATB | Account Trial Balance | |||
ATB | All Trunks Busy | |||
ATBCB | Architectural and Transportation Barriers Compliance Board | |||
ATLA | Association of Trial Lawyers of America | |||
ATM | Aschronous Transfer Mode | |||
ATP | Advanced Technology Projects | |||
ATRA | American Therapeutic Recreation Association | |||
ATS | Alcohol Treatment Services | |||
ATSDR | Agency for Toxic Substances and Disease Registry | |||
Att | Attending | As in Attending Physician | ||
Attg | Attending | |||
AU | Both Ears | A dangerous abbreviation which should not be used because it can be mistaken for QD (every day) | ||
AUF | Automatic Update Facility | |||
AUSA | Assistant United States Attorney | |||
AUSCT | Autologous Stem Cell Transplantation | |||
AUSU | Assistant U S Attorney | |||
AUTO3480 | HDC LMS Robotic Processing software | |||
AVERT | AntiVirus Emergency Response Team | McAfee | ||
AVGS | Ambulatory Visit Groups | |||
AVP | Assistant Vice President | |||
AVS | After Visit Summary | A document, typically printed out of an HIS, such as Epic, at the time of discharge | ||
AVT | Automated Voice Technology | |||
AWAS | Automated Work Administration System | |||
AWD | Automatic Work Distributor | |||
AWP | Actual Wholesale Price | |||
AWP | Average Wholesale Price | Drug prices | ||
AXR | Abdominal X-ray | A test that can be carried out quickly and easily in an emergency department. The test can help diagnose some abdominal conditions. It is not a useful investigation for most abdominal conditions. Small and large bowel obstructions, volvulus and malrotations can be diagnosed by AXR. Renal, urethral and bladder stones can sometimes be identified on plain x-ray, although it is usual now to use CT as a first line investigation to confirm clinical suspicion. | ||
AZT | Azidothymidine | AIDS drug therapy | ||
B&P | Bid and Proposal | |||
BA | Bachelor of Arts | Typically, a 4-year degree at an accredited university or college | ||
BA | Basic Agreement | |||
BA | Budget Administration | |||
BA | Budget Authority | |||
BA | Business Associate | |||
BAA | Business Associate Agreement | |||
BAAADS | Budget Apportionment Allotment Allowance and Database System | |||
BAAPS | British Association of Aesthetic Plastic Surgeons | |||
BAC | Beneficiary Advisory Committee | |||
BAC | Billing Action Code | |||
BACOM | Beneficiary Annotation and Communication Operation | |||
BAG | Business Advisory Group | |||
BAR | Beneficiary Adjustment Report | |||
BAR | Billing Accounts Receivable | A Meditech acronym | ||
BARC | Board Appeal Review Committee | |||
BARS | Bid Analysis and Reporting System | |||
BAS | Balloon Atrial Septostomy | |||
BAT | Bed Assignment Time | A performance metric used in the Bed Control Department. Bed Assignment Time is the elapsed time between the initial request for admission and the assignment of that patient to an inpatient bed. | ||
BATF | Bureau of Alcohol, Tobacco, and Firearms | |||
BB | Black Belt | As in Lean/Six Sigma Black Belt | ||
BB(ASCP) | Technologist in Blood Banking | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
BBA | Balanced Budget Act | A 1997 act. Sometimes abbreviated 'BBA 97' | ||
BBRA | Balanced Budget Refinement Act | A 1999 act | ||
BC/BS | Blue Cross/Blue Shield | |||
BCA | Board of Contract Appeals | |||
BCB | Beneficiary Confidentiality Board | |||
BCBA | Board Certified Behavior Analyst | |||
BCBSA | Blue Cross/Blue Shield Association | |||
BCC | Billing Cycle Code | |||
BCC | Block Check Character | |||
BCCE | Baltimore Computer Conference and Exposition | |||
BCCP | Business Continuity and Contingency Plan | |||
BCD | Binary Coded Decimal | |||
BCEN | Board of Certification for Emergency Nursing | |||
BCF | Benefit Correction Form | |||
BCMA | Bar Code Medication Administration | |||
BCN | Batch Clearance Notice | |||
BCSS | Batch Completion Status Summary | |||
BCW | BloodCenter of Wisconsin | |||
BD | Budget Distribution | |||
BD | Business Development | |||
BDAM | Basic Data Access Method | |||
BDC | Barbara Davis Center | The Barbara Davis Center for Childhood Diabetes specializes in type 1 diabetes research and care for children and adults. The Center is part of the University of Colorado School of Medicine and is located on the Anschutz Medical Campus in Aurora, CO. | ||
BDentSci | Bachelor of Dental Science | |||
BDF | Bulk Data Facility | |||
BDOD | Beneficiary Date of Death | |||
BDP | Beneficiary Database Prototype | |||
BDPC | Breakthrough Drug Pricing Committee | |||
BDPP | Beneficiary Database Prototype Project | |||
BDS | Bachelor of Dental Science | |||
BDS | Bachelor of Dental Surgery | |||
BDTS | Batched Data Transmission System | |||
BE | Back-end | |||
BEA | Budget Expense Account | |||
BEA | Bureau of Economic Affairs | |||
BEA | Bureau of Economic Analysis | |||
BEA | Business Enterprise Area | |||
BEAG | Build & Execution Advisory Group | |||
BEAM | Brain Electrical Activity Mapping | |||
BEAU | Budget Expense Account Unit | |||
BED | Bed Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
BEER | Beneficiary Earnings Exchange Record | |||
BEI | Budget Estimating Initiative | |||
BENDEX | Beneficiary Data Exchange | Sometimes known as Beneficiary and Earnings Data Exchange System | ||
BESS | Part B Extract and Summary System | See also BMAD | ||
BEST | Beneficiary Eligibility State Tape | EDB Bene Alpha File | ||
BEST | Beneficiary State Totals | From SPACE System | ||
BETOS | Berenson Eggers Type of Service | |||
BF | Beneficiary File | |||
BF | Biofeedback | |||
BGN | Beneficiary Given Name | |||
BH | Behavioral Health | |||
BHC | Behavioral Health Care | A Joint Commission (JC) accreditation program | ||
BHO | Behavioral Health Organization | |||
BHS | Bachelor of Health Science | |||
BHS | Business Health Services | |||
BHyg | Bachelor of Hygiene | |||
BI | Background Investigation | |||
BI | Benefits Integrity | |||
BI | Brain Injury | |||
BI | Buy In | |||
BIA | Business Impact Analysis | |||
BIC | Beneficiary Identification Code | |||
BICEQN | BIC Equate Number | |||
bid | Twice Daily | A dosage. i.e. take these antibiotics bid (twice daily)
| ||
BIDW | Business Intelligence and Data Warehousing | See also EDW | ||
BIEC | BuyIn Eligibility Code | |||
BIER | Billing Information Exchange Record | |||
BIF | Beneficiary Insurance File | |||
BIF | Benefit Information Form | |||
BIMF | Beneficiary Inactive Master File | |||
BIPA | Benefits, Improvements, and Protection Act | A 2000 act | ||
BiPAP | Biphasic Positive Airway Pressure | The name of a portable ventilator manufactured by Respironics Corporation and is just one of many ventilators that can deliver BPAP. | ||
BISC | Benefit Integrity support Center | |||
BISYNC | Binary Synchronous Communication | IBM data communications protocol | ||
BIT | Beneficiary Inquiries Taskforce | |||
BITF | Beneficiary Implementation Task Force | |||
BITS | Beneficiary Information Tracking System | |||
BITS | Beneficiary Inquiry Tracking System | |||
BITSMIS | BITS Management Information System | |||
BIW | Beneficiary Inquiries Workgroup | |||
BKA | Below the Knee Amputation | Removal of the lower leg below the knee
| ||
BL | Black Lung | |||
BLASER | Black Lung Automated Search and Edit Routine | |||
Bld | Blood | |||
BLM | Bureau of Land Management | |||
BLP | Bypass Label Processing | |||
BLS | Basic Life Support | |||
BLS | Bureau of Labor Statistics | Department of Labor (DOL) | ||
BLUC | Bottom Line Unit Cost | |||
BLUES | Blue Cross/Blue Shield associations | |||
BM | Bachelor of Medicine | Implies a designation of doctor in some areas. Also abbreviated BMed or MB. | ||
BM | Bowel Movement | Milestone patients sometimes need to reach before being ready to discharge
| ||
BM BCh | Bachelor of Medicine, Bachelor of Surgery | Also abbreviated MBBS | ||
BM ChB | Bachelor of Medicine, Bachelor of Surgery | Also written CB, ChB, MBChB, or MB ChB. | ||
BMA | BioMedical Applications | |||
BMA | British Medical Association | |||
BMACS | Part B Medicare Automated Claims Systems | See also Medicare Part B (PTB or MEDB) | ||
BMCHRD | Bureau of Maternal and Child Health and Resources Development | |||
BME | Board of Medical Examiners | |||
BMed | Bachelor of Medicine | Implies a designation of doctor in some areas. Also abbreviated BM or MB. | ||
BMedBiol | Bachelor of Medical Biology | |||
BMedSci | Bachelor of Medical Science | |||
BMH | Bryn Mawr Hospital | |||
BMI | Body Mass Index | |||
BMic | Bachelor of Microbiology | |||
BMP | Basic Metabolic Panel | A set of seven or eight blood chemical tests which is one of the most common lab tests ordered by health care providers. The BMP provides key information regarding fluid and electrolyte status, kidney function, blood sugar levels, and response to various medications and other medical therapies. | ||
BMQA | Board of Medical Quality Assurance | |||
BMRH | Bryn Mawr Rehabilitation Hospital | |||
BMS | Bachelor of Medical Science | |||
BMT | Bachelor of Medical Technology | |||
BMT | Bone Marrow Transplant | |||
BN | Bachelor of Nursing | |||
BNA | Baromedical Nurses Association | |||
BNF | British National Formulary | |||
BO | Bachelor of Osteopathy | |||
BOA | Basic Ordering Agreement | |||
BOA | Business Office Assistant | |||
BOAN | Beneficiary's Own Account Number | Social Security Number (SSN) | ||
BOC | Board of Commissioners | |||
BOCMIS | Beneficiary Overpayment Control and Management Information System | |||
BOD | Bid Opening Date | |||
BOD | Board of Directors | |||
BOE | Business Objects Enterprise | |||
BOIS | Beneficiary Online Inquiry System | HI/SMI online in HCFA | ||
BOM | Bill of Materials | |||
BOMA | Building Owners and Managers Association | |||
BOME | Bureau of Medical Examiners | |||
BOOST | Better Outcomes for Older adults through Safe Transitions | A discharge planning initiative with eight risk factors which would qualify a patient for increased discharge planning focus | ||
BOP | Bureau of Prisons | |||
BOR | Before Outliers Removed | |||
BOS | Board of Supervisors | |||
BOSS | Best on Open Systems Solutions | |||
BOSSN | Beneficiary's Own SSN | |||
BP | Bachelor of Pharmacy | |||
BP | Benefit Period | |||
BP | Best Price | |||
BP | Blood Pressure | Considered one of the vital signs
| ||
BP | Business Partner | |||
BPA | Best Practice Alert | Epic's decision support which notifies clinicians
when they need to tend to important tasks, such as reviewing a
patient's allergies, writing orders, and completing charting. Sometimes known as Best Practice Advisories. | ||
BPA | Blanket Purchase Arrangement | Also known as Blanket Purchase Agreement | ||
BPAP | Bilevel Positive Airway Pressure | A continuous positive airway pressure (CPAP) mode used during noninvasive positive pressure ventilation. It delivers a preset inspiratory positive airway pressure (IPAP) and expiratory positive airway pressure (EPAP) | ||
BPC | Base Period Charge | |||
BPEWS | Bedside Pediatric Early Warning System | |||
BPH | Bachelor of Public Health | |||
BPharm | Bachelor of Pharmacy | |||
BPHC | Bureau of Primary Health Care | |||
BPHN | Bachelor of Public Health Nursing | |||
BPO | Bargain Purchase Option | |||
BPR | Budget and Performance Requirements | |||
BPR | Business Process Reengineering | |||
BPS | Budget Preparation System | |||
BPST | Bill Processing System Test | |||
BPT | Bed Placement Time | A performance metric used in the Bed Control Department. Bed Placement Time is the elapsed time between the initial request for admission and the actual placement of patient in the inpatient bed. | ||
BQAS | Part B Quality Assurance System | See also Medicare Part B (PTB or MEDB) | ||
BR | Budget Request | |||
BRA | Business Resumption Assessment | |||
BRAT | Bananas Rice Applesauce Toast | A type of diet ordered for hospital patients | ||
BRC | Base Rate Calculation | |||
BRDPI | Biomedical Research and Development Price Index | |||
BRDS | Bill Review Documentation Summary form | |||
BRI | Basic Rate Interface | |||
BRI | Benefit Rate Increase | |||
BRRR | Bills Received and Returned Report | |||
BRS | Backlog Reduction Schedule | |||
BRS | Bibliographic Retrieval Service | |||
BRT | Business Roundtable | |||
BS | Bachelor of Science | Also abbreviated BSc | ||
BSA | Body Surface Area | |||
BSA | Business Software Alliance | |||
BSc | Bachelor of Science | Also abbreviated BS | ||
BSC | Binary Synchronous Communication | |||
BScM | Bachelor of Science in Medicine | Also abbreviated BSM | ||
BScN | Bachelor of Science in Nursing | Also abbreviated BSN | ||
BScPh | Bachelor of Science in Pharmacy | Also abbreviated BSPh | ||
BSF | Benefit Stabilization Fund | |||
bsls | Blood Sugar Levels | |||
BSM | Bachelor of Science in Medicine | Also abbreviated BScM | ||
BSN | Bachelor of Science in Nursing | Also abbreviated BSnN
| ||
BSP | Business Systems Planning | |||
BSPh | Bachelor of Science in Pharmacy | Also abbreviated BScPh | ||
BSR | Bill Summary Records | See also Medicare Part B (PTB or MEDB) | ||
BSRS | Benefit Savings Reporting System | |||
BSS | Beneficiary Satisfaction Survey | |||
BSS | Benefit Summary Statistics | |||
BSW | Bachelor of Social Work or Bachelor of Science in Social Work | Most states require social workers to pass a licensing exam
| ||
BTG | Break The Glass | Epic functionality which logs access (and attempts) to sensitive EMR records. Sometimes written break-the-glass. | ||
BTW | Bill Type Weight | |||
BUCS | Budget Under Control System | |||
BUN | Blood Urea Nitrogen | |||
BUR | Billing Update Record | |||
BUTE | Beneficiary Database Update Transaction System | |||
BVMS | Bachelor of Veterinary Medicine and Science | |||
BVR | Budget Variance Report | |||
BVS | Bureau of Vital Statistics | |||
BVSc | Bachelor of Veterinary Science | |||
BW | Birth Weight | |||
Bx | Biopsy | |||
BY | Budget Year | |||
C&P | Compensation and Pension | |||
C&S | Culture and Sensitivity | Lab test for infection and antibiotic sensitivity | ||
C(ASCP) | Technologist in Chemistry | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
C/BR | Cost/Benefit Ratio | |||
C/BR | Cost/Burden Reduction | |||
C/O | Center or Office | |||
C/S | Client/Server | |||
C/SPS | Cost/Scheduling Performance System | |||
C2IW | CAFM II Implementation Workgroup | |||
C:D | Connect:Direct | |||
CA | Certification Authority | |||
CA | Change Administration | |||
CA | Claims Analyst | |||
CA | Clinical Assistant | |||
CA | Competitive Advocate | |||
CA | Conditional Accreditation | |||
CAAS | Certificate for Advisory and Assistance Services | |||
CAAS | Contracted Advisory and Assistance Services | |||
CABBS | Carrier Bulletin Board System | |||
CABG | Coronary Artery Bypass Graft | Pronounced "cabbage," a surgery also known as coronary artery bypass surgery, heart bypass, or bypass surgery. A surgical procedure performed to relieve angina and reduce the risk of death from coronary artery disease. | ||
CABLE | Combined A/B Local Eligibility | |||
CABS | Carrier Access Billing System | |||
CABS | Contractor Administrative Budget and Cost Reporting System | |||
CABWF | Combined A/B Working File | See also CWF | ||
CAC | Carrier Advisory Committee | |||
CAC | Categorical Assistance Code | |||
CAC | Child Advocacy Center | |||
CAC | Children's Asthma Care | |||
CAC | Contractor Advisory Committee | |||
CACO | Corporate Administrative Contracting Officer | |||
CAD | Canadian Association of the Deaf | |||
CAD | Coronary Artery Disease | Arteries supplying blood to the heart become hard or narrow with cholesterol/plaque
| ||
CAE | Certified Association Executive | |||
CAEP | Canadian Association of Emergency Physicians | |||
CAFM | Contractor Administrative, Budget, and Financial Management | |||
CAG | Canadian Association of Gerontology | |||
CAGE | Contractor and Government Entity Code | Formerly FSCM | ||
CAH | Critical Access Hospital | |||
CAHHS | California Association of Hospitals and Health Systems | |||
CAHP | Consumer Assessment of Health Plan | |||
CAHPS | Consumer Assessment of Healthcare Providers and Systems | Formerly Consumer Assessment of Health Plans Study or Consumer Assessments of Health Plans Survey. See also HCAHPS. | ||
CAHSA | California Association of Home Services for the Aged | |||
CalPERS | California Public Employees Retirement System | |||
CalREDIE | California Reportable Disease Information Exchange | A secure system implemented by CDPH for electronic disease reporting and surveillance | ||
CALS | Consolidated Accreditation and Licensure Survey | A California survey | ||
CAM | Complementary and Alternative Medicine | |||
CAMAC | Comprehensive Accreditation Manual for Ambulatory Care | For Joint Commission (JC) accreditation | ||
CAMBHC | Comprehensive Accreditation Manual for Behavioral Health Care | For Joint Commission (JC) accreditation | ||
CAMCAH | Comprehensive Accreditation Manual for Critical Access Hospitals | For Joint Commission (JC) accreditation | ||
CAMH | Comprehensive Accreditation Manual for Hospitals | From JCAHO | ||
CAMHC | Comprehensive Accreditation Manual for Home Care | For Joint Commission (JC) accreditation | ||
CAMLAB | Comprehensive Accreditation Manual for Laboratory and Point-of-Care Testing | For Joint Commission (JC) accreditation | ||
CAMLTC | Comprehensive Accreditation Manual for Long Term Care | For Joint Commission (JC) accreditation | ||
CAMOBS | Comprehensive Accreditation Manual for Office-Based Surgery Practices | For Joint Commission (JC) accreditation | ||
CAMP | Carrier Accountability Monitoring Project | |||
CAMRT | Canadian Association of Medical Radiation Technologists | |||
CAMS | Customer Account Management System | |||
CAMT | Canadian Association of Music Therapy | |||
CAMTS | Commission on Accreditation of Medical Transport Systems | |||
CAN | Claim Account Number | |||
CAN | Common Account Number | Also known as Common Accounting Number | ||
CanCORS | Cancer Care Outcomes and Surveillance Consortium | |||
CANDA | Computer Assisted New Drug Applications | |||
CAO | Canadian Association of Optometrists | |||
CAO | Chronic Airway Obstruction | |||
CAOT | Canadian Association of Occupational Therapists | |||
CAP | Canadian Association of Physicists | |||
cap | Capsule | i.e. one capsule at bedtime
| ||
CAP | Change Acceleration Process | |||
CAP | College of American Pathologists | |||
CAP | Community Acquired Pneumonia | |||
CAP | Corrective Action Plan | |||
CAP-REL | Capital Related | |||
CAPA | Certified Ambulatory Perianesthesia Nurse | A certification by the American Board of Perianesthesia Nursing Certification, Inc. (ABPANC) | ||
CAPI | Computer Assisted Personal Interviewing | Software | ||
CAPS | Capitated Ambulatory Plan | |||
CAPS | Claims Automated Processing System | |||
CAR | Canadian Association of Radiologists | |||
CAR | Corrective Action Review | |||
CAR | Cost Accounting Report | |||
CARE | Center for Analytical Review and Education | |||
CARES | Contractors Analysis and Reporting System | |||
CARF | Commission on Accreditation of Rehabilitation Facilities | |||
CARRPR | Carrier Payment Record | |||
CAS | Clinical Applications Services | |||
CAS | Cost Accounting Standards | |||
CASB | Cost Accounting Standards Board | |||
CASE | Committee on Academic Science and Engineering Report | |||
CASE | Computer Assisted Systems Engineering | Also known as Computer Assisted Software Engineering | ||
CASF | Carrier Alphabetic State File | |||
CASL | Competition Advocate Shopping List | |||
CASLPA | Canadian Association of Speech-Language Pathologists and Audiologists | |||
CASLPO | College of Audiologists and Speech-Language Pathologists of Ontario | |||
CASO | Combine and Sort Operation | |||
CASPER | Certification and Survey Provider Enhanced Reporting | |||
CASPRO | Clinical Area Support PRO | |||
CASR | Contractor Audit and Settlement Report | |||
CAST | Carrier Alpha State Tape | A Microfilm/Microfiche system | ||
CAST | Contractor Assessment Security Tool | |||
CASU | Cooperative Administrative Support Program | |||
CAT | Computerized Axial Tomography | A CAT Scan, also known as a CT Scan, is non invasive and uses special x-ray equipment and computers to produce cross-sectional images of the area being scanned, sometimes using contrast material to produce multiple images of the body's interior. Reveals more details than x-rays. | ||
CAUTI | Catheter Associated Urinary Tract Infection | Sometimes written CA-UTI | ||
CAWR | Combined Annual Wage Reporting | |||
CB | Bachelor of Surgery | Also abbreviated ChB | ||
CB | Collaborative Build | |||
CB | Consolidated Billing | |||
CB | Cost Benefit | |||
CBA | Cost/Benefit Analysis | |||
CBC | Center for Beneficiary Choices | |||
CBC | Cipher Block Chaining | |||
CBC | Complete Blood Count | A panel of tests to check the levels of various cells in the blood; certain levels could prevent advancement of care plan (e.g. white blood cells need to be below level 10)
| ||
CBCL | Child Behavior Checklist | |||
CBGNA | Certifying Board of Gastroenterology Nurses and Associates, Inc. | |||
CBI | Certificate in Breast Imaging | A certification by the Canadian Association of Medical Radiation Technologists (CAMRT) | ||
CBI | Confidential Business Information | |||
CBM | Curriculum Based Measurement | Brief assessment measure used to evaluate changes in academic skills over time (i.e., progress monitor). | ||
CBO | Centralized Business Office | |||
CBO | Congressional Budget Office | |||
CBR | CASE Based Reasoning | |||
CBR | Cost Based Reimbursement | |||
CBS | Current Beneficiary Survey | By OACT | ||
CBSR | Cost Benefit Savings Report | |||
CBSS | Customer Billing Services System | |||
CBT | Cognitive Behavioral Therapy | A psychotherapeutic approach which addresses dysfunctional emotions, maladaptive behaviors and cognitive processes, and contents through a number of goal-oriented, explicit systematic procedures | ||
CBT | Computer Based Training | |||
CC | Care Coordination | A care team collaborating on the patient | ||
CC | Ceiling Cost | |||
CC | Chief Complaint | Patient's main concern | ||
CC | Claims Control | |||
CC | Complication or Comorbidity | Also written CCs (Complications & Comorbidities) | ||
CC | Condition Code | |||
CC | Conditional Certification | |||
CC | Configuration Control | |||
cc | Cubic Centimeters | Usually refers to liquid med dosages or fluid volumes excreted/removed from the body
| ||
CCA | Catastrophic Coverage Act | |||
CCA | Child Care Association | |||
CCB | Change Control Board | |||
CCBD | Center for Cancer and Blood Disorders | A department at Children's Hospital Colorado specializing in pediatric hematology, oncology, and bone marrow transplants | ||
CCBD | Council for Children with Behavioral Disorders | A division of the Council for Exceptional Children (CEC) | ||
CCC | Change Control Coordination | |||
CCC | Civilian Conservation Corps | |||
CCC | Comprehensive Care Center | |||
CCC-SLP | Certificate of Clinical Competence for Speech-Language Pathologists | An ASHA certification | ||
CCDR | Contract Cost Data Report | |||
CCDRS | Contract Cost Data Reporting System | |||
CCDS | Certified Clinical Documentation Specialist | A certification by ACDIS | ||
CCG | Clinical Care Guideline | A reference for a specific patient population (often DRG) designed to assist clinicians and patients in making appropriate healthcare decisions. CCGs are typically focused on the entire span of treatment, whereas Care Pathways typically emphasize timing and medical milestones to progress a patient through an IP visit. | ||
CCHCC | Coordinating Center for Home and Community Care | |||
CCHP | Children's Community Health Plan | An HMO owned by Children's Hospital of Wisconsin | ||
CCI | Correct Coding Initiative | |||
CCIP | Chronic Care Improvement Programs | |||
CCITT | Consultative Committee on International Telephone and Telegraph | |||
CCL | Center for Creative Leadership | |||
CCLR | Claims Collection Litigation Report | |||
CCM | Certified Case Manager | |||
CCM | Common Cap Module | |||
CCM | Common Communication Method | |||
CCM | Core Clinical Measures | |||
CCMC | Commercial Contracts and Managed Care | |||
CCN | Carrier Control Number | |||
CCN | Claim Control Number | |||
CCN | CMS Certification Number | a.k.a. Medicare (CMS) Provider Number | ||
CCN | CMS Certification Number (previously Medicare/Medicaid Provider Number) | |||
CCN | Correspondence Control Number | |||
CCNS | Critical Care Nurse Specialist | A certification by the American Association of Critical-Care Nurses (AACN) | ||
CCO | Claims Collection Officer | |||
CCOHS | Canadian Centre for Occupational Health and Safety | |||
CCP | Change Control Planning | |||
CCP | Comprehensive Care Provider | |||
CCP | Comprehensive Compliance Program | |||
CCP | Coordinated Care Plans | |||
CCPR | Coordinated Comprehensive Provider Review | |||
CCR | Cost Coverage Ratio | |||
CCR | Cost to Charge Ratio | |||
CCR | Coverage Compliance Reviews | |||
CCRC | Continuing Care Retirement Community | Sometimes written Continuous Care Retirement Community | ||
CCRC | Continuum of Care Residential Center | |||
CCRN | Critical Care Registered Nurse | A certification by the American Association of Critical-Care Nurses (AACN) | ||
CCS | Canadian Cardiovascular Society | |||
CCS | Clinical Classification Software | An HCUP/AHRQ tool | ||
CCS | Community Care Setting | |||
CCS | Contract Control System | |||
CCTH | Care Closer To Home | An effort to bring primary care closer to communities | ||
CCU | Cardiac Care Unit | |||
CCU | Coronary Care Unit | |||
CCU | Cost Containment Unit | |||
CCU | Critical Care Unit | Also known as ICU (Intensive Care Unit) | ||
CCUITT | Consultive Committee on International Telegraphy and Telephony | |||
CD | Civil Defense | |||
CD | Conduct Disorder | |||
CD-RISC | Clinically Detailed Risk Information System for Costs | |||
CDA | Certified Dental Assistant | |||
CDAAC | Communicative Disorders Assistant Association of Canada | |||
CDB | Correspondence Database System | |||
CDC | Centers for Disease Control and Prevention | |||
CDC | Corporate Data Center | |||
CDE | Certified Diabetes Educator | A certification by the National Certification Board for Diabetes Educators (NCBDE) | ||
CDE | Core Data Element | |||
CDF | Children's Defense Fund | |||
CDH | Consumer Driven Health Care | |||
CDHP | Consumer Driven Health Plans | |||
CDI | Catastrophic Drug Insurance | A trust fund | ||
CDI | Clinical Documentation Improvement | |||
CDIS | Clinical Documentation Improvement Specialist | |||
CDM | Charge Description Master | A comprehensive listing of items that could be billed to a patient, payer or healthcare provider. | ||
CDMP | Clinical Documentation Management Process | |||
CDN | Certified Dialysis Nurse | A certification by the Nephrology Nursing Certification Commission (NNCC) | ||
CDOC | Covered Days of Care | |||
CDP | Computerized Decision Procedures | |||
CDPH | California Department of Public Health | |||
CDPHE | Colorado Department of Public Health and Environment | |||
CDR | Computerized Data Repository | |||
CDR | Contact Date Real | A date for each visit in Epic's internal date format. It is the number of days since December 31, 1840 (the birthdate of the oldest living person at the time that the first EMR was created). It is followed by two decimal places which identify one contact among many on the same date. | ||
CDR | Continuing Disability Review | |||
CDR | Critical Design Review | |||
CDRG | Children's Diagnosis Related Groups | |||
CDRL | Contract Data Requirements List | |||
CDRTS | COMDISCO Disaster Recovery Services | |||
CDS | Central Distribution System | |||
CDS | Chain Directory System | |||
CDS | Clinical Decision Support | |||
CDS | Clinical Documentation Specialist | |||
CDT | Current Dental Terminology | |||
CDW | Cogito Data Warehouse | Epic's EDW | ||
CDW | Collision Damage Waiver | |||
CDWOH | Calendar Days Work on Hand | |||
CE | Covered Entity | |||
CEA | Cost Effectiveness Analysis | |||
CEA | Council of Economic Advisors | |||
CEB | Contractor Efficiency Benchmark | |||
CEB | Cost Efficiency Benchmark | |||
CEBMA | Computer and Business Equipment Manufacturers Association | |||
CEC | Council for Exceptional Children | The largest international professional organization dedicated to improving the educational success of individuals with disabilities and/or gifts and talents. CEC advocates for appropriate governmental policies, sets professional standards, provides professional development, advocates for individuals with exceptionalities, and helps professionals obtain conditions and resources necessary for effective professional practice. | ||
CED | Committee for Employees with Disabilities | |||
CEE | Care Everywhere Enterprise | |||
CEHRT | Certified Electronic Health Record Technology | |||
CELIP | Claim Expansion and Line Item Processing | |||
CEMS | CostEffectiveness Measurement System | |||
CEN | Certified Emergency Nurse | A certification by the Board of Certification for Emergency Nursing (BCEN) | ||
CEO | Chief Executive Officer | |||
CER | Capital Expenditure Review | |||
CER | Combined Exchange Record | From the Master Beneficiary Record (MBR). See also URIC. | ||
CER | Comprehensive Evaluation Report | |||
CER | Cost Estimating Relationship | |||
CERT | Comprehensive Error Rate Testing | |||
CES | Cost Estimating System | |||
CES | Credential Evaluation Service | |||
CESMA | Council for European Specialist Medical Assessments | |||
CF | Case Folder Control System | |||
CF | Conversion Factor | |||
CFA | Critical Focus Area | |||
CFB | Cipher Feedback | |||
CFB | Copy For Build | |||
CFC | Child and Family Counseling | |||
CfC | Conditions for Coverage | For AHC | ||
CFE | Contractor Furnished Equipment | |||
CFO | Chief Financial Officer | |||
CFOA | Chief Financial Officer's Act | A 1990 act | ||
CFPP | Contracting for Prepaid Plans | |||
CFR | Code of Federal Regulations | |||
CFRN | Certified Emergency Flight Nurse | A certification by the Board of Certification for Emergency Nursing (BCEN) | ||
CFSR | Contract Funds Status Report | |||
CfWI | Centre for Workforce Intelligence | |||
CGMP | Current Good Manufacturing Practice | |||
CGRN | Certified Gastroenterology Registered Nurse | A certification by the Certifying Board of Gastroenterology Nurses and Associates, Inc. (CBGNA) | ||
CHA | Catholic Health Association | |||
CHA | Children's Hospital Association | An organization which combined Child Health Corporation of America (CHCA), National Association of Children’s Hospitals and Related Institutions (NACHRI), and National Association of Children's Hospitals (N.A.C.H.) | ||
CHA | Colorado Hospital Association | |||
CHA | County Health Authorities | |||
CHAA | Certified Healthcare Access Associate | |||
CHAFF | Change of Address System | |||
CHAIN | Chain Provider Director System | |||
CHAM | Certified Healthcare Access Manager | |||
CHAMPUS | Civilian Health and Medical Programs of the Uniformed Services | Now known as TRI-CARE | ||
CHAMPVA | Civilian Health and Medical Program of the Veterans Administration | |||
CHAP | Child Health Assurance Program | |||
CHAP | Community Health Accreditation Program | |||
CHAPS | Consumer Assessment of Health Plans Survey | |||
CHAW | Children's Health Alliance of Wisconsin | |||
ChB | Bachelor of Surgery | Also abbreviated CB | ||
CHBI | Commission on Health Benefits and Integration | |||
CHC | Child Health Clinic | |||
CHC | Community Health Center | |||
CHC | Comprehensive Health Center | |||
CHC | Continuous Home Care | |||
CHCC | Center for Hospital and Community Care | |||
CHCIO | Certified Hospital Chief Information Officer | The first professional certification expressly for healthcare CIOs and IT executives, granted by CHIME | ||
CHCL | Center for Health Care Law | |||
CHCO | Children's Hospital Colorado | |||
ChD | Doctor of Surgery | A post-medical degree specialty program. Also abbreviated DCh. | ||
CHDA | Certified Health Data Analyst | A designation from AHIMA | ||
CHDR | Center for Health Dispute Resolution | |||
CHDS | Charge Distribution System | |||
CHER | Center of Health Economics Research | Also known as HERI | ||
CHESP | Certified Healthcare Environmental Services Professional | An EVS professional | ||
CHF | Congestive Heart Failure | Failure of the heart to pump enough blood to all parts of the body and its organs. Symptoms are often noticed as difficulty with breathing and edema or swelling on the right side of the body (failure of returning blood to the heart). | ||
CHHA | Certified Home Health Agency | |||
CHHC | Continuous Home Health Care | |||
CHHS | Children's Hospital and Health System | Describes CHW's integrated pediatric health system | ||
CHI | Catastrophic Health Insurance | |||
CHI | Catholic Health Initiatives | A national nonprofit health system headquartered in Inverness, CO. The faith-based system operates in 17 states and includes 78 hospital, 40 long-term care/assisted/residential-living facilities, two community health-services organizations, two accredited nursing colleges, and home health agencies. | ||
CHICN | HI Enrollment Cards Operation | HECHICN | ||
CHICO | Combined Health Insurance and 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 | |||
Chloro | Hydrochlorothiazide | A dangerous abbreviation which should not be used because it can be misinterpreted | ||
ChM | Master of Surgery | A post-medical degree specialty program. Also abbreviated CM, MC, MS, MCh, or MChir. | ||
CHMSA | Critical Health Manpower Shortage Area | |||
CHN | Community Health Network | |||
CHND | Children's Hospitals Neonatal Database | |||
CHO | Community Health Organization | |||
CHOP | Children's Hospital of Philadelphia | |||
CHOW | Change of Ownership | |||
CHPN | Certified Hospice and Palliative Nurse | A certification by the Hospice and Palliative Nurses Association (HPNA) in association with the American Nurses Credentialing Center (ANCC) | ||
CHRN | Certified Hyperbaric Nurse | A certification by the Baromedical Nurses Association (BNA) | ||
CHW | Children's Hospital of Wisconsin | |||
CI | Catastrophic Indicator | |||
CI | Configuration Identification | |||
CI | Configuration Item | |||
CI | Control Interval | Sometimes written Confidence Interval | ||
CIA | Commercial Industrial Activity | Also known as GCIA | ||
CIADV | Carrier/Intermediary Advance Notice | |||
CICA | Competition in Contracting Act | A 1984 act | ||
CICG | Critical Infrastructure Coordination Group | |||
CICO | Commercial Industrial Control Officer | |||
CICS | Customer Information Control System | Formerly known as SSADARS | ||
CICU | Cardiac Intensive Care Unit | |||
CID | Commercial Item Description | |||
CIEP | Contractor Inspection and Evaluation Program | |||
CIM | Corporate Information Management | |||
CIM | Coverage Issues Manual | |||
CIMS | Case Investigation Management System | |||
CIN | Client Identification Number | Medicaid will issue a unique CIN, or identification number, to each enrollee in the state program.
| ||
CIN | Clinically Integrated Network | Sometimes known as an Accountable Care Organization | ||
CIN | Common Identification Number | |||
CINN | Chicago Institute of Neurosurgery and Neuroresearch | |||
CIO | Chief Information Officer | |||
CIP | Claims In Process | |||
CIP | Competitive Incentive Program | |||
CIP | Continuous Improvement Process Program | |||
CIP | Customer Initiated Payments | |||
CIPS | Center Information Processing System | |||
Cir | Circumference | |||
CISC | Complex Instruction Set Computing | |||
CISTR | Correspondence Image Storage, Transmission, and Retrieval | |||
CITIC | Consolidated Information Technology Infrastructure Contract | |||
CKD | Chronic Kidney Disease | |||
CKD | Count Key Data | |||
CKM | Constructive Key Management | |||
CL | Child Life | Child Life Specialists are pediatric health care professionals who work with children and families in hospitals and other settings to help them cope with the challenges of hospitalization, illness, and disability. They provide children with age-appropriate preparation for medical procedures, pain management and coping strategies, and play and self-expression activities. They also provide information, support, and guidance to parents, siblings, and other family members. | ||
CLABSI | Central Line-Associated Bloodstream Infection | |||
CLAIM | Community Leaders Assisting the Insured of Missouri | Answers questions about Medicare for Missourians. | ||
CLCCP | Comprehensive Limiting Charge Compliance Program | |||
CLFS | Clinical Laboratory Fee Schedule | |||
CLIA | Clinical Laboratory Improvement Act | A 1965 act with amendments 1988 | ||
CLIA | Clinical Laboratory Improvement Amendments | Released in 1988 | ||
CLIA | Clinical Laboratory Interstate Act | Also known as Clinical Laboratory Interstate Amendments | ||
ClinDOC | Nursing Clinical Documentation | |||
CLM | Claim Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
CLM | Current Logical Model | |||
CLMA | Clinical Laboratory Management Association | |||
CLOE | Claims Only Entry System | |||
CLT | Certified Lab Technician | |||
CLT | Certified Laboratory Technician | |||
CLUW | Coalition of Labor Union Women | |||
CM | Case Manager | A member of a Case Management department. A collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual | ||
CM | Certified Midwife | A certification by the American College of Nurse-Midwives Certification Council (ACC) | ||
CM | Complexity Metrics | |||
CM | Configuration Management | |||
CM | Configuration Manual | |||
CM | Master of Surgery | A post-medical degree specialty program. Also abbreviated ChM, MC, MS, MCh, or MChir. | ||
CMA | Canadian Medical Association | |||
CMA | Case Management Assistant | |||
CMA | Certified Medical Assistant (Non-licensed) | May perform clerical, administrative, and basic clinical support to doctors. Credentialed after completing a medical assistant program | ||
CMA | Contract Management Action | |||
CMA | Current Month Accrual | |||
CMC | Complex Medical Conditions | |||
CMD | Carrier Medical Director | |||
CMD | Contractor Medical Directors | |||
CME | Continuing Medical Education | |||
CMFMRA | Consolidated Master File of Military Retirees and Annuitants | |||
CMG | Case Mix Group | |||
CMG | Children's Medical Group | The primary care clinics operated by CHW | ||
CMG | Computer Measurement Group | |||
CMG | Contractor Management Group | |||
CMHC | Community Mental Health Center | Also known as Community Mental Health Clinic | ||
CMHS | Continuous Medical History Sample | Continuous Medicare History Study | ||
CMI | Case Mix Index | |||
CMIS | Communications Management Information System | |||
CMM | Capability Maturity Model | |||
CMN | Certificate of Medical Necessity | |||
CMN | Certified Medical Necessity | |||
CMO | Chief Medical Officer | Also called VPMA (Vice President of Medical Affairs) | ||
CMP | Capacity Management Program | |||
CMP | Career Management Program | |||
CMP | Change Management Process | |||
CMP | Civil Monetary Penalty | |||
CMP | Competitive Medical Plan | Under TEFRA | ||
CMP | Comprehensive Medical Plan | |||
CMP | Comprehensive Metabolic Panel | A panel of 14 blood tests which serves as an initial broad medical screening tool. It provides a rough check of kidney function, liver function, and electrolyte and fluid balance. | ||
CMP | Configuration Management Plan | |||
CMP-EIS | CMP Executive Information System | |||
CMPL | Civil Monetary Penalty Law | Also known as Civil Monetary Penalty Liability | ||
CMPTS | Civil Monitory Penalty Tracking System | |||
CMR | Comprehensive Medical Review | |||
CMRI | California Medical Review, Inc. | |||
CMRP | Certified Maintence and Reliability Professional | A credential for a healthcare logistic operations manager | ||
CMS | Centers for Medicare and Medicaid Services | Formerly HCFA | ||
CMSA | Consolidated Metropolitan Statistical Area | |||
CMSRN | Certified Medical-Surgical Registered Nurse | A certification by the Academy of Medical-Surgical Nurses (AMSN) | ||
CMSS | Council of Medical Specialty Societies | |||
CMT | Certified Medical Technician | |||
CMTI | Customized Claims System Identifier | |||
CMWF | Commonwealth Fund | |||
CN | Claim Number | Also written C/N | ||
CNACO | Community Nursing and Ambulatory Care Organization | |||
CNBC | Congress of National Black Churches | |||
CNE | Clinical Nurse Educator | |||
CNH | Community Nursing Home | |||
CNM | Certified Nurse Midwife | A certification by the American College of Nurse-Midwives Certification Council (ACC) | ||
CNMT | Certified Nuclear Medicine Technologist | A certification by the Nuclear Medicine Technology Certification Board (NMTCB) | ||
CNN | Certified Nephrology Nurse | A certification by the Nephrology Nursing Certification Commission (NNCC) | ||
CNOR | Certified Operating Room Nurse | Not a credential but signifies that an individual has met all the education, examination, or experience requirements necessary to be certified in operating room nursing. This recognition is offered by the Certification Board Perioperative Nursing of the Association of periOperative Registered Nurses (AORN) | ||
CNPB | Clean NonPIP Bills | |||
CNS | Central Nervous System | |||
CNS | Clinical Nurse Specialist | A job title, not a credential
| ||
CNV | Conversion Phase | |||
CO | Central Office | |||
CO | Change Order | |||
CO | Coinsurance | |||
CO | Complaint of | Patient's complaints as written in clinician's progress notes. "C/O back pain"
| ||
CO | Contract Officer | |||
CO | Control Officer | |||
COA | Care for Older Adults | A HEDIS quality measure | ||
COA | Categories of Aid | Homogenous risk groups that are based on Medi-Cal eligibility (aid codes), i.e., disability | ||
COA | Change of Address | |||
COA | Conditions of Admission | |||
COB | Close of Business | |||
COB | Coordination of Benefits | |||
COBA | Coordination of Benefits Agreement | |||
COBC | Coordination of Benefits Contractor | |||
COBRA | Consolidated Omnibus Budget Reconciliation Act | A 1985 act which granted workers and their families the right to choose to continue a previous employer's group health benefits for limited periods of time under certain circumstances such as voluntary or involuntary job loss, reduction in the hours worked, transition between jobs, death, divorce, and other life events. | ||
COC | Certificate of Competency | |||
COCA | Clearinghouse on Computer Accommodation | |||
COCN | Certified Continence Care Nurse | A certification by the Wound Ostomy Continence Nursing Certification Board (WOCNCB) | ||
COE | Center of Excellence | |||
COF | Carrier Option File | |||
COFFE | Council of Former Federal Employees | |||
COG | Children's Oncology Group | |||
COG | Continuity of Government | |||
COGME | Council On Graduate Medical Education | |||
COGS | Cost of Goods Sold | |||
COI | Certificate of Indebtedness | |||
COI | Change of Intermediaries | |||
COI | Conflict of Interest | |||
COLA | Commission on Office Laboratory Accreditation | |||
COLA | Cost Of Living Adjustment | |||
COM | Centralized Office Minicomputer | |||
COM | Computer Output Microfilm | |||
COM | Current Operating Month | |||
COMPAS | COMDISCO Plan Automation System | |||
COMSEC | Communication Security | |||
CON | Certificate of Need | |||
CON | Conditional Accreditation | |||
CONFU | Conditional Follow-up Survey | |||
CONOPS | Concept of Operations | |||
CONUS | Continual US | 48 Contiguous states & DC. Also known as Conterminous US. | ||
COO | Chief Operating Officer | |||
COOP | Continuity of Operation Plan | |||
COP | Concept of Operations Papers | |||
CoP | Conditions of Participation | CMS guidelines for hospital UR & UM Federal Regulations | ||
COP | Continuation of Pay | |||
COPC | Community Oriented Primary Care | |||
COPD | Chronic Obstructive Pulmonary Disease | Progressive (meaning it worsens over time) lung disease. Those with COPD usually smoke or used to smoke or have had prolonged exposure to other lung irritants (e.g. dust). | ||
COPES | Community Options Program Entry System | |||
COQ | Cost of Quality | |||
CORC | Carrier of Record Control | |||
CORF | Comprehensive Outpatient Rehabilitation Facility | |||
CORTS | Calculation of Overpayment Recovery Timeliness System | |||
COS | Chief of Staff | |||
COT | Chain of Trust | |||
COTA | Certified Occupational Therapy Assistant | A certification by the National Board for Certification in Occupational Therapy, Inc. (NBCOT), after earning an Associate's degree in occupational therapy | ||
COTA(A) | Council on the Ageing | Australia
| ||
COTF | Chain Organization Task Force | |||
COTH | Council of Teaching Hospitals | |||
COTR | Contract Officer's Technical Representative | |||
COW | Computer on Wheels | |||
COWAPS | Council on Wage and Price Stability | |||
CP | Claims Processing | |||
CP | Contractor Profiles | |||
CP/M | Control Program for Microprocessors | |||
CPA | Certified Public Accountant | |||
CPA | Cost Plus Award | |||
CPAC | Consolidated Patient Accounts Centers | The VA Hospitals' 7 CPACs bill for all of the care received within the 22 VISNs | ||
CPAF | Cost Plus Award Fee | |||
CPAN | Certified Post Anesthesia Nurse | A certification by the American Board of Perianesthesia Nursing Certification, Inc. (ABPANC) | ||
CPAP | Common Provider Audit Program | |||
CPAP | Continuous Positive Airway Pressure | |||
CPAS | Claims Processing Assessment System | |||
CPC | Certified Professional Coder | |||
CPC | Colorado Pediatric Collaborative | A non-profit health network comprised of Colorado Pediatric Partners, Children's Hospital of Colorado (CHCO), and Physician Health Partners of Denver | ||
CPCM | Certified Professional Contract Manager | |||
CPCU | Cardiac Progressive Care Unit | |||
CPD | Citrate Phosphate Dextrose | An anticoagulant | ||
CPD | Competitive Pricing Demonstration | |||
CPD | Cost Per Discharge | |||
CPDA | Current Premium Due Amount | |||
CPDA-1 | Citrate Phosphate Dextrose Adenine | An anticoagulant used for the preservation of whole blood and red cells for up to 35 days | ||
CPDAH | CPDA Hospital Insurance | |||
CPE | Certified Public Expenditures | |||
CPE | Contractor Performance Evaluation | |||
CPEP | Contractor Performance Evaluation Program | Also known as Contractor Performance Evaluation Profile | ||
CPF | Continuous Planning and Forecasting | |||
CPFA | Cost Plus Fee Award | |||
CPFF | Cost Plus Fixed Fee | |||
CPFT | Certified Pulmonary Function Technologist | A certification by the National Board for Respiratory Care (NBRC) | ||
CPG | Clinical Practice Guideline | |||
CPG | Clinical Practice Guidelines | |||
CPHA | Commission on Professional Hospital Activities | |||
CPHIMS | Certified Professional in Healthcare Information and Management Systems | A certification from HIMSS for passing a two-hour exam composed of 115 multiple-choice questions, focused on common knowledge and skills that have been identified as being important to competent practice through a job analysis in health IT. | ||
CPhT | Certified Pharmacy Technician | |||
CPI | Consumer Price Index | |||
CPI | Coverage Period Indicator | |||
CPI-PD | Consumer Price Index for Prescription Drugs and Medical Supplies | |||
CPI-U | Consumer Price Index for Urban Areas | |||
CPIC | Certification Package for Internal Controls | |||
CPIF | Cost Plus Incentive Fee | |||
CPM | Certified Professional Midwife | |||
CPM | Claims Processing Manual | |||
CPM | Clinical Performance Measure | |||
CPM | Contractor Performance Management | Also known as Contractor Performance Module | ||
CPM | Critical Path Method | |||
CPM | Current Payment Month | |||
CPM/EIS | Contractor Performance Management/Enterprise Information System | |||
CPMD | Continuous Passive Motion Device | |||
CPME | Standing Committee of European Doctors | |||
CPMRC | Clinical Practice Model Resource Center | |||
CPN | Certified Pediatric Nurse | A certification by the National Certification Board of Pediatric Nurse Practitioners and Nurses, Inc. (NCBPNP/N) | ||
CPNP | Certified Pediatric Nurse Practitioner | A certification by the National Certification Board of Pediatric Nurse Practitioners and Nurses, Inc. (NCBPNP/N) | ||
CPO | Care Plan Oversight | |||
CPO | Chief of Purchasing Office | |||
CPOE | Computerized Physician Order Entry | Also referred to as Computerized Provider Order Entry | ||
CPON | Certified Pediatric Oncology Nurse | A certification by the Oncology Nursing Certification Corporation (ONCC) | ||
CPPC | Cost Plus Percentage of Cost | |||
CPPU | Cardiac Pre Post Unit | Also known as Cardiac Pre Post Care Unit | ||
CPQC | Claims Processing Quality Control | |||
CPR | Cardiopulmonary Resuscitation | An emergency procedure, performed in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person in cardiac arrest | ||
CPR | Comparative Performance Report | |||
CPR | Computerized Patient Record | |||
CPR | Contractor Performance Report | |||
CPR | Cost Performance Report | |||
CPR | Customary, Prevailing, and Reasonable | As in charges | ||
CPRI | Computer-based Patient Record Institute | |||
CPRS | Contractor Performance Reporting System | |||
CPS | Center for Policy Studies | |||
CPS | Classified Position System | |||
CPS | Clinical Practice Specialist | |||
CPS | Critical Payment System | |||
CPSC | Consumer Products Safety Commission | |||
CPSR | Contractor Purchasing System Review | Also known as Contractor Procurement System Review | ||
CPT | Change Patient Type | |||
CPT | Child Protection Team | |||
CPT | Claims Processing Timeliness | |||
CPT | Cost Per Treatment | |||
CPT | Current Procedural Terminology | Numbers assigned to every task and service a medical practitioner may provide to a patient including medical, surgical and diagnostic services.
| ||
CPT | Phlebotomy Technician Certification | |||
CPT-4 | Current Procedural Terminology, Version 4 | |||
CPU | Central Processing Unit | |||
CPU | Child Psychiatric Unit | |||
CPV | Cost Per Visit | |||
CPX | Complete Physicial Exam | |||
CPZ | Compazine | A dangerous abbreviation which should not be used because it can be misinterpreted | ||
CQAS | Carrier Quality Assurance System | Now known as Part B QAS | ||
CQI | Continuous Quality Improvement | |||
CQMR | Carrier Quarterly Medical Review | |||
CQR | Co-worker Quality Review | |||
CR | Change Request | |||
CR | Continuing Resolution | |||
CR | Cost Report | |||
CR | Create Review | Functionality in Canopy (Allscripts) to create a new InterQual assessment | ||
CR | Cross Reference | |||
CRAG | Contractor Risk Assessment Guide | |||
CRAH | Change Request Approval History | |||
CRAM | Cross Region Access Method | |||
CRB | Change Review Board | |||
CRC | Capital Related Costs | |||
CRC | Career Resource Center | |||
CRC | Certified Rehabilitation Counselor | |||
CRC | Cyclic Redundancy Check | |||
CRCC | Compensation Related Customary Charges | |||
CrCl | Creatine Clearance | |||
CRD | Centre for Reviews and Dissemination | |||
CRD | Chronic Renal Disease | Also known as ESRD | ||
CREP | Cost Report Evaluation Program | |||
CRESUS | Cost Report Evaluation System subsystem | |||
CRF | Change Request Form | |||
CRG | Carrier Representative Group | |||
CRG | Clinical Risk Group | A classification provided via 3M's Clinical Risk Grouping Software. It provides a patient stratification of health status (values 1 through 9) and burden of illness on a health system. | ||
CRI | Client Record Index | |||
CRI | Controlled Rate of Increase | |||
CRIPA | Civil Rights of Institutionalized Persons Act | |||
CRLE | Cost Reimbursement Level of Effort | |||
CRM | Customer Relationship Management | |||
CRN | Certified Radiologic Nurse | Credential for nurses who have taken the Certification Examination for Radiologic Nursing. A certification by the American Radiological Nurses Association (ARNA) | ||
CRN | Cost-related Nonadherence | Used to describe patient non-compliance with a care plan as a result of financial hardship (i.e., inability to afford prescribed medications) | ||
CRNA | Certified Registered Nurse Anesthetist | A certification by the American Association of Nurse Anesthetists (AANA) | ||
CRNFA | Certified Registered Nurse First Assistant | An operating certification by the Certification Board Perioperative Nursing of the Association of periOperative Registered Nurses (AORN) | ||
CRNI | Certified Registered Nurse Infusion | A certification by the Infusion Nurses Certification Corporation of the Infusion Nurses Society (INS) | ||
CROWD | Contractor Reporting of Operational and Workload Data | |||
CRP | Common Rules Processor | |||
CRP | Consolidated Review Program | |||
CRRN | Certified Rehabilitation Registered Nurse | A certification by the Association of Rehabilitation Nurses (ARN) | ||
CRRN-A | Certified Rehabilitation Registered Nurse - Advanced | An advanced certification by the Association of Rehabilitation Nurses (ARN) | ||
CRS | Congressional Reporting System | |||
CRS | Congressional Research Service | |||
CRS | Critical Reduction Schedule | |||
CRS | Custom Reporting Solution | A module for custom report development in TeleTracking | ||
CRSL | Cost Report Settlement Log | |||
CRT | Certified Respiratory Therapist | A certification by the National Board for Respiratory Care (NBRC) | ||
CRTS | Cuff Records Tracking System | |||
CRTT | Certified Respiratory Therapy Technician | A job title, not a certification
| ||
CRVR | Catastrophic Repeal Validation Review | |||
CRVS | California Relative Value Study | |||
CRWH | Change Request Work History | |||
CS | Central Supply | |||
CS | Claims Services | |||
CS | Covered Services | |||
CS | Customer Service | |||
CSA | Certified Surgical Assistant | |||
CSA | Computer Security Act | A 1987 act | ||
CSA | Cross Service Agreement | |||
CSAC | Consensus Standards Advisory Committee | An NQF committee | ||
CSAMS | Customer Service Assessment and Management System | |||
CSAP | Center for Substance Abuse Prevention | |||
CSAT | Computer Security Awareness Training | |||
CSC | Customer Service Center | |||
CSCC | Customer Service Call Center | See also SPOC, now Customer Service Center (CSC) | ||
CSD | Customer Service Desk | |||
CSF | Cerebrospinal Fluid | |||
CSF | Critical Success Factor | |||
CSG | Children's Specialty Group | The specialty clinics operated by CHW and MCW in Wisconsin | ||
CSG | Clinical Service Group | |||
CSI | Computer Security Institute | |||
CSIRC | Computer Security Incident Response Capability | |||
CSMI | Corporate Storage Management Initiative | |||
CSMM | Customer Support for Medicare Modernization | |||
CSN | Contact Serial Number | A unique value used to identify something, such as a patient encounter. One inpatient stay can consist of several CSNs (i.e. labs, radiology, and other ancillary care all receive their own CSN). Once it is assigned, the CSN does not change. | ||
CSO | Community Service Offices | |||
CSO | Customer Service Order | |||
CSOT | Customer Service Outstation Team | See also OCST | ||
CSP | Central Sterile Processing | |||
CSP | Certified Systems Professional | |||
CSP | Customer Service Plan | |||
CSP | Customer Service Program | |||
CSR | Continuous Service Readiness | |||
CSR | Core Security Requirements | |||
CSR | Customer Service Record | |||
CSR | Customer Service Representative | |||
CSR | Customer Service Request | |||
CSRA | Civil Service Reform Act | A 1978 act | ||
CSRS | Civil Service Retirement System | |||
CSSP | Computer Systems Security Plan | |||
CSSR | Communications System Segment Replacement | |||
CSSR | Cost Schedule Status Report | |||
CSSW | Children's Service Society of Wisconsin | A CHW program. Also known as CHW - CS. | ||
CST | Consumer Service Team | |||
CSTE | Council of State and Territorial Epidemiologists | |||
CSTP | Carrier System Testing Project | Also known as Carrier System Testing Program | ||
CT | Cardiothoracic | |||
CT | Computed Tomography | A CT Scan, also known as a CAT Scan, is non invasive and uses special x-ray equipment and computers to produce cross-sectional images of the area being scanned, sometimes using contrast material to produce multiple images of the body's interior. Reveals more details than x-rays. | ||
CTC | Certified Transplant Center | |||
CTC | Clinical Transaction Classification | A summary-level code used in the PHIS database to compare hospital-specific charge master data across different pediatric hospitals | ||
CTE | Chronic Traumatic Encephalopathy | A progressive degenerative disease of the brain which can currently only be definitively diagnosed postmortem. It occurs in individuals with a history of multiple concussions and other forms of head injury. | ||
CTH | Joint Commission Center for Transforming Healthcare | |||
CTICU | Cardiothoracic Intensive Care Unit | |||
CTMA | Contrary to Medical Advice | |||
CTMP | Contractor Task Management Plan | |||
CTQ | Critical to Quality | |||
CTR | Contingency Plan Report | |||
CTRS | Certified Therapeutic Recreation Specialist | |||
CTS | Clear To Send | |||
CTS | Contracts Tracking System | |||
CU | Custom Update | A software update for the Epic EMR | ||
CUCNS | Certified Urologic Clinical Nurse Specialist | A certification by the Society of Urologic Nurses and Associates (SUNA) | ||
CUI | Customer User Interface | |||
CUNP | Certified Urologic Nurse Practitioner | A certification by the Society of Urologic Nurses and Associates (SUNA) | ||
CURN | Certified Urologic Registered Nurse | A certification by the Society of Urologic Nurses and Associates (SUNA) | ||
CURP | Concurrent Utilization Review Program | Guidelines by payers for ongoing InterQual (level of care) assessments by Case Management | ||
CVA | Cerebral Vascular Accident | Blocked or burst blood vessel resulting in injury to surrounding tissue such as a stroke | ||
CVA | Current View Area | |||
CVD | Cardiovascular Disease | |||
CVE | Common Vulnerabilities and Exposures | |||
CVF | Current Value of Funds | |||
Cvg | Coverage | Usually to describe insurance coverage | ||
CVG | Coverage Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
CVICU | Cardiovascular Intensive Care Unit | |||
CVO | Credentials Verification Organization | |||
CVOR | Cardio Vascular Operating Room | |||
CWCN | Certified Wound Care Nurse | A certification by the Wound Ostomy Continence Nursing Certification Board (WOCNCB) | ||
CWF | Common Working File | See also NCHS | ||
CWF/MSP | Common Working File/Medicare Secondary Payer | |||
CWFA | Common Working File Part A | For Medicare Part A (PTA) | ||
CWFB | Common Working File Part B | For Medicare Part B (PTB or MEDB) | ||
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 and Validation | |||
CWFMC | Common Working File Maintenance Contractor | |||
CWFMQA | CWF Medicare Quality Assurance System | |||
CWFQAS | Common Working File Quality Assurance System | |||
CWOCN | Certified Wound, Ostomy and Continence Nurse | A certification by the Wound Ostomy Continence Nursing Certification Board (WOCNCB) | ||
CWRS | Contractor Workload Reporting System | |||
CWS | Compressed Work Schedule | |||
CWS | Contractor Workload System | |||
CXR | Chest X-ray | X-ray of the chest
| ||
CY | Calendar Year | |||
CY | Critical Year | |||
CYA | Cover Your Ass | Describes professional and organizational practices that serve to protect oneself from legal and administrative penalties, criticism, or other punitive measures. In healthcare, this is sometimes used to describe Malpractice Insurance. Also known as Cover Your Own Ass (CYOA). | ||
D&C | Dilation and Curettage | A surgical procedure often performed after a first-trimester miscarriage. Dilation includes opening the cervix and curettage includes removing the contents of the uterus. Curettage may be performed by scraping the uterine wall with a curette instrument or by a suction curettage (also called vacuum aspiration). | ||
D&F | Determinations and Findings | |||
D&O | Directors and Officers | An insurance related term | ||
D-SNP | Dual Eligible Special Need Plans | Plans for beneficiaries who are entitled to both Medicare (Title XVIII) and Medical Assistance from a State Plan under Title XIX (Medicaid). D-SNP plans offer the opportunity of enhanced benefits by combining those available through Medicare and Medicaid. Additional resources from CMS are available here. | ||
D2B | Door to Balloon | The amount of time that elapses from when a patient enters a hospital with a heart attack (MI) to when they receive a PCI procedure. | ||
DA | Data Acquisition | |||
DA | Data Administration | Sometimes also stands for Data Administrator | ||
DA | Data Analysis | |||
DA | Data Architecture | |||
DA | Denial of Accreditation | |||
DA | Dental Assistant | Also abbreviated CDA | ||
DA | Direct Access | |||
DA | Dynamic Allocation | |||
DA&A | Drug Addiction and Alcoholism | |||
DAB | Departmental Appeals Board | |||
DAC | Discretionary Access Control | |||
DACA | Days After Contract Award | |||
DAD | Data Access Diagram | Also known as DSD | ||
DAE | Data Entity | |||
DAF | Discretionary Adjustment Factor | |||
DALE | Disability-Adjusted Life Expectancy | Summarizes the expected number of years to be lived in what might be termed the equivalent of full health. In its calculation, the years of ill-health are weighted according to severity and subtracted from the expected overall life expectancy to give the equivalent years of healthy life. | ||
DAM | Drug Allergy Module | |||
DAMA | Data Administration Management Association | |||
DAP | Data Administration Plan | |||
DAP | DMERC Advisory Panel | |||
DAR | Department Appointments Report | |||
DARC | Delete Automatic Renewal Clause | |||
DARO | Days After Receipt of Order | |||
DAS | Distributed Application Services | |||
DASD | Direct Access Storage Device | Also known as Global DASD | ||
DASM | Data Administration Standards Manual | |||
DASMB | Deputy Assistant Secretary for Management and Budget | Health and Human Services (HHS) | ||
DAT | Decision Analysis Team | |||
DAT | Digital Audio Tape | |||
DATAMED | Medicaid Quality Control System | |||
DAWN | Drug Abuse Warning Network | |||
DB | Direct Billing | |||
DBA | Database Administrator | A person responsible for the environmental aspects of a database. Sometimes also describes Database Administration - a technical function concerned with the effective use and control of a particular database and of its related applications. | ||
DBA | Doing Business As | |||
DBC | Drug Benefit Calculator | |||
DBCA | Department of Board and Committee Activities | |||
DBD | Disruptive Behavior Disorder | |||
DBDB | Direct Billing Data Base | |||
DBE | Data Base Environment | |||
DBF | Data Base File | Also written DB/F | ||
DBI | Direct Billing Integration | |||
DBIS | Direct Billing Integration System | |||
DBM | Database Management | |||
DBMS | Database Management System | |||
DBPC | Direct Billing Premium Collection | |||
DBPS | Drug Bill Processors | |||
DBRP | DB Rules Processors | |||
DBS | Direct Billing System | |||
DC | Data Communications | |||
DC | Data Controls | |||
DC | Deck Checks | Also written D/C | ||
DC | Diagnostic Code | |||
DC | Discharge | Patient is ready to leave hospital
| ||
DC | Discontinue | As in d/c meds or treatment
| ||
DC | Doctor of Chiropractic | |||
DCAA | Defense Contract Audit Agency | |||
DCB | Data Control Block | |||
DCC | Debt Collection Center | |||
DCCA | Data Computer Corporation of America | |||
DCD | Data Carrier Direct | |||
DCF | Dually Certified Facility | |||
DCG | Diagnostic Cost Group | |||
DCH | Diploma in Child Health | |||
DCh | Doctor of Surgery | A post-medical degree specialty program. Also abbreviated ChD. | ||
DChO | Doctor of Ophthalmic Surgery | |||
DCI | Distressed Communities Index | |||
DCIA | Debt Collection Improvement Act | A 1966 act | ||
DCIS | Debt Collection and Improvement Act | |||
DCIS | Department Contract Information System | |||
DCN | Document Control Number | |||
DCO | Directed Change Order | |||
DCO | Directed Charge Order | |||
DCP | Data Conversion Plan | |||
DCP | Department of Carrier Procedures | |||
DCP | Diploma in Clinical Pathology | Also abbreviated DipClinPath | ||
DCP | Diploma in Clinical Psychology | |||
DCS | Debt Collection System | |||
DD | Data Dictionary | |||
DD | day | i.e. mmddyyyy | ||
DD | Developmental Disabilities | |||
DD/DBA | Designation of Data/Database Administration | |||
DDDL | Data Dictionary Definition Language | |||
DDE | Direct Data Entry | Designed to give Medicare providers a direct access mechanism for answering questions about their claims. DDE users may perform the following functions electronically: Key and send claims; Correct, adjust and cancel claims; Inquire about the patient's eligibility; Access the Revenue Code, HCPCS Code and ICD-9 Code inquiry tables; Access the Reason Code and Adjustment Reason Code inquiry tables; Determine DRG for inpatient hospital claims | ||
DDE | Dynamic Data Exchange | |||
DDI | Data Distribution Initiative | |||
DDL | Data Description Language | |||
DDP | Direct Dealing Provider | |||
DDP | Distributed Data Processing | |||
DDPS | Drug Data Processing System | |||
DDR | Diploma in Diagnostic Radiology | |||
DDR | Discharge During Referral | |||
DDS | Data Dictionary System | |||
DDS | Disability Determination Service | |||
DDS | Distributed Database System | |||
DDS | Doctor of Dental Surgery | |||
DDSc | Doctor of Dental Science | |||
DEA | Delegated Examining Authority | |||
DEA | Drug Enforcement Administration | Also known as Drug Enforcement Agency | ||
DEAR | Department of Energy Acquisition Regulations | |||
DEBCO | Debit and Benefit Conversion Operation | |||
DEC | Dual Entitlement Code | |||
DECC | Dental Content Committee | |||
DED | Data Element Dictionary | |||
DEERS | Defense Enrollment Eligibility Reporting System | DOD, CHAMPUS | ||
DEFRA | Deficit Reduction Act | A 1984 act | ||
DEIS | Draft Environmental Impact Statement | |||
DEL | Delivery | |||
DEMOST | Dual Entitlement Maintenance Operation System | |||
DEP | Department Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
DEP | Deputy | |||
DEPO | Division of Enrollment and Payment Operations | |||
DEPPM | Data Exchange and Participating Physician Monitoring | |||
DES | Data Encryption Standard | |||
DES | Dollar Equivalency System | FTE hours worked x $ paid to employee | ||
DESI | Drug Efficacy Study and Implementation Program | |||
DESY | Data Extract Software System | |||
DF/DSS | Data Facility/Data Set Service | |||
DFD | Data Flow Diagram | |||
DFHom | Diploma from a Faculty of Homeopathy | |||
DFLSD | Death File Limiting State Death | SSA DUMAS National Death Repository | ||
DFP | Data Facility Product | |||
DFSS | Design for Six Sigma | |||
DFWA | DrugFree Workplace Act | A 1988 act | ||
DGL | Denver Genetics Lab | |||
DHg | Doctor of Hygiene | Also abbreviated DHy, DHyg, or DrHyg | ||
DHHS | Department of Health and Human Services | |||
DHHSAA | Department of Health and Human Services Audit Agency | See also Health and Human Services (HHS) | ||
DHR | Department of Human Resources | |||
DHS | Department of Human Services | |||
DHWHIM | Daily Health Insurance Master Health Insurance Merge | |||
DHy | Doctor of Hygiene | Also abbreviated DHg, DHyg, or DrHyg | ||
DHyg | Doctor of Hygiene | Also abbreviated DHg, DHy, or DrHyg | ||
DI | Digital Imaging Technologist | |||
DI | Disability Insurance | |||
DIA | Defense Intelligence Agency | |||
DIB | Data Integrity Board | |||
DIB | Disability Insurance Beneficiary | |||
DIC | Disseminated Intravascular Coagulation | A common lab | ||
DICOM | Digital Imaging and Communications in Medicine | |||
DIDO | Duplication In, Duplication Out | |||
DII | Defense Information Infrastructure | |||
DIMES | Departmental Information Management Exchange System | |||
Dip | Diploma | Or diplomate | ||
DIP | Dual InLine Package | |||
DipBact | Diploma in Bacteriology | |||
DipChem | Diploma in Chemistry | |||
DipClinPath | Diploma in Clinical Pathology | Also abbreviated DCP | ||
DipMicrobi | Diploma in Microbiology | |||
DipPhys | Diploma in Physiotherapy | Also abbreviated DPhys | ||
DipSocMed | Diploma in Social Medicine | |||
DIRT | Distributed Index of Rejected Transactions | |||
DIS | Disabled | |||
DISA | Data Interchange Standards Association | |||
DISA | Direct Inward System Access | |||
DISC | Departmental Independent Study Center | |||
DIU | Defense Intelligence University | |||
DJ | Department of Justice | Also abbreviated DOJ | ||
DKA | Diabetic Ketoacidosis | A potentially life-threatening complication in patients with diabetes mellitus. It happens predominantly in those with type 1 diabetes, but it can occur in those with type 2 diabetes under certain circumstances. DKA results from a shortage of insulin; in response the body switches to burning fatty acids and producing acidic ketone bodies that cause most of the symptoms and complications. | ||
DL | Data Language | |||
DLFAPA | Distinguished Life Fellow of the American Psychiatric Association | The highest membership status possible in the American Psychiatric Association. Those who have received this prestigious honor make up only 11% of the membership. (not a certification or degree). | ||
DLG | Development Log | |||
DLL | Dynamic Linked Libraries | |||
DLM(ASCP) | Diplomate in Laboratory Management | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
DLRO | Designated Lead Regional Office | |||
DM | Data Manager | |||
DM | Data Model | |||
DM | Diabetes Mellitus | Metabolic disease of the pancreas's ability to produce insulin or the body's inability to use the available insulin | ||
DM&S | Department of Medicine and Surgery | |||
DMAIC | Define, Measure, Analyze, Improve, Control | A data-driven improvement cycle used for improving, optimizing, and stabilizing business processes and designs. Most commonly used in Six Sigma project methodology. | ||
DMCL | Data Base Management Control Language | |||
DMD | Data Model Diagram | |||
DMD | Doctor of Dental Medicine | |||
DME | Direct Medical Education | |||
DME | Distributed Management Environment | |||
DME | Durable Medical Equipment | i.e. oxygen tank, walker, wheelchair. Discharge Planner must have this arranged before patient discharges. | ||
DME MAC | Durable Medical Equipment Medicare Administrative Contractor | |||
DMEFS | Durable Medical Equipment Fee Schedule | |||
DMEPOS | Durable Medical Equipment Prosthetic, Orthotics and Supplies | |||
DMEPOS | Durable Medical Equipment, Prosthetics, Orthotics, and Supplies | |||
DMERC | Durable Medical Equipment Regional Carrier | |||
DML | Data Management Language | |||
DML | Data Manipulation Language | |||
DMP | Data Match Project | |||
DMS | Data Mass Storage | |||
DMS | Disk Management System | |||
DMS/OS | DASD Management System | |||
DMSS | Data Management SubSystem Capabilities | |||
DMT | Doctor of Medical Technology | |||
DN | Doctor of Nursing | Also abbreviated ND
| ||
DNA | Data Normalization Analysis | |||
DNA | Deoxyribonucleic acid | A molecule encoding the genetic instructions used in the development and functioning of all known living organisms and many viruses. Along with RNA and proteins, DNA is one of the three major macromolecules that are essential for all known forms of life. | ||
DNA | Dermatology Nurses Association | |||
DNAR | Do Not Attempt Resuscitation | Preferred by many physicians over the slightly dated DNR. An order to not artificially revive a patient should they suffer cardiac or respiratory arrest. See also AND. | ||
DNB | Discharged Not Billed | |||
DNC | Data Network Contractor | |||
DNC | Dermatology Nurse Certified | A certification by the Dermatology Nurses' Association (DNA) | ||
DND | Detailed Notice of Discharge | Issued to a Medicare beneficiary who appeals a discharge decision based on the information in the IMM | ||
DNE | Doctor of Nursing Education | |||
DNFB | Discharged Not Final Billed | |||
DNMNTR | Denominator System | |||
DNP | Doctor of Nursing Practice | Practice-focused doctoral programs are designed to prepare experts in specialized
advanced nursing practice. They focus heavily on practice that is innovative and
evidence-based, reflecting the application of credible research findings. | ||
DNR | Do Not Resuscitate | The historical acronym for the more commonly accepted DNAR. | ||
DNS | Doctor of Nursing Science | Also abbreviated DNSc
| ||
DNSc | Doctor of Nursing Science | Also abbreviated DNS
| ||
DNV | Det Norske Veritas | |||
DO | Data Owner | |||
DO | District Office | |||
DO | Doctor of Optometry | Also abbreviated OD
| ||
DO | Doctor of Osteopathy | Also known as Doctor of Osteopathic Medicine. A doctoral degree for physicians which grants the same rights, privileges, and responsibilities as MDs. Osteopathic Doctors are also trained for an additional 300 - 500 hours in the study of hands-on manual medicine and the body's musculoskeletal system. This training is referred to as osteopathic manipulative medicine and is absent in the MD curricula. Also written D.O. | ||
DOA | Dead on Arrival | |||
DOA | Department of Agriculture | |||
DOB | Daily Operational Briefing | |||
DOB | Date of Birth | |||
DOC | Days of Care | |||
DOC | Department of Commerce | |||
Doc | Doctor | |||
Doc | Document | |||
DOD | Date of Death | |||
DOD | Department of Defense | |||
DODCI | Department of Defense Computer Institute | |||
DOE | Date of Entitlement | |||
DOE | Department of Energy | |||
DoE | Design of Experiments | |||
DOE | Dyspnea on Exertion | Short of breath with any exertion or exercise
| ||
DOEH | Date of Entitlement to Hospital Insurance | Medicare Part A (PTA) | ||
DOES | Date of Entitlement to Supplementary Medical Insurance | Medicare Part B (PTB or MEDB) | ||
DOG | Day One Group | |||
DoH | Department of Health | |||
DOI | Department of Interior | |||
DOIAC | District Office Intermediary Action Cases | Formerly known as District Office/Intermediary Aged Cases | ||
DOJ | Department of Justice | |||
DOL | Department of Labor | |||
DOLA | Delegation of Leasing Authority | |||
DOLBA | Date of Last Billing Action | |||
DOM | Developmental Office Minicomputer | |||
DOME | Directors of Management Engineering | A Society of Health Systems certification | ||
DON | Director of Nursing | |||
DOORS | Dynamic Object Oriented Requirements System | |||
DOS | Date of Service | |||
DOS | Doctor of Ocular Science | Also abbreviated DOSc | ||
DOS | Doctor of Optical Science | Also abbreviated DOSc | ||
DOSc | Doctor of Ocular Science | Also abbreviated DOS | ||
DOSc | Doctor of Optical Science | Also abbreviated DOS | ||
DOST | Date of Suspension or Termination | |||
DOT | Department of Transportation | |||
DOTH | Date of Termination of Hospital Insurance | |||
DOTS | Date of Termination of Supplementary Medical Insurance | |||
DP | Data Processing | |||
DP | Disability Pension | |||
DP | Discharge Planning | The assessment, coordination, and arrangement of post-hospital care | ||
DP | Distinct Part | |||
DP | Doctor of Pharmacy | See also PharmD or PD | ||
DP | Doctor of Podiatry | Also abbreviated DPM | ||
DPA | Delegation of Procurement Authority | |||
DPD | Deferred Payment Date | |||
DPF | Distinct Part Facility | |||
DPH | Doctor of Public Health | |||
DPH | Doctor of Public Hygiene | Sometimes abbreviated DrPH | ||
DPhC | Doctor of Pharmaceutical Chemistry | |||
DPHN | Doctor of Public Health Nursing | |||
DPhys | Diploma in Physiotherapy | Also abbreviated DipPhys | ||
DPM | Deputy Program Manager | |||
DPM | Doctor of Physical Medicine | |||
DPM | Doctor of Podiatric Medicine | Also abbreviated DP | ||
DPM | Doctor of Preventive Medicine | |||
DPM | Doctor of Psychiatric Medicine | |||
DPMO | Defects per Million Opportunities | For example, in a 6? process, only 3.4 defects occur per million opportunities | ||
DPNA | Denial of Payment New Admissions | |||
DPP | Disproportionate Patient Percentage | |||
DPT | Diphtheria Pertussis Tetanus | A vaccine recommended for all school-age children in the US. Boosters of the vaccine are recommended for adults, since the benefits of the vaccine decrease with age without constant re-exposure. It is particularly recommended for those traveling to areas where the disease has not been eradicated. | ||
DPT | Doctor of Physical Therapy | |||
DPU | Defects per Unit | |||
DQC | Data Quality Committee | |||
DQSC | Data Quality Steering Committee | |||
DR | Desk Review | |||
DRA | Data Release Agreement | |||
DRA | Deficit Reduction Act | A 1984 act | ||
DRA | Disaster Recovery Assessment | |||
DRAFT | Dictionary/Repository Access Facility and Tools System | |||
DRAIN | Desk Review Artificial Intelligence Network | |||
DRAM | Dynamic Random Access Memory | |||
DRG | Diagnosis Related Group | A system used by Medicare and other insurers to classify illnesses according to diagnosis and treatment. All Medicare inpatient hospital operating costs are determined in advance and paid on a per-case basis, according to fixed amount or weight established for each DRG. Also written Diagnosis-Related Group. | ||
DrHyg | Doctor of Hygiene | Also abbreviated DHg, DHy, or Dhyg | ||
DRI | Drug Rebate Initiative | |||
DrMed | Doctor of Medicine | Also abbreviated MD | ||
DRO | Drug Resistant Organisms | |||
DRP | Disaster Recovery Plan | |||
DrPH | Doctor of Public Health | Also written as DrP.H. | ||
DrPH | Doctor of Public Hygiene | Also abbreviated DPH | ||
DRS | Data Review System | |||
DRUG | Data Release Users Guide | |||
DS | Data Set | |||
DSAF | Decision Support Access Facility | |||
DSC | Disease-Specific Care | A Certification | ||
DSc | Doctor of Science | |||
DSCN | Data Service Centers and Network | |||
DSD | Data Structure Diagram | Also known as DAD | ||
DSD | Detailed Systems Design | |||
DSG | Diagnostic Sub-Group | A detailed category assigned to each patient condition in 3M's Clinical Risk Grouping software. This condition classification is more granular than both MDC and EDC. | ||
DSH | Disproportionate Share Hospital | |||
DSM | Diagnostic and Statistical Manual | |||
DSM-IV | Diagnostic and Statistical Manual of Mental Disorders, 4th Edition | |||
DSMD | Discount Schedule and Marketing Data | |||
DSMO | Designated Standards Maintenance Organizations | |||
DSMS | Development and Support Management System | |||
DSN | Data Set Name | |||
DSN W/W | Defense Switched Network Worldwide | |||
DSP | Design Specification Package | |||
DSP | Disproportionate Share Payments | |||
DSR | Data Set Ready | |||
DSR | Design Manager | |||
DSS | Decision Support System | |||
DSS | Department of Social Services | |||
DSTU | Draft Standard for Trial Use | |||
Dt | Date | |||
DTC | Design to Cost | |||
DTE | Data Terminal Equipment | |||
DTs | Delirium Tremens | Latin for "shaking frenzy." An acute episode of delirium that is usually caused by withdrawal from alcohol. Also referred to as The DTs, "the horrors", or "the shakes." | ||
DUA | Data Use Agreement | |||
DUCS | Daily Update Control System | HDDUCS | ||
DUDEX | Daily Update Data Exchange System | |||
DUMAS | Daily Update Master Accounting System | |||
DUNS | Data Universal Numbering System | |||
DUO | Daily Update Operation | |||
DUR | Drug Utilization Review | Also known as a Drug Use Evaluation (DUE) | ||
DVA | Department of Veterans Affairs | See also VA | ||
DVAAP | Disabled Veterans Affirmative Action Program | |||
DVM | Doctor of Veterinary Medicine | Also abbreviated MVD | ||
DVMS | Doctor of Veterinary Medicine and Surgery | |||
DVR | Data Validation Review | |||
DVR | Doctor of Veterinary Radiology | |||
DVS | Doctor of Veterinary Science | Also abbreviated DVSc | ||
DVSc | Doctor of Veterinary Science | Also abbreviated DVS | ||
DVT | Deep Vein Thrombosis | Blood clot in a large vein. Also written as Deep Venous Thrombosis | ||
DW | Dextrose in Water | Also written dw | ||
DWA | Disabled Working Aged | |||
DWARF | Data Warehouse Access and Retrieval Facility | |||
DWB | Disabled Widow's Benefits | |||
DWI | Data Warehouse Initiative | |||
DWI | Disabled and Working Individual | See also QDWI | ||
DWOH | Days Work On Hand | |||
Dx | Diagnosis | |||
DXGROUP | Diagnosis Group | |||
E&M | Evaluation and Management Codes | Usually CPT based | ||
E-APP | Electronic Application | For survey | ||
E-PSA | Electronic Public Service Announcement | |||
E-SOC | Electronic Statement of Conditions | |||
E/M | Evaluation and Management | |||
EA | Emergency Assistance | |||
EA | Exception Analyst | |||
EAB | Enumeration at Birth | See also Social Security Administration | ||
EAC | Estimate at Completion | |||
EAC | Estimated Acquisition Cost | |||
EAC | Executive Advisory Committee | |||
EACH | Essential Access Community Hospital | |||
EAF | Facility Master File | Also includes information on Service Area and Location. An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database). | ||
EAJA | Equal Access to Justice Act | |||
EAL | Evaluation Assurance Level | |||
EAP | Employee Assistance Program | |||
EAP | Epic All Procedure | An Epic Master File of patient procedures. It is a subset of the Chronicles database (Epic's integrated production database). | ||
EAPG | Enhanced Ambulatory Patient Groups | |||
EAQC | Equal Access Quality Committee | |||
EAR | Early Alert Report | |||
EAR | Guarantor Account Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
EAV | Entity Attribute Value | A data model describing Epic's flowsheet data | ||
EB | ESRD Bene | |||
EBCDIC | Extended BinaryCoded Decimal Interchange Code | |||
EBM | Evidence-Based Medicine | |||
EBNE | Eligible But Not Enrolled | |||
EBP | Evidence Based Practice | Also written Evidence-Based Practice | ||
EBRI | Employee Benefit Research Institute | |||
EC | Enrollment Control | |||
EC | Environment of Care | |||
EC | Evaluation Criterion | |||
EC | Event Cycle | |||
ECB | Electronic Code Book | |||
ECD | Executive Development Council | |||
ECDS | Electronic Clinical Data System | Reporting standard for HEDIS and a network of data containing a plan member's personal health information and records of their experiences within the health-care system. The reporting standards promise to help "clinical data create insight for managing the health of individuals and groups" and also enable ECDS digital measure reporting. | ||
ECF | Extended Care Facility | |||
ECFMG | Educational Commission for Foreign Medical Graduates | |||
ECG | Electrocardiogram | Non invasive tracing of the electrical activity of the heart muscle. Also abbreviated EKG. | ||
ECI | Employment Cost Index | |||
ECIN | Extended Care Information Network | A vendor of application service provider-based hospital care management and discharge planning software. Now owned by Allscripts LLC. | ||
ECKD | Extended Count Key Data | |||
ECM | Electronic Counter Measures | |||
ECMO | Extracorporeal Membrane Oxygenation | A procedure that uses a machine to take over the work of the lungs and sometimes the heart | ||
ECP | Electronic Claims Processing System | |||
ECP | Engineering Change Proposal | |||
ECP | External Counterpulsation | |||
ECR | Electronic Cost Report | |||
ECRD | Early Complaint Resolution Process | |||
ECRS | Electronic Correspondence Referral System | |||
ECS | Electronic Certification System | |||
ECS | Extended Care Services | |||
ECTI | Electronic Claims Transaction Initiative | |||
ECU | Extended Care Unit | |||
ED | Electronic Commerce | |||
ED | Emergency Department | |||
ED | Erectile Dysfunction | |||
EDB | Enrollment Database | CMS Medicare beneficiary entitlement record | ||
EDB | Enterprise Database | |||
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 | |||
EDBS | Enrollment and Direct Billing System | |||
EDBTP | EDB Transaction Processors | |||
EDBUPT | EDB Online Update Facility | |||
EDBW | EDB Workbench | |||
EDC | Episode Diagnosis Category | A mid-level category assigned to each patient condition in 3M's Clinical Risk Grouping software. This condition classification is more granular than an MDC and less granular than a DSG. Also written Episode Diagnostic Category. | ||
EDC | Estimated Date of Confinement | An old fashioned term for Estimated Day of Delivery (EDD) | ||
EdD | Doctor of Education | |||
EDD | Estimated Day of Delivery | Also known as EDC | ||
EDEES | ESRD Data Entry and Editing System | |||
EDF | Execution Diagnostic Facility | |||
EDG | Diagnosis Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
EDG | Emergency Department Group | |||
EDG | Enterprise Database Group | |||
EDI | Electronic Data Interchange | |||
EDIFWG | Electronic Data Exchange Federal Work Group | |||
EDIP | Electronic Data Interchange Program | |||
EDIP | Emergency Department Inpatient Procedure | |||
EDIPAC | Electronic Data Interchange/Payment and Collection | |||
EDM | Electronic Document Management | |||
EDOH | Executive Director, Office of Hearings | |||
EDP | Electronic Data Processing | |||
EDPO | EDB Printout | |||
EDTA | Ethylenediaminetetraacetate | A calcium chelating (binding) agent that is used as an anticoagulant for laboratory blood specimens. Also used in treatment of lead poisoning. | ||
EDTA | European Dialysis and Transplantation Association | |||
EDTC | Emergency Department/Trauma Center | |||
EDU | Eating Disorder Unit | |||
EDW | Enterprise Data Warehouse | A central repository of current and historical data which integrates disparate software systems so that trending reports can be created. In Healthcare, it may gather data from the hospital's primary HIS, as well as ancillary, bolt-on software systems. Also known as Electronic Data Warehouse. | ||
EEG | Electroencephalograph | |||
EEG | Electroencephalography | The process of completing an Electroencephalogram. Works closely with Epilepsy Monitoring Unit Physician | ||
EEO | Equal Employment Opportunity | |||
EEP | Employer Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
EEVS | Enrollment Eligibility and Verification System | |||
EF | Exposure Factor | |||
EFC | Exclusions From Coverage | |||
EFT | Electronic Funds Transfer | |||
EFTS | Electronic File Transfer System | GHP large volume transfer to HDC | ||
EFTS | Electronic Funds Transfer System | |||
EGD | Esophagogastroduodenoscopy | Upper GI exam of the esophagus, stomach and part of the small bowel | ||
EGHP | Employer Group Health Plan | |||
EH | Eligible Hospitals | |||
EH | Emergency Hospital | |||
EHI | Electronic Health Information | See also EHR | ||
EHIM | Electronic Health Information Management | |||
EHNAC | Electronic Healthcare Network Accreditation Commission | |||
EHR | Electronic Health Record | A systematic collection of electronic health information about individual patients or populations. A record in digital format that is theoretically capable of being shared across different health care settings. | ||
EHR | Evidence-Based Hospital Referral | |||
EHR | Executive Health Resources | |||
EHS | Environmental Health and Safety | |||
EIA | Electronic Industries Association | |||
EIA 232-C | EIA electrical interface standard 232C | |||
EIB | Employer Insured Beneficiary | |||
EIB | Exercise-Induced Bronchospasm | An obstruction of transient airflow that usually occurs five to 15 minutes after physical exertion | ||
EIB | Extended Illness Bank | |||
EIM | Enterprise Information Management | |||
EIN | Employee Identification Number | Also known as Standard Unique Employer Identifier (SUEI) | ||
EIN | Employer Identification Number | |||
EIS | Enterprise Information System | |||
EIS | Environmental Impact Statement | |||
EIS | Executive Information Systems | |||
EISA | Extended Industry Standard Architecture | |||
EJR | Expedited Judicial Review | |||
EKG | Electrocardiogram | Non invasive tracing of the electrical activity of the heart muscle. Also abbreviated ECG. | ||
EKMS | Electronic Key Management System | |||
ELAN | Extended Local Area Network | |||
ELF | Extremely Low Frequency | |||
ELOS | Expected Length of Stay | |||
ELSI | Ethical, Legal, and Social Implications Research Program | |||
EM | Emergency Management | |||
EM | Enrollment Module | |||
EMATS | Electronic Memo Acceptance Tracking System | TSO to NCC | ||
EMB | Eligible Medicare Beneficiary | |||
EMBER | Edit for Multiple Bene Entitlement Records | |||
EMC | Electronic Media Claim | |||
EMCP | Electronic Media Claims Processing | |||
EMCSES | Electronic Media Claims Standard Enforcement Software | |||
Emer | Emergency | |||
EMEVS | Electronic Medicaid Eligibility Verification System | |||
EMG | Electromyography | |||
EMI/EMC | Electromagnetic Interference/Electromagnetic Compatibility | |||
EMIA | Educators Mutual Insurance Association | |||
EMLA | Eutectic Mixture of Local Anesthetics | A topical anesthetic cream mixture of lidocaine and prilocaine, often used locally on children for mildly invasive procedures such as venipunctures and intramuscular injections. The cream is placed on the skin in the area where the procedure is to be performed. After 30-60 minutes, the cream is removed and the procedure completed. | ||
EMP | User Security Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
EMPI | Electronic Master Patient Index | Also referred to as the MPI. An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database). | ||
EMR | Electronic Medical Record | A computerized medical record created in a care delivery organization, such as a hospital or physician's office. EMRs tend to be a part of a local stand-alone Health Information System (HIS) that allows storage, retrieval, and modification of records. | ||
EMS | Emergency Medical Services | |||
EMSS | Emergency Medical Service System | |||
EMT | Emergency Medical Technician | |||
EMTALA | Emergency Medical Treatment and Active Labor Act | Ensures public access to emergency services regardless of ability to pay. Requires emergency service providers to stabilize any patient who awaits service. | ||
EMU | Epilepsy Monitoring Unit | |||
EN | Enrolled Nurse | Australia. See Licensed Practical Nurse
| ||
ENA | Emergency Nurses Association | |||
Enc | Encounter | For example, a new patient encounter in Epic | ||
ENDOP | End of Month Operation | |||
ENIAC | Electronic Numerical Integrator and Computer | |||
ENOA | Elimination of Notice of Admission | Also known as EONA | ||
ENPC | Emergency Nursing Pediatric Course | A 16-hour post-RN course offered by the Board of Certification for Emergency Nursing (BCEN) | ||
ENQ | Enquiry Control Character | |||
ENROLL | Enrollment | |||
ENS | Electronic Network Services | |||
ENT | Ear, Nose, and Throat | |||
ENTMRG | Prior Entitlement Merge | HDENTMRG | ||
ENTRAP | Enrollment Transaction Processors | |||
EO | Executive Order | |||
EOB | Explanation of Benefits | A report produced by insurance carriers explaining reimbursement, denial and/or patient liability. If this information is not posted and available online, the follow-up representative may need to pull a physical copy of the EOB to determine patient liability, appropriate contractual allowance, and remaining balance due, if any, before calling the payer (see also RA). | ||
EOC | Emergency Operations Center | |||
EOC | Episode of Care | |||
EOC | Evidence of Coverage | |||
EOIS | Enrollment Online Inquiry System | Now known as EDBOIS | ||
EOM | End of Month | |||
EOMB | Executive Office of Management and Budget | |||
EOMB | Explanation of Medical Benefits | Also known as Explanation of Member Benefits | ||
EOMB | Explanation of Medicare Benefits | A report produced by Medicare explaining reimbursement, denial, and/or patient liability. This information should be available on the MECA/MEDA system or the DDE system. If this information is not posted and available online, the follow-up representative may need to pull physical copy of the EOMB to determine patient liability, appropriate contractual allowance, and remaining balance due, if any (see RA). | ||
EONA | Elimination of Notice of Admission | Also known as ENOA | ||
EOP | Executive Office of the President | |||
EOQ | Economic Order Quantity | |||
EOS | Economies of Scale | |||
EOS | Employee Opinion Survey | |||
EOT | End of Transmission | |||
EOY | End of Year | |||
EP | Element of Performance | |||
EP | Eligible Patients | |||
EP | Eligible Professionals | |||
EP | Enrollment Period | |||
EP STUDIES | Electrophysiological Studies | |||
EPA | Environmental Protection Agency | |||
EPAAR | EPA Acquisition Regulations | |||
EPAP | Expiratory Positive Airway Pressure | |||
EPC | Emergency Protection Coordinators | |||
EPC | Episode Procedure Category | A mutually exclusive categorization of a patient's procedures in 3M's Clinical Risk Grouping software. Procedure-based EPCs are seldom used except for (1) creating certain EDCs, recognizing disease states implied by the EPC, (2) eliminating certain EDCs, recognizing that the EPC is intended to remove or cure a disease state, and (3) contributing to the severity level assignment for some EDCs. | ||
EPCS | E-Prescribing of Controlled Substances | Sometimes known as Electronic Prescribing of Controlled Substances | ||
EPESE | Established Populations for Epidemic Logic Studies for the Elderly | |||
EPICS | Eligibility Programs Integrated Computer System | |||
EPM | Electronic Post Mark | |||
EPM | Payor Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
EPO | Exclusive Provider Organization | Similar to HMOs as their members are required to stay within their networks for health services and choose PCPs to coordinate their medical care. Members do not have to pay deductibles, and they will pay small co-pay amounts for network care and can only go out of network and receive insurance coverage if they were referred (typically cheaper than PPOs or HMOs). However, EPO plans provide fewer physician networks to their members than HMO plans, and their premiums are cheaper as well. Another difference is HMO insurers make monthly payments to their doctors while EPO plans pay their physicians only when services are rendered. See also HMO, POS, and PPO. | ||
EPOC | External Point of Contact | |||
EPP | Benefit Plan Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
EPSDT | Early and Periodic Screening, Diagnosis, and Treatment | |||
EPSDT | Early and Periodic Screening, Diagnosis, and Treatment Program | Also known as Early and Periodic Screening, Diagnosis, and Treatment Services | ||
EPSI | Echo Planar Spectroscopic Imaging | |||
EPSi | Enterprise Performance Systems Inc. | 'Sunrise EPSi' is an Allscripts software program which "provides integrated analytics, budgeting and knowledge-based decision support designed to bring together all the major components of financial management - strategic planning, product line budgeting, cost accounting, and operational and capital budgeting." The software allows the capture and use of patient-level utilization data for forecasting and variance reporting, then converts those to standard general ledger (GL) and payroll budgets. The system gives hospital finance departments the ability to report at both product line and GL levels. | ||
EPT | Patient Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
ER | Emergency Room | Also known as ED (Emergency Department) | ||
ER | Entity Relationship | |||
ERA | Electronic Remittance Advice | |||
ERCP | Endoscopic Retrograde Cholangiopancreatography | A diagnostic procedure, using dye to view the bile and pancreatic ducts using a flexible scope
| ||
ERD | EntityRelationship Diagram | |||
ERIC | ERISA Industry Committee | |||
ERISA | Employee Retirement Income Security Act | |||
ERMA | Edit and Reformat Maintenance Operation | HMERMA | ||
ERMA | Edit and Reject Monthly Accumulation Report System | |||
ERN | Electronic Remittance Notice | |||
ERNIE | EDB Enrollment Retrieval New Interactive Edit System | |||
ERP | Enterprise Resource Planning | |||
ERQ | Engineering Requirements | |||
ERS | Experimental Reimbursement System | |||
ERV | EntityRelationship Verification | |||
ERX | Medication Record Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
ES | Emergency Service | |||
ESA | Enterprise System Architecture | |||
ESA | Exceptional Service Award | |||
ESA | Extended Structure Architecture | |||
ESA | Extended Systems Architecture | |||
ESC - Clari | Evidence of Standards Compliance - Clarifying | A Joint Commission (JC) report submitted post-survey of evidence of compliance at the time of survey. Sometimes known as "CLAR ESC" | ||
ESC - Corre | Evidence of Standards Compliance - Corrective | A Joint Commission (JC) report submitted post-survey of actions taken to bring deficiencies into compliance. Sometimes known as "COR ESC" | ||
ESI | Emergency Severity Index | A five-level emergency department (ED) triage algorithm that provides clinically relevant stratification of patients into five groups from 1 (most urgent) to 5 (least urgent) on the basis of acuity and resource needs | ||
ESO1 | Early Survey Option 1 | For organizations not previously accredited by the Joint Commission (JC). Successful completion of a limited survey results in Preliminary Accreditation and the potential for Accreditation at a full survey six months later. | ||
ESO2 | Early Survey Option 2 | For laboratories not previously accredited by the Joint Commission (JC). A full survey is conducted as the first survey and may result in Accreditation. A second survey is conducted to assure a six-month track record. | ||
ESP | External Services Providers | |||
ESQ | Entitlement Status Query | |||
ESR & CRP | Erythrocyte Sedimentation Rate and C-Reactive Protein | A group of blood tests used to detect inflammation in the body | ||
ESRD | End Stage Renal Disease | Slow, progressive loss of kidney function usually diagnosed by the level of creatinine in the blood. Creatinine is the waste product of creatinine phosphate in muscle and is filtered/eliminated by the kidney. Applies to elderly/Medicare patients for kidney dialysis or black lung. | ||
ESRD PMMIS | ESRD Program Management and Medical Information System | |||
ESRDBF | EndStage Renal Disease Beneficiary File | |||
ESS | Estimating System Survey | |||
EST | Empirically Supported Treatment | Also written Empirically-Supported Treatment | ||
ESTS | Enrollment Statistical Tabulation System | |||
ET | Enterostomal Therapist | |||
ET | Expenditure Target | |||
ET(COCN) | Enterostomal Therapist (Certified Ostomy Care Nurse) | A certification by the Wound Ostomy Continence Nursing Certification Board (WOCNCB) | ||
ET(CWOCN) | Enterostomal Therapist (Certified Wound, Ostomy and Continence Nurse) | A certification by the Wound Ostomy Continence Nursing Certification Board (WOCNCB) | ||
ETB | End of Block | |||
ETC | Estimate to Complete | |||
ETL | Executive Team Leader | Specifically used by the Target Corporation to describe Pharmacy Operations Managers. For example, Target Pharmacy Managers may have the title ETL-Pharmacy. | ||
ETL | Extract, Transform, Load | Sometimes called Extraction Transformation and Loading | ||
ETM | Extended Terminal Multiplexer | |||
EtOH | Alcohol abuse | Short for ethanol alcohol and used to indicate alcohol abuse/alcoholism
| ||
ETR | Permanent Transaction Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
ETV | Estimated Test Volume | |||
EU | European Union | |||
EVAN | Electronic Verification of Alleged Number | |||
EVPN | Enhanced Virtual Private Network | |||
EVS | Eligibility Verification System | |||
EVS | Enumeration Verification System | |||
EVS | Environmental Services | Hospital cleaning services | ||
EWU | Equivalent Work Unit | |||
EXA | EExtended Architecture | |||
EXT | Extension survey | |||
F&A | Fraud and Abuse | |||
F&D | Findings and Determination | |||
FA | Field Audit | |||
FA | Fiscal Agent | |||
FA | Functional Area | |||
FAA | Federal Aviation Administration | |||
FAAFP | Fellow of the American Academy of Family Physicians | |||
FAAN | Fellow of the American Academy of Nursing | |||
FAC | Federal Acquisition Circular | |||
FAC | Freestanding Ambulatory Care | |||
FAC | Freestanding Ambulatory Center | |||
FACA | Federal Advisory Committee Act | |||
FACAAI | Fellow of the American College of Allergy, Asthma & Immunology | |||
FACC | Fellow of the American College of Cardiology | |||
FACCT | Foundation for Accountability | |||
FACD | Fellow of the American College of Dentists | |||
FACG | Fellow of the American College of Gastroenterology | |||
FACHE | Fellow, American College of Healthcare Executives | |||
FACOG | Fellow of the American College of Obstetricians and Gynecologists | |||
FACP | Fellow of the American College of Physicians | |||
FACP | Final Administrative Cost Proposal | |||
FACPE | Fellow of the American College of Physician Executives | |||
FACPM | Fellow of the American College of Preventive Medicine | |||
FACS | Fellow of the American College of Surgeons | |||
FACS | Final Administration Cost System | |||
FACS | Financial Accounting System | |||
FACSM | Fellow of the American College of Sports Medicine | |||
FACTS | Federal agency Centralized Trial Balance System | |||
FADPUG | Federal ADP Users Group | |||
FAFD | Federal Assistance Financing Division | |||
FAH | Federation of American Hospitals | |||
FAHS | Federation of American Health Systems | |||
FAIR | Fund for Assuring an Independent Retirement | |||
FAMA | Fellow of the American Medical Association | |||
FAOTA | Fellow of the American Occupational Therapy Association | |||
FAPA | Fellow of the American Psychiatric Association | |||
FAPHA | Fellow of the American Public Health Association | |||
FAQ | Frequently Asked Question | |||
FAR | Federal Acquisition Regulation | |||
FARA | Federal Acquisition Regulation Automated System | |||
FARC | Federal Archives Records Center | |||
FARS | Financial Assistance Reporting System | |||
FASA | Federal Acquisition Streamlining Act | A 1994 act | ||
FASA | Federated Ambulatory Surgery Association | |||
FASAB | Federal Accounting Standards Advisory Board | |||
FASB | Federal Accounting Standards Board | Also known as Federal Accounting Standards Bureau | ||
FASB | Financial Accounting Standards Board | |||
FASC | Freestanding Ambulatory Surgery Center | |||
FASD | Fetal Alcohol Spectrum Disorder | |||
FASEB | Federation of American Societies for Experimental Biology | |||
FAT | First Article Testing | |||
FBI | Federal Bureau of Investigation | |||
FBR | Federal Benefit Rate | |||
FC | Final Claim | |||
FC | Financial Counseling | |||
FC | Folder Control | |||
FCA | Farm Credit Administration | |||
FCA | Functional Configuration Audit | |||
FCAP | Fellow of the College of American Pathologists | |||
FCC | Federal Communications Commission | |||
FCCA | Federal Claims Collection Act | A 1966 act | ||
FCCA | Federal Computer Crime Act | A 1984 act | ||
FCCBC | Federal Coordinating Committee on Breast Cancer | |||
FCCP | Fellow of the American College of Chest Physicians | |||
FCCW | Fetal Concerns Center of Wisconsin | Operated by MCW, CHW, and Froedtert (FMLH) | ||
FCD | First Claims Development | |||
FCM | First Credit Month | |||
FCPS | Fellow of the College of Physicians and Surgeons | |||
FCR | Family Centered Rounds | |||
FCT | File Control Table | |||
FCW | Freedom of Choice Waiver | |||
FDA | Food and Drug Administration | |||
FDG | Fluorodeoxyglucose | |||
FDIC | Federal Deposit Insurance Corporation | |||
FDO | Formula Driven Overpayment | |||
FDOEH | First Date of Entitlement to Hospital Insurance | Medicare Part A (PTA) | ||
FDOES | First Date of Entitlement to Supplementary Medical Insurance | Medicare Part B (PTB or MEDB) | ||
FDS | Fellow in Dental Surgery | |||
FE | Front-end | |||
FEC | Federal Election Commission | |||
FEC | Freestanding Emergency Center | |||
FED-STD | Federal Standard | |||
FEDSIM | Federal Computer Performance Evaluation and Simulation Center | |||
FEDSIM | Federal Systems Integration Management | |||
FEDSTRIP | Federal Standard Requisitioning and Issue Procedures | |||
FEDWIRE | Federal Wire Transmission System | |||
FEHBP | Federal Employee Health Benefits Program | Sometimes known as Federal Employee Health Benefits Plan | ||
FEMA | Federal Emergency Management Agency | |||
FEPCA | Federal Employees Pay Comparability | A 1990 act | ||
FERAS | Front-End Risk Adjustment System | |||
FERC | Federal Energy Regulatory Commission | |||
FERCCA | Federal Erroneous Retirement Coverage Corrections Act | A 2000 act | ||
FF | Facility File | |||
FFB | Federal Financing Bank | |||
FFI | Full Fidelity Image | Utilized by Radiology departments which replace traditional film with digital storage of full fidelity imaging. Typically integrates with a hospitals HIS but requires large amounts of hard drive storage. | ||
FFID | Full Fidelity Image Download | See also FFI | ||
FFMIA | Federal Financial Management Improvement Act | A 1996 act | ||
FFP | Federal Financial Participation | |||
FFP | Federal Fixed Price | |||
FFP | Fresh Frozen Plasma | |||
FFRDC | FederallyFunded Research and Development Centers | |||
FFS | Fee for Service | |||
FFUND | Fixed Income Index Investment Fund | |||
FFWG | Federal Finance Functional Workgroup | |||
FFY | Federal Fiscal Year | |||
FGSTF | Federal Government Service Task Force | Congressional caucus | ||
FHA | Federal Highway Administration | |||
FHA | Federal Housing Administration | |||
FHIBA | Federal Health Insurance Benefits Accounts | |||
FHIMSS | Fellow Member HIMSS | Advanced member level recognition from HIMSS for dedication to the organization and to the healthcare industry. | ||
FHO | Foundation House Officer | |||
FHP | Family Health Plan | |||
FI | Fiscal Intermediary | |||
FICA | Federal Insurance Contributions Act | |||
FICARR | Fiscal Intermediary/Carrier | |||
FID | Fraud Investigation Database | |||
FIFO | First In/First Out | |||
FIG | Fiscal Intermediary Group | |||
FIGO | International Federation of Gynecology and Obstetrics | |||
FILS | Federal Information Locator System | |||
FIM | Facer Identification Mark | |||
FIM | Financial Item Master | |||
FIM | Functional Independence Measure | |||
FIPO | Freedom of Information and Privacy Office | |||
FIPR | Federal Information Processing Resources | |||
FIPS | Federal Information Processing Standards | |||
FIPSPUB | FIPS Publication | |||
FIQAS | Fiscal Intermediary Quality Assurance System | |||
FIRMPOC | Federal Information Resources Management Policy Council | |||
FIRMR | Federal Information Resources Management Regulations | |||
FIRS | Federal Information Relay Service | |||
FIRS | Federal Information Reporting System | |||
FIRS | Financial Information Reporting System | |||
FIS | Forms Information System | |||
FISCAM | Federal Information System Controls Audit Manual | |||
FISS | Fiscal Intermediary Standard System | Also known as Fiscal Intermediary Shared System | ||
FIT | Fecal Immunologic Test | |||
FITA | Federal Information Technical Architecture | |||
FLC | Federal Liason Committee | |||
FLK | Funny Looking Kid | A slang reference to dysmorphic features | ||
FLM | Future Logical Model | |||
FLRA | Federal Labor Relations Authority | |||
FLSA | Fair Labor Standards Act | A 1938 federal statute of the United States which introduced a maximum 44-hour seven-day workweek, established a national minimum wage, guaranteed "time-and-a-half" for overtime in certain jobs, and prohibited most employment of minors in "oppressive child labor" | ||
FM | Financial Management | |||
FM | Frequency Modulation | |||
FM-TAG | Financial Management Technical Advisory Group | |||
FMA | Federal Managers Association | |||
FMAP | Federal Medical Assistance Payments | |||
FMAP | Federal Medical Assistance Percentage | |||
FMC | Facility Management Contract | Also known as Facility Management Contractor | ||
FMC | Federal Maritime Commission | |||
FMC | Foundation for Medical Care | |||
FMCS | Federal Mediation and Conciliation Service | |||
FMEA | Failure Mode and Effects Analysis | |||
FMFIA | Federal Managers' Financial Integrity Act | A 1992 act | ||
FMIS | Field Management Information System | |||
FMLH | Froedtert Memorial Lutheran Hospital | The founding name of Froedtert Hospital in Wauwatosa, WI | ||
FMM | Financial Management Manual | |||
FMR | Focused Medical Review | |||
FMS | Federal Monitoring Survey | |||
FMS | Federal Monitoring System | |||
FMS | Financial Management Service | Treasury Department | ||
FMS | Financial Management System | |||
FMSNET | Financial Management System Network | |||
FMSS | Financial Management System Software | |||
FMV | Fair Market Value | |||
FNMA | Federal National Mortgage Association | |||
FNP | Family Nurse Practitioner | A job title or an acronym for a program name (FNP Program)
| ||
FNS | Food and Nutrition Service | DOA | ||
FO | Field Operations | |||
FO | Financial Operations | |||
FOB | Freight On Board | |||
FOC | Focused Survey | |||
FOC | Full Operating Capacity | |||
FOI | Freedom of Information | |||
FOIA | Freedom of Information Act | A 1966 act | ||
FOP | Financial Operating Plan | |||
FORTRAN | Formula Translation | |||
FOS | Front Office Scanning | |||
FOSC | Freestanding Outpatient Surgery Center | |||
FOSE | Federal Office Systems Exposition | |||
FOSE | Field Office Systems Enhancement | Claims modernization project | ||
FP | Family Practice or Practitioner | |||
FP | Fixed Price | |||
FPAF | Fixed Price Award Fee | |||
FPC | Fiscal Policy Committee | |||
FPDC | Federal Procurement Data Center | |||
FPDS | Federal Procurement Data System | |||
FPEFA | Fixed Price with Economic Price Adjustment | |||
FPI | Fixed Price Incentive | |||
FPIST | Fixed Price with Successive Targets | |||
FPL | Federal Poverty Level | |||
FPLE | Fixed Price Level of Effort | |||
FPMS | Federal Productivity Measurement System | |||
FPMS | Forms and Printing Management System | |||
FPOC | Fixed Price Options Clause | |||
FPR | Final Project Report | |||
FPR | Fixed Price Redeterminable | |||
FPRA | Forward Pricing Rate Adjustment | |||
FPS | Five Percent Sample | |||
FPSC | Federal Product and Services Codes | |||
FQA | Functional Quality Assurance | |||
FQHC | Federally Qualified Health Center | FQHCs are "safety net" providers such as community health centers, public housing centers, outpatient health programs funded by the Indian Health Service (IHS), and programs serving migrants and the homeless. The main purpose of the FQHC Medicare benefit, enacted on October 1, 1991, is to enhance the provision of primary care services (PCP) in underserved urban and rural communities. | ||
FQHMO | Federally Qualified Health Maintenance Organization | |||
FQI | Federal Quality Institute | |||
FR | Federal Register | |||
FR | Final Rule | |||
FR | Formal Review | Sometimes written F/R | ||
FRA | Federal Railway Administration | |||
FRCP | Fellow of the Royal College of Physicians | United Kingdom
| ||
FRCS | Federal Reserve Communication System | Treasury Department | ||
FRD | Functional Requirements Document | |||
FRO | Field Regional Office | |||
FRS | Federal Reserve System | |||
FS | Final Settlement | |||
FS | Financial Statement | |||
FS | Fixed Standard | |||
FSA | Family Services Administration | |||
FSA | Family Support Administration | |||
FSA | Federal Service Area | |||
FSA | Flexible Savings Account | |||
FSA | Flexible Spending Account | One of a number of tax-advantaged financial accounts that can be set up through a cafeteria plan of an employer in the United States. An FSA allows an employee to set aside a portion of earnings to pay for qualified expenses as established in the cafeteria plan, most commonly for medical expenses but often for dependent care or other expenses. Also written Flex Spending Account or Flex-Spending Account. | ||
FSC | Fee Schedule Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
FSCM | Federal Supply Code for Manufacturers | The former name of CAGE | ||
FSE | Federal Software Exchange | |||
FSIIS | Field Staff Information and Instruction Series | |||
FSIL | First State Issuing License | |||
FSP | Federal Specific Portion | |||
FSPML | First State Professional Medical License | |||
FSS | Florida Shared System | |||
Fstr | Foster | As in Foster Parent | ||
FSY | Fee Screen Year | |||
FT | FrontEnd Edit | |||
FT | Full Term | Gestation having lasted 40 weeks from the first day of the mother's last menstrual period | ||
FT | Full Time | |||
FTAPE | Foreign Tape System | |||
FTC | Federal Trade Commission | |||
FTCA | Federal Tort Compensation Act | A 1988 act | ||
FTE | Full Time Equivalent | Typically a calculation which includes part time and full time employees, expressed in units of total full time employees. Sometimes also written as Full Time Employee. | ||
FTI | Federal Tax Information | |||
FTP | File Transfer Protocol | |||
FTR | Failed Transaction Report | |||
FU | Followup | |||
FULS | Federal Upper Limits System | Upper limits of Medicaid drug pricing | ||
FUSA | Families USA | |||
FUTA | Federal Unemployment Tax Act | |||
FWA | Fraud, Waste, and Abuse | |||
FWS | Federal Wage System | |||
FWS | Fish and Wildlife Service | US | ||
Fx | Fracture | A broken bone
| ||
FY | Fiscal Year | |||
FY/CY | Fiscal Year/Calendar Year | |||
FYE | Fiscal Year End | Also written as Fiscal Year Ending | ||
FYTD | Fiscal Year To Date | |||
g | gram | |||
G&A | General and Administrative Costs | |||
G-CPR | Government ComputerBased Payment Related Project | |||
GAAP | Generally Accepted Accounting Principles | |||
GAAS | Generally Accepted Auditing Standards | |||
GAB | Grant Appeals Board | |||
GAF | Geographic Adjustment Factor | |||
GAF | Global Assessment of Functioning | Previous used in the DSM-IV but no longer used in the latest version (DSM 5). | ||
GAGAS | Generally Accepted Government Auditing Standards | |||
GAM | General Administration Manual | |||
GAMP | General Assistance Medical Program | |||
GAMSS | General American Medicare Standard System | |||
GAO | General Accounting Office | A US office | ||
GAO | Government Accountability Office | A US organization formerly called General Accounting Office | ||
GAO | Government Accounting Office | |||
GAS | Government Auditing Standards | |||
GASB | Government Auditing Standards Board | |||
GB | Global Budget | |||
GBL | Government Bill of Lading | |||
GCB | Geographic Code Book | |||
GCIA | Government Commercial Industrial Activity | |||
GCIP | General Defense Intelligence Program | |||
GCNS-BC | Gerontological Clinical Nurse Specialist - Board Certified | Nurse credentialing website | ||
GCPI | Geographic Cost of Practice Index | |||
gcs | Glascow Coma Scale | |||
GDC | General Dental Council | United Kingdom
| ||
GDC | Government Data Center | |||
GDG | Generation Data Group | |||
GDP | Gross Domestic Product | |||
GEB | General Enrollment Beneficiaries | |||
GED | General Graphics Editor | |||
GEM | General Equivalence Mapping | A tool created by CMS and the CDC for the
conversion of data from ICD-9-CM to ICD-10-CM and ICD-10-PCS and vice versa. Sometimes written General Equivalence Mappings (GEMs). | ||
GEP | General Enrollment Period | |||
GERD | Gastroesophageal Reflux Disease | |||
GFE | Government Furnished Equipment | |||
GFI | Government Furnished Information | |||
GFI | Government Furnished Items | |||
GFM | Government Furnished Materials | |||
GFP | Government Furnished Property | |||
GFR | Government Furnished Resources | |||
GFUND | Government Securities Investment Fund | Also abbreviated GSIF | ||
GHP | Group Health Plan | |||
GHPPS | Group Health Plan Payment System | |||
GHPS | Group Health Processing System | |||
GI | Gastrointestinal | Sometimes used to refer to Gastroenterology - the branch of medicine that studies the digestive system and its disorders | ||
GI | Geographic Index | |||
GI Lab | Gastrointestinal Lab | Performs procedures on the GI tract. For example, an endoscopy uses an endoscopescope) for diagnostic purpose to view organs or joints. | ||
GIC | General Inpatient Care | |||
GIP | Gastric Inhibitory Polypeptide | Traditionally called gastrointestinal inhibitory peptide or gastric inhibitory peptide. GIP was previously believed to neutralize stomach acid to protect the small intestine from acid damage, reduce the rate at which food is transferred through the stomach, and inhibit the GI motility and secretion of acid. However, these functions occur naturally in the body through a similar hormone, secretin, and GIP only causes these effects for individuals with higher-than-normal physiological levels.GIP's actual function is to induce insulin secretion, which is stimulated primarily by hyperosmolarity of glucose in the duodenum. After this discovery, some researchers prefer the new name of glucose-dependent insulinotropic peptide, while retaining the acronym GIP. | ||
GIS | Gentran Integration Suite | |||
GIS | Geographic Information Systems | |||
GL | General Ledger | |||
GMATS | Grants Management and Tracking System | |||
GMC | General Medical Council | United Kingdom
| ||
GME | Graduate Medicaid Education | Medicaid recognizes that teaching hospitals serve a special population and that the teaching process in this setting is more costly than in other hospitals. For this reason, Medicaid makes an adjustment | ||
GME | Graduate Medical Education | |||
GMENAC | Graduation Medical Education National Advisory Committee | |||
GMIS | Grants Management Information System | |||
GMLOS | Geometric Mean Length of Stay | The geometric mean reduces the effect of very high or low values (outliers), which might bias the mean if a straight average (arithmetic mean) is used. Geometric mean is typically used to represent an average rate of growth (which can compound over time) or for differences among data points which are logarithmic (vary by multiples of 10). For lengths of stay GMLOS is calculated by See also ALOS. | ||
GMRA | Government Management and Reform Act | A 1994 act | ||
GMS | General medical services medical services provided by GPs | United Kingdom
| ||
GNMA | Government National Mortgage Administration | |||
GNP | Gerontological Nurse Practitioner | A job title or an acronym for a program name (GNP Program)
| ||
GNP | Gross National Product | |||
GOALS | Government Online Accounting Link System | |||
GOCO | Government Owned, Contractor Operated activity | |||
GOMER | Get Out of My Emergency Room | A slang term used to describe an undesirable patient. Sometimes written GOOMER. | ||
GOSIP | Government Open Systems Interconnection Profile | |||
GOTS | GovernmentOffTheShelf | |||
GP | General Practitioner | A title, not a credential
| ||
GP | Generalized Claims Systems Procedures | |||
GPCI | Government Practice Cost Index | |||
GPCI | Government Purpose License Rights | |||
GPhC | General Pharmaceutical Council | United Kingdom
| ||
GPI | Group Practice Indicator | |||
GPNPI | Group Practice National Provider Indicator | |||
GPO | Government Printing Office | |||
GPO | Government Project Officer | |||
GPO | Group Purchasing Organization | |||
GPP | Group Practice Plan | |||
GPP | Group Premium Payor | |||
GPPP | Group Practice Prepayment Plan | |||
GPRA | Government Performance and Results Act | A 1993 act | ||
GPS | Generic Performance Standards | |||
GPWW | Group Practice Without Walls | |||
GQS | Generic Quality Screens | |||
GRC | General Research Corporation | |||
GRECC | Geriatric Research, Education, and Clinical Center | |||
GRH | GrammRudmanHollings Act | |||
GROUCH | GHP Report Output User Communications Help | |||
GRP | Group | |||
GRS | General Records Schedule | |||
GS | General Schedule | |||
GSA | General Services Administration | |||
GSA | Group Service Agreement | |||
GSAR | General Services Acquisition Regulation | |||
GSBCA | General Services Administration Board of Contract Appeals | |||
GSD | General Systems Design | |||
GSS | General Support System | |||
GSW | Gunshot Wound | |||
GT | Growth Target | |||
GTL | Government Task Leader | |||
GTM | Government Task Monitor | |||
gtn | Glycerile Trinitrate | Another term for nitroglycerine | ||
GTR | Government Transportation Request | |||
GTR | Guaranteed Test Region | |||
gtt | Drop | i.e. one gtt in each eye at bedtime
| ||
GUI | Graphical User Interface | |||
GVHD | Graft Versus Host Disease | A common complication following an allogeneic tissue transplant. It is commonly associated with stem cell or bone marrow transplant but the term also applies to other forms of tissue graft.
| ||
GWAC | Government Wide Acquisition Contract | |||
GYN | Gynecology or Gynecologist | |||
H | Hour | For example, vital signs hourly. Also written Hr. | ||
H&H | Hemoglobin and Hematocrit | A measure of blood vitals, as in "check H&H levels." Hemoglobin (Hb) is the protein contained in red blood cells that is responsible for delivery of oxygen to the tissues. The hematocrit measures the volume of red blood cells compared to the total blood volume (red blood cells and plasma). Low levels of both signifies anemia. | ||
H&P | History and Physical | Physician's admitting notes describing the patient's condition
| ||
H(ASCP) | Medical Technologist in Hematology | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
HA | HI Reinstating Operation | |||
HAA | Hispanic Agenda for Action | |||
HAASC | Hospital Affiliated Ambulatory Surgical Center | |||
HAB | HIV/AIDS Bureau | Administers The Ryan White HIV/AIDS Program, which is the largest Federal program focused exclusively on HIV/AIDS care. The program is for people living with or affected by HIV/AIDS who do not have sufficient health care coverage or financial resources for coping with the disease. | ||
HABN | Hospital Advance Beneficiary Notice | See also ABN | ||
HAC | Hospital Acquired Condition | |||
HAC | Hospital Advisory Council | |||
HAI | Healthcare Acquired Infection | |||
HAI | Hospital Acquired Infection | |||
HAP | Hospital Accreditation Program | |||
HAR | Hospital Account Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
HAR | Hospital Account Record | The account number in Epic associated with the charges for the study for one calendar month. Multiple HARs on an invoice mean the charges span more than one month. | ||
HART | HCFA Accounting Records Tracking System | |||
HAS | Health Savings Account | |||
HAS | Hospital Annual Survey | |||
HASEALP | HA Search Alpha Program | Beneficiary Alpha Match/Reinstate Operation | ||
HAVEN | Home Assessment Validation and Entry System | |||
Hb | Hemoglobin | The protein contained in red blood cells that is responsible for delivery of oxygen to the tissues. To ensure adequate tissue oxygenation, a sufficient hemoglobin level must be maintained. The amount of hemoglobin in whole blood is expressed in grams per deciliter (g/dl). The normal Hb level for males is 14 to 18 g/dl; that for females is 12 to 16 g/dl. When the hemoglobin level is low, the patient has anemia. An erythrocytosis is the consequence of too many red cells; this results in hemoglobin levels above normal. Hemoglobin is typically the first measurement in a patient's H&H levels. | ||
HB | Hospital Billing | Usually used to describe Epic's Hospital Billing system | ||
HBP | Hospital Based Physician | |||
HBP | HospitalBased Physician | |||
HBV | Hepatitis B Virus | |||
HC | Hardcopy Claims | |||
HC | Health Canada | |||
HC | HI Control Operations | |||
HCA | Health Care Administration | |||
HCA | Health Care Agency | |||
HCA | Health Care Analysis | An international journal of healthcare philosophy and policy | ||
HCA | Health Care Assistant | |||
HCA | Hospital Corporation of America | The largest private operator of health care facilities in the world. It is based in Nashville, Tennessee and currently manages 162 hospitals and 113 freestanding surgery centers in the United States and United Kingdom. | ||
HCA | Hydroxycitric Acid | |||
HCAHPS | Hospital Consumer Assessment of Health Plans Survey | See also CAHPS | ||
HCBS | Home and Community Based Services | |||
HCBWP | Home and Community Based Waiver Program | |||
HCC | Health Care Compare | |||
HCC | Hierarchical Coexisting Condition | |||
HCC | Hierarchical Condition Category | |||
HCCA | Health Care Commuting Area | |||
HCFA | Health Care Financing Administration | Now named CMS (Centers for Medicare and Medicaid Services), HCFA was established in 1977. | ||
HCFA 1500 | Universal Billing Form | Designed by the Health Care Financing Administration for physician services (Pro Fees)
| ||
HCG | Health Care Group | |||
HCH | Health Care for the Homeless | |||
HCIA | Health Care Innovation Awards | CMS funding which provides up to $1 billion to organizations that are implementing the most compelling new ideas to deliver better health, improved care, and lower costs to people enrolled in Medicare, Medicaid and Children's Health Insurance Program (CHIP), particularly those with the highest health care needs. | ||
HCIRC | Health Care Information Resource Center | |||
HCIS | HCFA Customer Information System | |||
HCIS | Health Care Information System | |||
HCL | Hospital Cooperative Laundry | |||
HCLEACON | HC Report SSI Leads Activity Operation | |||
HCM | Hardware Configuration Management | |||
HCN | Home Care Network | |||
HCO | Health Care Organization | |||
HCP | Healthcare Professional | |||
HCPC | Healthcare Common Procedure Code | Previously known as the HCFA Common Procedure Code. See also HCPCS | ||
HCPCS | Healthcare Common Procedural Coding System | A standardized national uniform coding system developed by the Health Care Financing Administration (HCFA). Often pronounced hick pick. | ||
HCPF | Health Care Policy and Financing | A Colorado department which administers the Medicaid and Child Health Plan Plus programs, as well as a variety of other health care programs for Coloradans who qualify | ||
HCPP | Health Care Prepayment Plan | |||
HCQII | Health Care Quality Improvement Initiative | |||
HCQIP | Health Care Quality Improvement Program | |||
HCR | Health Care Reform | |||
HCRIS | Healthcare Provider Cost Report Information System | Also known as Hospice Cost Report Information System or Hospital Cost Report Information System | ||
HCRS | HCRIS Process | |||
HCSS | Health Care Staffing Services | A Certification | ||
hct | Hematocrit | The percent by volume of blood that is made up of red blood cells. Hemacrit is typically the second measurement in a patient's H&H levels. | ||
HCTP | Health Consumer Training Program | |||
HCTZ | Hydrochlorothiazide | A dangerous abbreviation which should not be used because it can be misinterpreted | ||
HCUP | Healthcare Cost and Utilization Project | Run by AHRQ | ||
HCV | Hepatitis C Virus | |||
HD | Handicapped/Disabled | Use of 'handicapped' is less preferrable than 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 | |||
HDHP | High Deductible Health Plan | |||
HDI | Health Data Institute | |||
HDID | HI Daily Identification | See also BOIS | ||
HDL | High Density Lipoprotein | Sometimes written HDLP | ||
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 | |||
HDS | Hospice Deemed Status | |||
HDSEX | HD Sorted Exceptions Program | |||
HDSQRD | HD Monthly Sequential Read Program | |||
HDSS | Hospital Data Support System | |||
HE | HI Enrollment Operations | |||
HEAT | Hospital Exception and Transplant unit | The Blue Shield Stop Loss unit.
| ||
HECHICN | HE Health Insurance Enrollment Cards Operation | |||
HEDIS | Health Plan Employer Data and Information Set | Sometimes written Healthplan Employer Data Information Sets | ||
HEDIS | Healthcare Effectiveness Data and Information Set | The NCQA's set of standardized measures that specifies how organizations collect, audit and report performance information, including clinical data, customer satisfaction, and patient experience. | ||
HEENT | Head, Eyes, Ears, Nose and Throat | A portion of a physical examination | ||
HEMS | Helicopter Emergency Medical Service | |||
HEO | Hispanic Employee Organization | |||
HEP | Hispanic Employment Program | |||
HEPA | High Efficiency Particulate Attraction | |||
HETS | HIPAA Eligibility Transaction System | Allows the release of eligibility data to Medicare Providers, Suppliers, or their authorized billing agents. For high volume Providers who frequently check Medicare eligibility an X12N 270/271 Eligibility System (HETS 270/271) is also available. | ||
HEZ | Health Economic Zone | |||
HF | Heart Failure | |||
HF | HI Database Specifications Format | |||
HFAP | Healthcare Facilities Accreditation Program | |||
HFMA | Healthcare Financial Management Association | |||
HG | HI General Documentation | |||
HGP | Human Genome Project | |||
HH | Hold Harmless | |||
HH | Home Health | |||
HH+H | Home Health plus Hospice | |||
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 | Health and Human Services | United States Department of Health and Human Services is sometimes referred to as the Health Department. HHS is a Cabinet department of the US government with the goal of protecting the health of all Americans and providing essential human services. | ||
HHS | Home Health Services | |||
HHS | Hospital Housekeeping Systems | A third party Environmental Services (EVS)/cleaning company hired by hospitals | ||
HHS | Hyperosmolar Hyperglycemic State | A complication of diabetes mellitus (predominantly type 2) in which high blood sugars cause severe dehydration, increases in osmolarity (relative concentration of solute) and a high risk of complications, coma and death | ||
HHSAR | Health and Human Services Acquisition Regulation | |||
HHSSA | Home Health Services and Staffing Association | |||
HI | Health Insurance | Medicare | ||
HIAA | Health Insurance Association of America | Now merged with AAHP to form AHIP | ||
HIAM | Health Insurance Alpha Microfilm | |||
HIB | Health Insurance Benefits | Medicare | ||
HIB | Hospital Insurance Benefits | Medicare Part A (PTA) | ||
HIBRR | Health Insurance Benefits Rights and Responsibilities | |||
HIC | Health Information Center | |||
HIC | Health Insurance Claim | |||
HIC | Health Insurance Claim Number | Used by CMS | ||
HIC | Health Insurance Company | |||
HIC | Home Intensive Care | |||
HICAN | Health Insurance Claim Account Number | Used by Medicare | ||
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, and Assistance Program | |||
HIIM | Health Insurance Inquiries Manual | |||
HIM | Health Information Management | The practice of maintenance and care of health records by traditional (paper-based) and electronic means in hospitals, physician's office clinics, health departments, health insurance companies, and other facilities that provide health care or maintenance of health records | ||
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 | |||
HIMICS | Management Information Control System | See also OHPS | ||
HIMR | HI Master Record | |||
HIMS | Health Information Management System | |||
HIMSS | Healthcare Information and Management Systems Society | |||
HIN | Health Industry Number | |||
HIN | Health Information Network | Also known as Regional Health Information Organization (RHIO) | ||
HIN | Health Insurance Networks | |||
HIN | HI Number | See also HICN | ||
HINN | Hospital-Issued Notices of Noncoverage | Notice given by a hospital to let the patient know that Medicare may not cover their admission or inpatient stay while at the hospital. The notice is usually given to the patient in the form of a letter. When a hospital believes that Medicare will not pay for a patient's admission or continued stay at their hospital, they are required to notify the patient in writing. | ||
HIO | Health Insurance Organization | |||
HIP | Health Insurance Pamphlet | |||
HIP | Health Insurance Plan | |||
HIPAA | Health Insurance Portability and Accountability Act | A US act passed in 1996 which (1) protects health insurance coverage for workers and their families when they change or lose their jobs and (2) requires the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers | ||
HIPC | Health Insurance Purchasing Cooperative | |||
HIPDB | Healthcare Integrity and Protection Data Bank | |||
HIPO | Hierarchical Input Processing and Output | |||
HIPPS | Health Insurance Prospective Payment System | |||
HIQA | Health Insurance Query A | Medicare Part A (PTA) inquiry data | ||
HIQR | Health Insurance Online Query Response | |||
HIRAM | Health Insurance Reinstating Alphabetic Master | |||
HIRD | HI Reduction Data | 30 QC field on the Master Beneficiary Record (MBR) | ||
HIRO | Health Insurance Regional Office | |||
HIRTF | Health Insurance Reform Task Force | |||
HIS | Health Information System | A system for the collection/processing of data from various sources, and using the information for policy making and management of health services | ||
HIS | Health Interview Survey | |||
HIS | Indian Health Service | |||
HISAC | Health Insurance Screening and CrossReferencing | See also HMHISAC | ||
HISB | Health Informatics Standards Board | |||
HISB | Healthcare Informatics Standards Board | |||
HISDG | HCFA Information Systems Development Guide | |||
HISKEW | Health Insurance Skeleton Eligibility Writeoff | |||
HISM | Handbook of Information Security Management | |||
HISPP | Healthcare Informatics Standards Planning Panel | |||
HISS | Health Insurance Segmented Sort System | See also HDHISS | ||
HISTM | Health Insurance System Test Module | |||
HIT | Health Information Technology | |||
HITECH | Health Information Technology for Economic and Clinical Health | A 2009 act implemented as a part of the American Recovery and Reinvestment Act. Typically written HITECH Act, it allocated $25.9 billion of HHS funds to promote and expand the adoption of health information technology (HIT). | ||
HIUM | Health Insurance Utilization Master | Also known as Health Insurance Utilization Microfilm | ||
HIURPS | Health Insurance Utilization Records Processing System | |||
HIV | Human Immunodeficiency Virus | A lentivirus (a member of the retrovirus family) which causes acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the immune system allows life-threatening opportunistic infections and cancers to thrive | ||
HIX | Health Insurance Exchange | An aspect of Obamacare to be implemented in October 2013 | ||
HJ | HI Direct Billing Operations | SOBER | ||
HJCOIN | Health Insurance Central Office Inquiries | |||
HL7 | Health Level Seven | A non-profit organization which developed international healthcare informatics interoperability standards. HL7 is also used to describe the specific standards for the exchange, integration, sharing, and retrieval of electronic health information. | ||
HLM | HCFA Logical Model | |||
HLQ | High Level Qualifier | |||
HM | HI Maintenance Operations | |||
HMA | Higher Monitoring Authority | |||
HMB | Hospital Market Basket | |||
HME | Home Medical Equipment | |||
HMERMA | HM Edit and Reformat Maintenance Operation | |||
HMHISAC | HM Health Insurance Screening and CrossReferencing Operation | |||
HMNCI | HM NCI Program | |||
HMO | Health Maintenance Organization | The most restrictive of the three managed health care plans. Members must receive medical care by doctors within their provider networks. By staying in-network, members receive the highest amounts of insurance benefits that result in no deductibles and little to no co-payments. HMO plans require members to choose Primary Care Physicians (PCPs) from their provider networks. PCPs are in charge of their patients' medical decisions. They can refer them to other doctors and specialists who operate out-of-network, and members will receive insurance coverage. However, if they decide to go out of network without referrals from their PCPs, members will be solely responsible for all incurred medical costs. See also EPO, POS, and PPO. | ||
HMO/CMP | Health Maintenance Organization Competitive Medical Plan | See also HMO | ||
HMPSA | Health Manpower Shortage Area | |||
HMQ | HI/MBR Query | |||
HMS | Healthcare Management System | |||
HMS | Housekeeping Monitoring System | |||
HMSA | Health Manpower Shortage Areas | |||
HMUPHMO | HI Master Update HMO | |||
HMWHIM | Health Insurance Master Weekly Health Insurance Merge | |||
HNC | Certified Holistic Nurse | A certification by the American Holistic Nurses Association (AHNA) | ||
HNC | Hyperbaric Nurse Clinician | A certification by the Baromedical Nurses Association (BNA) | ||
HO | Hearing Officer | |||
HOD | Hospital Outpatient Department | |||
HOH | Hard of Hearing | |||
HOL | HCFA OnLine | |||
HOP | Hospital Orientation Program | |||
HOQ | Health Organization Questionnaire | |||
HOS | Health Outcomes Survey | |||
HOST | Healthcare Open Systems and Trials | |||
HOT | Hematology/Oncology/Transplant | |||
HOV | Hospital Outpatient Visit | |||
HP | HI Payment Records Operations | |||
HP(ASCP) | Hemapheresis Practitioner | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
HPA | Health Policy Agenda | |||
HPAC | HI Premium Amount Collectable | Master Beneficiary Record (MBR)/BCM | ||
HPB | Historical Payment Basis | |||
HPBSS | HCFA Part B Standard System | |||
HPEP | Host Performance Evaluation Program | |||
HPF | Hospital Professional Fee | |||
HPG | Homogeneous Patient Groups | |||
HPI | History of Present Illness | |||
HPM | Horizon Performance Manager | A clinical documentation system | ||
HPMP | Medicare's Hospital Payment Monitoring Program | Instituted by CMS to measure, monitor, and reduce payment errors for short and long term acute care hospitals that are reimbursed through an inpatient prospective payment system (paid under DRGs) | ||
HPMS | Health Plan Management System | |||
HPN | Home Parenteral Nutrition | IV, or parenteral, nutrition delivered through a system other than the digestive system. Home parenteral nutrition usually requires a central venous catheter, which must be inserted in a medical facility before therapy can continue at home. See also TPN and PPN. | ||
HPNA | Hospice and Palliative Nurses Association | |||
HPPC | Health Plan Purchasing Cooperative | |||
HPSA | Health Professional Shortage Area | Also known as Health Personnel Shortage Area | ||
HPSA | Health Provider Shortage Area | |||
HQ | HI Query Operations | |||
HQA | Hospital Quality Alliance | |||
HQC | Healthcare Quality Catalyst | A healthcare consulting company, based out of Intermountain Healthcare
| ||
HQID | Hospital Quality Incentive Demonstration | CMS/Premier | ||
HR | Human Resources | |||
HRA | Health Reimbursement Account | |||
HRA | Health Risk Assessment | |||
HRCI | Human Resources Certification Institute | |||
HRET | Health Research and Educational Trust | |||
HRET | Hospital Research and Educational Trust | A not-for-profit research and education affiliate of the AHA. HRET's mission is to transform health care through research and education and their applied research seeks to create new knowledge, tools, and assistance in improving the delivery of health care by providers and practitioners within the communities they serve. | ||
HRG | Health Research Group | |||
HRGA | High Rate Geographical Area | |||
HRR | Hospital Requested Review | This notice informs a Medicare beneficiary that they will be contacted by a QIO to request their view of the case and the care they need. It also informs the beneficiary that they does not need to take any action until after they hear back from the QIO. | ||
HRSA | Health Resources and Services Administration | An agency of HHS which is the primary federal agency for improving access to healthcare by strengthening the healthcare workforce, building healthy communities and achieving health equity. It's programs provide healthcare to people who are geographically isolated, economically, or medically vulnerable. | ||
HRV | Heart Rate Variability | A measure of the variation in time between each heartbeat which is controlled by the autonomic nervous system (ANS). This measure can indicate factors which influence health, such as stress, poor sleep, unhealthy diet, dysfunctional relationships, isolation or solitude, and lack of exercise. | ||
hs | Bedtime | i.e. sleeping pills @ h.s. (hour of sleep) | ||
HS | HI Updating Provider Files Operations | |||
HSA | Health Savings Account | |||
HSA | Health Service Area | |||
HSA | Health Services Administration | |||
HSA | Health Systems Agencies | |||
HSA | Historical SPAC Amount | |||
HSC | Health Services Command | An Army organization | ||
HSCL | Health Systems Corporate Liaisons | |||
HSE | Health Service Executive | |||
HSI | Health Systems International | |||
HSMR | Hospital Standardized Mortality Rate | |||
HSP | Hospital Specific Portion | |||
HSR | Hospital Specific Rate | |||
HSRA | Health Resources and Services Administration | |||
Ht | Height | |||
HT(ASCP) | Histotechnician | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
HTL(ASCP) | Histotechnologist | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
HTML | Hypertext Markup Language | |||
HTN | Hypertension | High blood pressure
| ||
HTR | HowToRead | |||
HTTPS | Hypertext Transfer Protocol Secure | |||
HUC | Health Unit Coordinator | |||
HUD | Department of Housing and Urban Development | |||
HURA | Health Underserved Rural Area | |||
HVA | Hazards Vulnerability Analysis | |||
HWI | Hospital Wage Index | |||
hx | History | |||
HYBC | Hypothetical Base Year Calculations | |||
I&D | Incision and Drainage | Opening an infected pocket of tissue and draining the fluid within | ||
I&O | Intake and Output | |||
I-CASE | Integrated Computer Aided Software Engineering | |||
IA | Information Access | |||
IA | Information Assurance | |||
IA | Inter/IntraAgency Agreement | |||
IABP | Intraortic Balloon Pump | Device that increases blood flow to the heart muscle and decreases the heart's workload
| ||
IAC | Industry Advisory Council | |||
IAC | InterAgency Committee | |||
IACS | Individuals Authorized Access to CMS Computer Services | |||
IADL | Instrumental Activities of Daily Living | |||
IAG | Interagency Advisory Group | |||
IAM | Identity Access Management | |||
IAM | Innovative Access Method | |||
IAMMS | Ibn Sina Academy of Medieval Medicine and Sciences | |||
IAPD | Implementation Advance Planning Document | |||
IAR | Inventory and Assessment Report | |||
IASP | International Association for the Study of Pain | |||
IBC | Independence Blue Cross | |||
IBD | Initial Billing Date | |||
IBIS | Industrial Base Information System | |||
IBN | Incorrect Bill Notice | |||
IBNR | Incurred but not Reported | |||
IBPO | Initial Bill Processing Option | |||
IBPR | Intermediary Benefits Payment Report | Sometimes written Intermediary Benefit Payment Report | ||
IBR | Intermediary Benefit Payment | |||
IC | Individual Consideration | |||
IC | Infection Prevention and Control | |||
IC | Initial Claims Operations | |||
IC | Integrated Circuit | |||
IC | Internal Controls | |||
ICA | Information Control Area | |||
ICA | Information, Counseling, and Assistance | |||
ICA | Insurance Counseling Assistance | |||
ICA | Internal Control Area | |||
ICAM | Integrated Computer Aided Manufacturing | |||
ICB | Information Collection Budget | |||
ICB | Inner Company Billing | |||
ICC | Interstate Commerce Commission | |||
ICCB | Infrastructure Change Control Board | |||
ICCP | Individual Community Care Plan | |||
ICCSHE | Interagency Committee on Computer Support of Handicapped Employees | |||
ICD | Implantable Cardioverter Defibrillator | |||
ICD | Interface Control Document | |||
ICD | International Classification of Diseases | Used to designate diagnoses/diseases and surgical, diagnostic, and therapeutic procedures.In January 2009, HHS announced a October 1, 2013 deadline for transition from ICD-9 to ICD-10. In February 2012, it was announced that the implementation deadline would be extended until October 1, 2014. In April 2014, Congress and President Obama further delayed the ICD-10 implementation deadline until October 1, 2015. | ||
ICD-10 | International Classification of Diseases, 10th Revision | See also ICD. | ||
ICD-10-CM | International Classification of Diseases, 10th Revision Clinical Modification | |||
ICD-10-PCS | International Classification of Diseases, 10th Revision Procedure Coding System | Replaced ICD-9 volume 3, Procedures which was released in January 1979. A system of medical classification used for procedural codes that track various health interventions taken by medical professionals. | ||
ICD-9 | International Classification of Diseases, 9th Edition | Used to designate diagnoses/diseases and surgical, diagnostic and therapeutic procedures. All claims are assigned ICD-9 codes. See also ICD. | ||
ICD-9-CM | International Classification of Diseases, 9th Revision Clinical Modification | |||
ICDA | International Classification of Diseases Adapted for the US | |||
ICEP | Initial Coverage Election Period | |||
ICF | Intermediate Care Facility | |||
ICF/MR | Intermediate Care Facility for Mental Retardation | |||
ICFS/MR | Intermediate care facilities for the mentally retarded | |||
ICMA | Individual Case Management Association | |||
ICMS | Information Center Management System | Cullinet | ||
ICN | Inhouse Claim Number | |||
ICN | Inquiry Control Number | |||
ICN | Intercontractor Notices | |||
ICN | Intermediary Control Number | |||
ICN | Internal Control Number | |||
ICN | Inventory Control Number | |||
ICP | Infection Control Practitioner | |||
ICP | Internal Control Program | |||
ICPR | Informal Dispute Resolution | |||
ICQ | Internal Control Questionnaire | |||
ICR | Image Copy Recognition | |||
ICR | Incomplete Claims Reject | |||
ICR | Information Collection Requirement | |||
ICR | Intelligent Character Recognition | |||
ICR | Internal Control Review | |||
ICR | Investigative Claims Report | |||
ICRA | Infection Control Risk Assessment | |||
ICST | Institute for Computer Sciences and Technology | |||
ICSTP | Intermediary/Carrier System Testing Project | |||
ICU | Intensive Care Unit | Unit for patients who are critically ill and require intensive monitoring | ||
ID | Identification | Usually a number | ||
ID | Identifying Data | |||
ID | Implementation Date | |||
ID | Infectious Disease | |||
ID | Intellectual Disability | |||
IDB | Information Data Base | |||
IDD | Integrated Data Dictionary | |||
IDD | Intellectual/Developmental Disability | |||
IDE | Investigational Device Exemptions | |||
IDEF | Integrated Data Engineering Facility | |||
IDIQ | Indefinite Duration, Indefinite Quantity | |||
IDMS | Information Data Management System | |||
IDMS | Integrated Database Management System | |||
IDMS/R | Integrated Database Management System/Relational | |||
IDN | Integrated Delivery Network | |||
IDPH | Illinois Department of Public Health | |||
IDRC | Improved Data Recording Capability | |||
IDS | Integrated Delivery System | |||
IDS | Intrusion Detection Software | Also known as Intrusion Detection System | ||
IDSA | Infectious Disease Society of America | |||
IDSS | Interactive Data Submission System | NCQA's system for collecting HEDIS non-survey data. Submission to this system requires a specifically formatted IDSS file. | ||
IDTF | Independent Diagnostic Testing Facility | |||
IE | Industrial Engineering | |||
IEC | Independent Ethics Committee | Also called Institutional Review Board (IRB) | ||
IEC | International Electrotechnical Task Force | |||
IEF | Information Engineering Facility | |||
IEP | Initial Enrollment Period | |||
IEQ | Initial Enrollment Questionnaire | |||
IER | Interim Expenditure Report | |||
IER | Intermediary Expenditure Report | |||
IETF | Internet Engineering Task Force | |||
IEVS | Income and Eligibility Verification System | |||
IFB | Invitation for Bids | |||
IFC | Interim Final Rule with Comment | |||
IFMSA | International Federation of Medical Students' Associations | |||
IFQ | Invitation for Quote | |||
IG | Implementation Guide | |||
IG | Inspector General | |||
IGA | Interim Geographic Adjustment | |||
IGAA | Inspector General Act Amendments | A 1988 act | ||
IGCE | Independent Government Cost Estimate | |||
IgG | Immunoglobulin G | A type of protein called immunoglobulins or antibodies. When a person has IgG deficiencies, they are more likely to get infections. | ||
IGLAS | Integrated General Ledger Accounting System | |||
IHE | Integrating the Healthcare Enterprise | An initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. IHE promotes the coordinated use of established standards such as DICOM and HL7 to address specific clinical needs in support of optimal patient care. (external website) | ||
IHF | International Hospital Federation | |||
IHI | Institute for Healthcare Improvement | |||
IHPP | Intergovernmental Health Policy Project | |||
IHQSE | Institute for Healthcare Quality, Safety and Efficiency | |||
IHS | Indian Health Service | |||
IIA | Information Industry Association | |||
IIA | Institute of Internal Auditors | |||
IIB | Impact and Implementation Bargaining | |||
IIC | Inflation Index Charge | |||
IIHI | Individually Identifiable Health Information | |||
IJST | Internal Job Stream Action | |||
IL | Intermediary Letter | |||
ILDJ | Interactive Language Dependent Job | |||
ILSM | Interim Life Safety Measures | |||
IM | Information Management | |||
IM | Information Memorandum | |||
IM | Insurance Management | |||
IM | Intermediary Manual | |||
IM | Internal Medicine | |||
IM | Into the muscle | Intramuscular. i.e. injection IM.
| ||
IMA | Individual Medical Account | |||
IMC | International Medical Center | |||
IMCAS | Intervening Medical Care Analysis System | |||
IMD | Institution for Mental Disease | |||
IME | Indirect Medical Education | |||
IMF | Individual Master File | ICR | ||
IMF | Irish Medicines Formulary | |||
IMG | International Medical Graduate | |||
IMI | Infant Mortality Initiative | |||
IMI | Interim Manual Instructions | |||
IMM | Important Message from Medicare | A CMS document that providers are required to provide to all Medicare inpatients about their discharge rights | ||
IMN | Internal Machine Number | |||
IMO | Irish Medical Organisation | |||
IMP | Implementation Phase | |||
IMPACC | Immediate Payment Critical Case Process | |||
IMPACT | Integrated Management of Personnel Administration thru Computer Technology | Also known as Improved Management of Personnel Administration thru Computer Technology | ||
IMQ | Institute for Medical Quality | A California organization | ||
IMRP | Instruction Manual for Renal Providers | |||
IMS | Information Management Services | |||
INFOMAN | Information Management | |||
INFOSEC | Information Security | Also known as Information System Security | ||
INHS | Inland Northwest Health Services | |||
INIT | Initial survey | |||
Inpt | Inpatient | |||
INR | International Normalized Ratio | For reporting the results of blood coagulation (clotting) tests. Monitors the effectiveness of blood thinning drugs. PT levels are adjusted to the INR for patients on anticoagulation drugs. | ||
INRA | Immigration Nursing Relief Act | A 1989 act | ||
INS | Immigration and Naturalization Service | |||
INS | Infusion Nurses Society | |||
INS SAVE | Immigration and Naturalization Service's Systematic Alien Verification for Entitlements | |||
IO | Intake and Output | Sometimes written I/O. Measuring oral consumption and urine and other drainage output. | ||
IOC | Inspection of Care | |||
IOF | Input Output Facility | |||
IOF | Interactive Output Facility | |||
IOL | Intraocular Lens | |||
IOM | Institute of Medicine | A division of the National Academy of the Sciences | ||
IOR | Individual Operating Report | |||
IORM | Intermetrics Oversight and Risk Management | |||
IOU | Identify Ownership Utility | CWF | ||
IP | Inpatient | Also written I/P. A patient who is admitted to a hospital. Patient can also stay in a hospital for up to 24 hours in an observation (OBS) status prior to being admitted as an inpatient. | ||
IP/SNF | Inpatient SNF | |||
IPA | Independent Practice Association | |||
IPA | Individual Practice Association | |||
IPAC | Immunization Practice Advisory Committee | |||
IPAP | Inspiratory Positive Airway Pressure | |||
IPAP | Interagency Placement Assistance Program | |||
IPC | Information Processing Center | |||
IPL | Independent Physiological Lab | |||
IPL | Initial Program Load | |||
IPM | Information and Performance Management | |||
IPMG | Investment Planning and Management Group | |||
IPO | Independent Practice Organization | |||
IPO | Initial Program Offering | |||
IPO | Initial Public Offering | |||
IPOA | InterPlan Operating Agreement | |||
IPP | Individual Practice Plan | |||
IPP | Individual Program Plan | |||
IPP | Integrated Planning Process | |||
IPP | Integrated Project Planning | |||
IPPB | Intermittent Positive Pressure Breathing | |||
IPPS | Inpatient Prospective Payment System | See also PPS | ||
IPR | Independent Professional Review | |||
IPRO | Island Peer Review Organization | In New York State, claims billed to Medicaid as cost outliers (often designated as an outlier when charges are in excess of three times the DRG rate) undergo a rigorous and lengthy review by IPRO | ||
IPRP | Interim Payment Review Program | |||
IPS | Institutional Provider of Service | |||
IPS | Interim Payment System | |||
IQ | Intelligence Quotient | A measure of intelligence from one of several intelligence tests | ||
IQ | InterQual | McKesson's level of care software which promises "evidence-based clinical decision support" (source) | ||
IQC | Integrated Quality Control | |||
IQC | Internal Quality Control | |||
IQCI | InterQual Certified Instructor | See also IQ | ||
IQI | Inpatient Quality Indicators | An AHRQ set of measures that provide a perspective on hospital quality of care using hospital administrative data (external website) | ||
IQUE | Inplant Quality Evaluation | |||
IR | Incident Report | |||
IR | Information Requirement | |||
IR | Interventional Radiology | |||
IR&D | Independent Research and Development | |||
IRA | Initial Review Analysis | |||
IRAC | Information Resources Administration Councils | |||
IRB | Institutional Review Board | Also called Independent Ethics Committee (IEC) | ||
IRB | Intern and Resident to Bed | A ratio of how many intern and residents there are to patient beds | ||
IRC | Informal Resolution Conference | |||
IRC | Information Resource Center | |||
IRC | Inpatient Respite Care | |||
IRC | Internal Revenue Code | |||
IRCA | Immigration Reform and Control Act | A 1986 act | ||
IRD | Intercomponent Review Draft | |||
IRD | Internal Research and Development | |||
IRDS | Information Resource Depository System | |||
IRDS | Information Resource Dictionary System | |||
IRE | Independent Review Entity | |||
IRF | Inpatient Rehabilitation Facility | |||
IRIS | Interim and Resident Information System | |||
IRIS | Interns and Residents Information System | |||
IRM | Information Resources Management | |||
IRMP | Information Resource Management Program | Also known as Information Resource Management Plan | ||
IRMS | Information Resource Management Service | |||
IRP | Incentive Reward Program | |||
IRP | Insurance Reimbursement Program | |||
IRP | Interim Review Package | |||
IRR | Implementation Readiness Review | |||
IRS | Identical, Related, and Similar | As in drugs/prescriptions which are IRS | ||
IRS | Internal Revenue Service | |||
IRSAP | Internal Revenue Service Acquisition Procedure | |||
IRU | Initial Review Unit | |||
IS | Information Sharing | QC | ||
IS | Information Systems | Also called IT | ||
IS | Intensity of Service | Required criteria, along with SI in a Medical Necessity Screening Tool (i.e. Interqual or Milliman). The IS criteria includes such things as assessments and monitoring, medications, blood products and IV fluids, and psych crisis intervention. See also SI. | ||
IS/T | Information Systems/Technology | |||
ISA | In Service Area | |||
ISA | Internet Security Assessment | |||
ISBN | International Standard Book Number | |||
ISC | Information Strategy Council | The senior management team | ||
ISC | Intersystem Communication | |||
ISCLT | International Society for Clinical Laboratory Technology | |||
ISDN | Integrated Services Digital Network | A set of communication standards for simultaneous digital transmission of voice, video, data, and other network services over the traditional circuits of the public switched telephone network | ||
ISES | Information System Empowerment Strategy | |||
ISFUG | Integrated Software Federal Users Group | |||
ISM | Information Systems Management | |||
ISMP | Institute for Safe Medication Practices | |||
ISO | Interconnection System Operation | OSI Model | ||
ISO | International Organization for Standardization | |||
ISO | International Standards Organization | |||
ISP | Integrated Survey Process | |||
ISR | Intelligence, Surveillance, and Reconnaissance | |||
ISS | Inpatient Services Specialist | Sometimes known as a Unit Secretary | ||
ISSO | Information Systems Security Officer | |||
ISSP | Information Systems Security Plan | |||
ISTP | Intermediary System Testing Program | |||
ISW | Information Systems Workgroup | Also known as ISWG | ||
IT | Information Technology | Also called Information Systems (IS) | ||
IT | Integration Team | |||
IT-IRB | Information Technology Investment Review Board | |||
ITA | Information Technology Architecture | |||
ITA | International Trade Association | |||
ITAG | Information Technology Architecture Group | |||
ITAR | International Trafficking Acquisition Regulations | |||
ITC | Information Technology Council | |||
ITC | International Trade Commission | |||
ITMRA | Information Technology Management Reform Act | A 1996 act | ||
ITPIL | Initial Three Percent Investigation List | |||
ITS | Information Technology Systems | |||
ITS | Inspection Tracking System | |||
ITV | InterAgency Transfer Voucher | |||
IU | Interim Update | A software update for the Epic EMR | ||
IU | International Units | A dangerous acronym because it can misinterpreted as IV. Used in measuring certain medication, like insulin. | ||
IUC | Incurred But Unreported Claims Reserve | |||
IV | Intravenous | The infusion of drugs or liquid substances intravenously (directly into a vein).
| ||
IV&V | Independent Validation and Verification | |||
IVAbx | IV Antibiotics | Sometimes written IV ABX. See also IV or ABX. | ||
IVF | In Vitro Fertilization | A process by which an egg is fertilised by sperm outside the body (in vitro) | ||
ivp | IV Push | See also IV | ||
ivpb | IV Piggyback | See also IV | ||
IVR | Interactive Voice Response | A technology that allows a computer to interact with humans through the use of voice and Dual-tone multi-frequency signaling (DTMF) tones input via keypad. In telecommunications, IVR allows customers to interact with a company's host system via a telephone keypad or by speech recognition. The Bed Board system TeleTracking can utilize IVR technology for EVS staff and transporters to indicate the start and end of a process by contacting the system via phone. | ||
IWD | Individuals With Disabilities | |||
JAD | Joint Applications Design | Also known as Joint Applications Development | ||
JAMA | Journal of the American Medical Association | |||
JAS | Job Accounting System | |||
JAS | Joint Agreement Statement | |||
JC | Joint Commission | Previously JCAHO | ||
JCA | Jewish Council for Aging | |||
JCAHCO | Joint Commission on Accreditation of Health Care Organizations | |||
JCAHO | Joint Commission on Accreditation of Healthcare Organizations | The former name of the Joint Commission (JC) | ||
JCI | Joint Commission International | |||
JCL | Job Control Language | |||
JCP | Joint Committee on Printing | |||
JCR | Joint Commission Resources | |||
JCS | Joint Chiefs of Staff | |||
JD | Doctor of Jurisprudence | A doctor of law (lawyer)
| ||
JES | Job Entry Subsystem | |||
JES2 | Job Entry System MVS/XA | |||
JEX | Joint Commission Connect Extranet | |||
JFMIP | Joint Financial Management Improvement Program | |||
JHS | Jefferson Health System | |||
JOA | Joint Operating Agreement | |||
JOFOC | Justification for Other than Full and Open Competition | |||
JRC | Job Rehabilitation Contact | |||
JRC | Joint Review Committee | |||
JT | Joint | Shoulder, knee, or hip joint | ||
JTR | Joint Travel Regulation | |||
JUA | Joint Underwriting Association | |||
JURIS | Justice Retrieval and Inquiry System | |||
JURIS | RRB Jurisdiction Change Operation | |||
JV | Journal Voucher | |||
K Award | Career Development Award | Funding grants from the National Institutes of Health (NIH) which provide support for senior postdoctoral fellows or faculty-level candidates. Common 'K' awards include K01 (mentored career development award), K08 (mentored clinical scientist research career development award), and K99/R00 (pathway to independence award). | ||
KAL | Key asset List | |||
KBIT | KnowledgeBased Intelligence Tracking | |||
KBMS | Knowledge Base Management System | |||
KBSA | KnowledgeBased Software Assistant | |||
KD | Knocked Down | |||
KE | Knowledge Engineering | |||
KFF | Kaiser Family Foundation | |||
KFL | Key Facilities List | |||
kg | Kilogram | |||
KIDS | KnowledgeBased Integrated Design System | |||
KIP | Key Intelligence Position | |||
KIQ | Key Intelligence Question | |||
KMC | Key Management Center | |||
KMID | Key Material Identification Number | |||
KPI | Key Performance Indicator | |||
KRA | Key Result Areas | |||
kvo | Keep Vein Open | |||
L-H | Labor Hour | |||
LA | Laboratory Aide or Assistant | |||
LAB | Laboratory | A Joint Commission (JC) accreditation program | ||
LAC | Library Advisory Committee | |||
LAE | Limitation on Administrative Expenses | |||
LAF | Ledger Account File | |||
LAG | Local Application Group | |||
LAG | Logical Application Group | |||
LAN | Local Area Network | |||
LAP | Last Action Processed | |||
LARPA | Locality Adjusted Reduced Prevailing Amount | |||
LARPA | Locality Area Reduced Prevailing Allowance | |||
LASIK | Laser-Assisted in situ Keratomileusis | A type of refractive surgery for the correction of myopia, hypermetropia, and astigmatism. The LASIK surgery is performed by an ophthalmologist who uses a laser or microkeratome to reshape the eye's cornea in order to improve visual acuity. For most patients, LASIK provides a permanent alternative to eyeglasses or contact lenses. Major side effects include halos, starbursts, night-driving problems, and eye dryness. See also PRK. | ||
LBP | Low Back Pain | Common medical complaint
| ||
LBRS | LockBox Bank Remittance System | |||
LCC | Lesser Cost or Charges | |||
LCC | Life Cycle Cost | |||
LCD | Local Coverage Determination | Sometimes called Local Coverage Decision | ||
LCDM | Life Cycle Development Methodology | |||
LCER | Limiting Charge Exception Report | |||
LCL | Lower Confidence Limit | Also know as Lower Control Limit in SPC | ||
LCL | Lowest Charge Levels | |||
LCP | Letter Charge Proposal | |||
LCSW | Licensed Clinical Social Worker | |||
LCSW-C | Licensed Certified Social Worker - Clinical | Used in some states. Denotes that the social worker is qualified to engage in private practice, unsupervised by a psychologist or psychiatrist, and bill claims to insurance companies. | ||
LD | Labor & Delivery | |||
LD | Leadership | |||
LD | Learning Disability | |||
LDA | Line Drain Airway | Sometimes written:Line, Drain, AirwayLine, Drain, or AirwayLines Drains or AirwaysLines, Drains, or Airways | ||
LDAP | Lightweight Directory Access Protocol | |||
LDBM | Local Database Manager | |||
LDD | Logical Database Design | |||
LDDI | LDD Implemented | |||
LDM | Logical Data Model | |||
LDO | Legally Defined Overpayment | |||
LDR | Labor Distribution Report | |||
LEACON | Report SSI Leads Activity Operation | See also HCLEACON | ||
LEIE | List of Excluded Individuals and Entities | |||
LEP | Late Enrollment Penalty | |||
LET | Liaison Education Team | |||
LFHIMSS | Life Fellow Member HIMSS | Advanced member level recognition from HIMSS for dedication to the organization for 30 years. | ||
LFT | Liver Function | |||
LGHP | Large GHP | |||
LH | Lankenau Hospital | |||
LHIMSS | Life Member HIMSS | Advanced member level recognition from HIMSS for dedication to the organization for 30 years. | ||
LHJ | Local Health Jurisdiction | |||
LIA | Litigation Information Action | |||
LICSW | Licensed Independent Clinical Social Worker | |||
LIHEA | Low Income Home Energy Assistance | |||
LIL | Limitation of Liability | |||
LIM | Immunization Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
LIMR | Lankenau Institute for Medical Research | |||
LIS | Low-Income Subsidy | |||
LISP | List Processor | |||
LLA | Left Lower Arm | |||
LLQ | Left Lower Quadrant | Left lower section of the abdomen, sometimes diverticular pain | ||
LM | Line Manager | |||
LMFT | Licensed Marriage and Family Therapist | |||
LMHC | Licensed Mental Health Counselor | |||
LMP | Last Menstrual Period | The first day of the last menstrual period is used to calculate a mother's due date | ||
LMRP | Local Medical Review Policy | |||
LMSSA | Licentiate in Medicine and Surgery of the Society of Apothecaries | |||
LMSW | Licensed Master Social Worker | |||
LMT | Licensed Massage Therapist | |||
LNCC | Legal Nurse Consultant Certified | A certification by the American Legal Nurse Consultant Certification Board (ALNCCB) | ||
LOB | Line of Business | |||
LOC | Letter of Credit | |||
LOC | Level of Care | |||
LOC | Lines of Code | |||
LOE | Level of Effect | |||
LOE | Level of Effort | |||
LOI | Letter of Intent | |||
LOINC | Logical Observation Identifiers, Names, and Codes | Trademarked | ||
LOS | Length of Stay | |||
LOS | Level of Service | |||
LP | Legislative Projects | |||
LP | Lumbar Puncture | Insertion of a hollow needle into the space surrounding the spinal column (subarachnoid space) in the lower back to either withdraw CSF or inject medicine. | ||
LPA | Licensed Psychological Associate | |||
LPC | Licensed Professional Counselor | |||
LPC | Locality Prevailing Charge | Also known as Locally Prevailing Charge | ||
LPC-BE | Licensed Professional Counselor, Board Eligible | Someone in the process of getting an LPC. They can bill for services but not as much as an LPC. | ||
LPF | Preference List | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
LPN | Licensed Practical Nurse | Also known as an LVN. A graduate from a (usually) one-year diploma/certificate program at a vocational/technical school. | ||
LPN, CLTC | Licensed Practical Nurse - Certified in Long-Term Care | A certification by the National Association for Practical Nurse Education & Service, Inc. (NAPNES) | ||
LPN, NCP | Licensed Practical Nurse - Certified in Pharmacology | A certification by the National Association for Practical Nurse Education & Service, Inc. (NAPNES) | ||
LPP | Programming Point Master file | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
LQC | Local Quality Control | |||
LRD | Lifetime Reserve Days | |||
LRF | Logical Record Facility | |||
LRI | Laboratory Roll In | |||
LRO | Lead Regional Office | |||
LRP | Reports Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
LRS | Labor Relations Staff | |||
LS | Life Safety | |||
LSA | Licensed Surgical Assistant | |||
LSA | Local Systems Administrator | |||
LSC | Life Safety Code | |||
LSI | Large Scale Integration | |||
LSR | Limited Service Rural | A hospital classification by CMS | ||
LSR | Local Shared Resource | |||
LSS | Litigation Support System | |||
LSU | Last Summary Update | |||
LT | Location Type | |||
LT2 | Long Term Care Medicare Certification-based accreditation option | |||
LTAC | Long Term Acute Care | A hospital specializing in treating patients requiring extended hospitalization | ||
LTACH | Long Term Acute Care Hospital | |||
LTBI | Latent Tuberculosis Infection | |||
LTC | Long-Term Care | As in a long-term care facility. Sometimes written 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 | |||
LTD | Long Term Care Deemed Status | |||
LTD | Long-Term Disability | |||
LTE | Less Than Effective | Regarding drugs | ||
LTP | Lifetime Psychiatric Days | |||
LU | Logical Unit | Data connection | ||
LUA | Left Upper Arm | |||
LUMI | Last Update Month Indicator | |||
LUPA | Low Utilization Payment Adjustment | |||
LUQ | Left Upper Quadrant | Left upper section of the abdomen, sometimes spleen pain
| ||
LVAD | Left Ventricular Assist Device | |||
LVAD | Left Ventricular Assistive Device | Battery-operated, mechanical pump-type device that's surgically implanted to help maintain the pumping ability of a heart that can't effectively work on its own | ||
LVE | Low Volume Exemption | |||
LVN | Licensed Vocational Nurse | Also known as an LPN. A graduate from a (usually) one-year diploma/certificate program at a vocational/technical school. | ||
LVN, CLTC | Licensed Vocational Nurse - Certified in Long-Term Care | A certification by the National Association for Practical Nurse Education & Service, Inc. (NAPNES) | ||
LVN, NCP | Licensed Vocational Nurse - Certified in Pharmacology | A certification by the National Association for Practical Nurse Education & Service, Inc. (NAPNES) | ||
LVRS | Lung Volume Reduction Surgery | |||
LW | Living With | |||
LWBS | Left Without Being Seen | A patient who leaves prior to receiving care. In the ED, this can occur before or after triage and differs from leaving AMA in that AMA typically implies communication with the care team a desire to leave prior to the end of treatment. | ||
lytes | Electrolytes | Laboratory measure of certain elements of the blood like sodium, potassium, chloride | ||
M&M | Medicare and Medicaid | |||
M(ASCP) | Medical Technologist in Microbiology | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
M+C | Medicare + Choice | |||
M+C NSF | Medicare + Choice National Standard Format | |||
M+CO | Medicare + Choice Organization | |||
M-CHAT | Modified Checklist for Autism in Toddlers, Revised | Standardized Autism Spectrum Disorder assessment measure for ages 0-3. | ||
MA | Major Action | |||
MA | Master of Arts | |||
MA | Medicaid Agency | |||
MA | Medical Assistance | |||
MA | Medical Assistant | A non-licensed allied health occupation which performs administrative and/or clinical tasks to support the work of physicians and other health professionals. They perform routine tasks and procedures such as measuring patients' vital signs, administering medications and injections, recording information in an HIS, preparing and handling medical instruments and supplies, and collecting and preparing specimens of bodily fluids and tissues for laboratory testing. | ||
MA | Medicare Advantage | Formerly Medicare+Choice | ||
MA BSF | Medicare Advantage Benefit Stabilization Fund | |||
MA-PD | Medicare Advantage Prescription Drug Plans | |||
MAA | Medical Assistance Agency | |||
MAA | Memorandum of Advance Agreement | |||
MAABD | Medical Assistance to Aged, Blind, and Disabled | |||
MAAC | Maximum Allowable Actual Charge | |||
MAAR | Mandatory Annual Audit Requirement | |||
MAC | Major Ambulatory Category | |||
MAC | Maximum Allowable Cost | Also known as Maximum Allowable Charge | ||
MAC | Medicare Administrative Contractor | |||
MAC | Medicare Appeals Council | |||
MACE | Medicare Alternate Claim Entry System | |||
MADC | Major Ambulatory Diagnostic Categories | |||
MADCAP | Manual Adjustments Credits and Awards Program | |||
MADRS | Medicare Automated Data Retrieval System | |||
MADS | Mass Adjusted System | |||
MADS | Medicare Actuarial Data System | |||
MAF | Medical Assistance Facility | |||
MAFDUDE | MBR Master File Duplication Detection Operation | |||
MAFDUP | Abbreviated MBR File in MAFDUDE Operation | |||
MAH | Most Accessible Hospital | |||
MAISARC | Major Automated Information Systems Acquisition Review Committee | |||
MAK | Medication Administration Checking | |||
MAME | Mothers Against Medical Error | MAME website | ||
MAN | Medicare Automated Network | |||
MANRLINE | Menu-driven Access to 100% Near-Line Claims Files System | NCH | ||
MANRLITE | Access to MANERLINE | |||
MAO | Medical Assistance Only | |||
MAO | Medicare Advantage Organization | |||
MAP | Manufacturing Automated Protocol | |||
MAP | Maturity Actions Program | |||
MAP | Medical Assistance Payments | |||
MAP | Medical Assistance Program | |||
MAP | Medical Audit Program | |||
MAPC | Maximum Allowable Prevailing Charge | |||
MAPD | Medicare Advantage Prescription Drug | |||
MAPSA | Medicare A Provider Services Assistants | |||
MAR | Medication Administration Record | The report that serves as a legal record of the drugs administered to a patient at a facility by a health care professional. The MAR is a part of a patient's permanent record on their medical chart. An electronic Medication Administration Record is abbreviated eMAR. | ||
MARI | Medicare Administrative Reform Initiatives | |||
MARK | Mechanized Assignment and Record Keeping | |||
MARS | Management Administration Reporting Subsystem | |||
MARS | Management and Administrative Reporting System | |||
MARS | Medicare Accounts Receivable System | |||
MARX | Medicare Advantage and Prescription Drug System | |||
MAS | Medicare Appeals System | |||
MAS | Multiple Award System | GSA | ||
MASH | Mobile Army Surgical Hospital | |||
MAT | Master Account Title | |||
MAU | Memorandum of Advance Understanding | |||
MAU | Multistation Access Unit | |||
MAX | Medicaid Analytic Extract | |||
MB | Bachelor of Medicine | Implies a designation of doctor in some areas. Also abbreviated BM or BMed. | ||
MB | Market Basket | |||
MBA | Master of Business Administration | Also written as M.B.A. | ||
MBA | Monthly Benefit Amount | See also Social Security Administration (SSA) | ||
MBAS | Medicare Benefit Accounting System | |||
MBBS | Bachelor of Medicine, Bachelor of Surgery | Also abbreviated BM BCh | ||
MBChB | Bachelor of Medicine, Bachelor of Surgery | Usually a 5-year degree which implies a designation of doctor in some areas. Also abbreviated MB ChB, BM ChB, CB, or ChB. | ||
MBCIS | Medicare Compliance Issues System | |||
MBCS | Medicare Budget and Cost System | |||
MBCSP | Medicare Beneficiary Customer Service Program | |||
MBD | Medicaid Beneficiary Database | |||
MBD | Medicare Beneficiary Database | |||
MBDA | Minority Business Development Agency | |||
MBE | Medicaid Budget and Expenditures | |||
MBES | Medicaid Budget and Expenditures System | |||
MBHCW | Home and Community Based Services Waivers System | A Medicare or Medicaid system | ||
MBI | Minimum Background Investigation | |||
MBN | Medicare Benefit Notice | |||
MBO | Management by Objectives | |||
MBPRP | Monthly Bill and Payment Records Processing System | |||
MBR | Master Beneficiary Record | See also Social Security Administration (SSA) | ||
MBSCAN | Maximum Direct Record Scans | |||
MBSPAS | State Plan Amendments System | |||
MBWA | Management By Walking Around | |||
MC | Maintenance Contractor | |||
MC | Master of Surgery | A post-medical degree specialty program. Also abbreviated ChM, CM, MS, MCh, or MChir. | ||
MCA | Management Control Area | |||
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 | A 1988 act | ||
MCCB | Medicare Change Control Board | |||
MCCOY | Managed Care Online Information System | GHP | ||
MCCRA | Medicare Catastrophic Coverage Repeal Act | A 1989 act | ||
MCCs | Major Complications & Comorbidities | |||
MCD | Medicare Coverage Database | |||
MCD | Medicare Coverage Documents | |||
MCDATA | MedicareMedicaid Common Data Initiative | |||
MCDC | Medicare Contractor Data Center | |||
MCE | Medical Care Evaluation | Also known as MCES - Medical Care Evaluation Studies | ||
MCE | Medicare Code Editor | |||
MCF | Master Control File | |||
mcg | Microgram | Equal to one millionth (1/1,000,000) of a gram. Also written as µg. | ||
MCh | Master of Surgery | A post-medical degree specialty program. Also abbreviated ChM, CM, MC, MS, or MChir. | ||
MCH | Maternal and Child Health Services | |||
MCH | Mean Corpuscular Hemoglobin | The average hemoglobin content in a red blood cell (erythrocyte), expressed in picograms/RBC. This is the average amount of hemoglobin per RBC. See also MCHC and MCV. | ||
MCHC | Mean Corpuscular Hemoglobin Concentration | The average hemoglobin concentration in red blood cells (erythrocytes), expressed in percent (g/dL). This is the amount of hemoglobin relative to the size of the cell per RBC. See also MCH and MCV. | ||
MChir | Master of Surgery | A post-medical degree specialty program. Also abbreviated ChM, CM, MC, MS, or MCh. | ||
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 | |||
MCP | Management Control Plan | |||
MCP | Monthly Capitation Payment | |||
MCPI | Medical Care Component of the Consumer Price Index | |||
MCPI | Medicare Contractor Productivity Improvement | |||
MCPS | Medicare Claims Processing System | Applies to Medicare Part A (PTA) | ||
MCPS | Member of the College of Physicians and Surgeons | |||
MCR | Management Control Review | |||
MCS | Mandatory Claim Submission System | |||
MCS | MultiCarrier System | |||
MCSC | Medicare Customer Service Center | |||
MCSID | Medicare Contractor Systems Information Database | |||
MCSS | Medicare Contractor Standard System | |||
MCSSMR | Medicare Contractor Standard Systems Medical Review | |||
MCV | Mean Cell Volume | Also known as Mean Corpuscular Volume. Average volume of red blood cells (erythrocytes), expressed in cubic micrometers (µm3) or femtoliters. This is the average RBC size. For example, hematocrit is measured by multiplying the red cell number (in millions/mm3) by the MCV (in femtoliters). See also MCH and MCHC. | ||
MCW | Medical College of Wisconsin | The physician group employed at both CHW and Froedtert (FMLH) | ||
MCWRS | Medicare Contractor Workload Reporting | |||
MCWS | Medicare Contractor Workload System | |||
MD | Doctor of Medicine | Also abbreviated DrMed
| ||
MD | Medical Director | |||
MDAS | Medicaid Override Application System | |||
MDC | Major Diagnostic Category | Formed by dividing all possible principal diagnoses (from ICD-9-CM) into 25 mutually exclusive diagnosis areas. Sometimes known as Major Diagnosis Category. In 3M's Clinical Risk Grouping software, this is the highest level category assigned to each patient condition (less granular than both | ||
MDC | Medicare Data Center | |||
MDCN | Medicare Data Communications Network | |||
MDH | Medicare Dependent Hospital | |||
MDI | Metered Dose Inhaler | A device that delivers a specific amount of medication to the lungs, in the form of a short burst of aerosolized medicine that is usually self-administered by the patient via inhalation. Also written Metered-Dose Inhaler. | ||
MDM | Master Data Management | |||
MDR | Minimum Downtime Release | |||
MDRI | Medicaid Drug Rebate Initiative | |||
MDS | Master of Dental Surgery | |||
MDS | Medicare Decision Support | |||
MDS | Minimum Data Set | Part of the U.S. federally mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes. This process provides a comprehensive assessment of each resident's functional capabilities and helps nursing home staff identify health problems. | ||
MDS | Mortality Data System | |||
MDSRH | Medicare Dependent Small Rural Hospital | |||
MDSS | Medicare Decision Support System | |||
MDTA | Manpower Development and Training Act | |||
MDW | Modernized Development Worksheet | |||
ME | Median Episiotomy | A cut made with surgical scissors from the opening of the vagina straight back toward the rectum just before the birth. Occurs if the woman was going to tear in an area where it is hard to do a repair, such as near the clitoris, or if the baby's heartbeat is low and we cannot wait for the tissue to stretch naturally, to get the baby out sooner. | ||
ME | Medical Effectiveness | |||
ME | Medical Endurance | |||
MEASURES | Medicare/Medicaid Automated Survey Reporting System | |||
MEC | Medical Executive Committee | |||
MECA | Medicare Expanded Choice Act | A 1987 act | ||
MECCA | Medicare Catastrophic Coverage Act | A 1988 act. Also known as MCCA. | ||
MECCA | Medicare Electronic Claims Access | A Medicare claim entry and claim status system that is used in certain parts of the country but is not directly related to a particular intermediary (refer to the DDE system) | ||
MECT | Multiple Electroconvulsive Therapy | |||
MED | Medicare Enrollment Data | |||
MED | Medicare Exclusion Database | |||
MED-ED | Medical Education | |||
MEDAL | Medicare/Medicaid Eligibility Data Linkage | |||
MEDB | Manage the EDB System | |||
MEDB | Medicare Part B | See also PTB | ||
MEDIBAPS | Medicare Budget Allocation Process System | |||
MEDIGAP | Medicare Gap | Medicare complementary insurance program | ||
MEDIRS | Medicaid Eligibility Determination and Information Retrieval System | |||
MEDMRG | Medicaid Merge Program | HDMEDMRG | ||
MedPAC | Medicare Payment Advisory Commission | |||
MedPar | Medicare Provider Analysis and Review | |||
MEDPARD | Medicare Participating Physician/Supplier Directory | |||
MEDSTAT | Medicaid Statistical Information System | Also known Medicaid Statistical Information Reporting System. Now known as MSIS. | ||
MEDTEP | Medical Treatment Effectiveness Program | |||
MEF | Master Earnings File | See also Social Security Administration (SSA) | ||
MEI | Medical Economic Index | |||
MEI | Medicare Economic Index | |||
meq | Milliequivalent | |||
MEQC | Medicaid Eligibility Quality Control | |||
MER | Medication Errors Reporting Program | Usually MER program | ||
MERS | Middle East Respiratory Syndrome | A viral respiratory illness, first reported in Saudi Arabia in 2012, which is caused by a coronavirus called MERS-CoV. Most people who have been confirmed to have MERS-CoV infection developed severe acute respiratory illness with fever, cough, and shortness of breath. About 30% of these people died. The first US case of MERS was confirmed in a traveler from Saudi Arabia to the US on May 2, 2014. | ||
MES | Medicare Entitlement System | |||
MET | Medicaid Eligibility Terminal | |||
MEWA | Medicare and Multiple Employer Welfare Associations | |||
MEWA | Multiple Employer Welfare Arrangement | |||
MFAIC | Medicare Fraud and 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 | |||
MFT | Magnetic Field Tomography | Non invasive technique used to visualize in 3D the dynamic activity of the brain | ||
mg | Milligram | Unit of measure in the metric system equal to a thousandth of a gram. Also written mgm. | ||
MGA | Medicaid Grant Awards | |||
MGCRB | Medical Geographical Classification Review Board | |||
MGCRB | Medicare Geographic Classification Review Board | |||
MGMA | Medical Group Management Association | |||
MgSO4 | Magnesium Sulfate | A dangerous abbreviation which should not be used because it can be misinterpreted | ||
MHA | Master of Health Administration | Also written as M.H.A. | ||
MHB | Maximum Hospital Benefit | |||
MHCRS | Maintain HCRIS Process | |||
MHI | Mild Head Injury | Concussion. See also MTBI. | ||
MHOS | Medicare Health Outcomes Survey | |||
MHS | Medical History Sample | |||
MI | Manual Issuance | |||
MI | Medical Insurance | Also known as Part B (PTB or MEDB) or SMI | ||
MI | Myocardial Infarction | See Acute Myocardial Infarction (AMI), aka heart attack. A heart attack where some or more of the heart muscle is destroyed/died commonly due to blocked arteries feeding the heart muscle. | ||
MIA | Mark Interface Application | |||
MIA | Medically Indigent Adult | |||
MIB | Medical Information Bureau | |||
MIB | Medical Insurance Bureau | |||
MIC | Medicaid Integrity Contractor | Includes three types of MICs - audit, review, and education - to ensure that paid claims were for services provided and properly documented, for services billed properly, using correct and appropriate procedure codes, for covered services, and paid according to Federal and State laws, regulations, and policies. Review MICs analyze Medicaid claims data to identify high-risk areas and potential vulnerabilities, provide leads to the Audit MICs, and use data-driven approach to ensure focus on providers with truly aberrant billing practices. Audit MICs conduct post-payment audits, including a combination field and desk MIC audits, fee-for-service, cost report and managed care audits, and identify overpayments. Education MICs use findings from Audit and Review MICs to identify areas for education, work closely with Medicaid partners & stakeholders to provide education and training, will develop training materials, awareness campaigns and conduct provider training, and highlight value of education in preventing Medicaid fraud, waste, and abuse. | ||
MICH | Maternal, Infant, and Child Health | |||
MICO | Midwestern Consortium | Chicago & Kansas City HIROs | ||
MIDES | Medicare Internal Data Entry System | |||
MIG | Medicare Insured Group | |||
MIH | Maternal and Infant Health Initiative | |||
MIIR | Management Information Integrated Repository | |||
MIM | Medicare Intermediary Manual | |||
MIMS | Medicare Information Management System | |||
MIP | Medicaid Integrity Program | Established in 1936, dramatically increased Federal resources to fight Medicaid fraud, waste, and abuse | ||
MIP | Medicare Integrity Program | |||
MIPPA | Medicare Improvements for Patients and Providers Act | A 2008 act. | ||
MIR | Medicare Information Request | |||
MIRPS | Miscellaneous Information Reference PostEntitlement System | See also SSA and Master Beneficiary Record (MBR) | ||
MIS | Major Information Systems | |||
MIS | Management Information System | |||
MIS | Manual Issuance System | |||
MISCOR | Miscellaneous MBR Correction Operation | |||
MISF | Management Information System Facility | |||
MJFC | Major Financial Class | |||
ml | Milliliter | Unit of liquid measure in the metric system equal to a thousandth of a liter
| ||
MLA | Main Line Affiliates | |||
MLA | Medical Laboratory Assistant | |||
MLC | Medical Law Consultant | |||
MLC | Medical Licensing Commission | United Kingdom
| ||
MLE | Mediolateral Episiotomy | An incision is made from the vaginal opening at an angle | ||
MLH | Main Line Health | |||
MLH & CCA | Main Line Health & Certain Controlled Affiliates | |||
MLHC | Main Line HealthCare | |||
MLHL | Main Line Health Laboratories | |||
MLHR | Main Line Health Realty | |||
MLHS | Main Line Health System | |||
MLR | Medical Loss Ratio | The Affordable Care Act requires health insurance issuers to submit data on the proportion of premium revenues spent on clinical services and quality improvement, also known as the Medical Loss Ratio (MLR). A medical loss ratio of 80% indicates that the insurer is using the remaining 20 cents of each premium dollar to pay overhead expenses, such as marketing, profits, salaries, administrative costs, and agent commissions. | ||
MLS | MultiLevel Security | |||
MLT | Medical Laboratory Technician | |||
MLT | Multiple Logical Tasking | |||
MLT(ASCP) | Medical Laboratory Technician | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
MM | Media Management | |||
MM | Medication Management | |||
mm | millimeter | |||
MM | Month or Minutes | |||
MMA | Medicare Modernization Act | A 1999 act | ||
MMA | Medicare Prescription Drug, Improvement, and Modernization Act | A 2003 act | ||
MMACS | Medicare/Medicaid Automated Certification System | |||
MMAP | Medicare/Medicaid Assistance Program | A AARP program | ||
MMCITS | Medicaid Managed Care Information Tracking System | |||
MMCQI | Medicare Managed Care Quality Improvement | |||
MMCS | Medicare Managed Care System | |||
MMDDCCYY | MonthMonth/DayDay/CenturyCentury/YearYear | More commonly written MMDDYYYY | ||
MMDDYY | MonthMonth/DayDay/YearYear | |||
MMIS | Medicaid Management Information System | |||
MMM | Master of Medical Management | A credential referred to as the MBA for Physicians | ||
MMORP | Medicare Management and Open Review Program | |||
MMP | Mixed Model Plan | GPP/IPP combination | ||
MMPS | Medicare Mortality Predictor System | |||
MMR | Measles, Mumps, Rubella | A vaccination | ||
MMR | Monthly Membership Report | |||
MMS | Manpower Management System | |||
MMS | Metropolitan Medicare System | |||
MMS | Minerals Management Service | A US department | ||
MMWR | Morbidity and Mortality Weekly Report | |||
MN | Master of Nursing | Also written Master of Science in Nursing. Also abbreviated MScN or MSN | ||
MN | Medical Necessity | |||
MN | Medically Needy | |||
MNCM | Minnesota Community Measurement | |||
MNFC | Minor Financial Class | |||
MNIL | Medically Needy Income Levels | |||
MO | Management Office | |||
MO | Multiply Occurring | |||
MOB | Medical Office Building | |||
MOC | Maintenance of Certification | |||
MOC | Management Oversight Council | |||
MOC | Medical Operations Committee | |||
MOC | Mother of Child | |||
MODEM | ModulatorDemodulator | |||
MOE | Method of Evaluation | |||
MOH | Ministry of Health | |||
MOL | Maximum Order Limitation | |||
MOLI | Mirtel OnLine Inquiry System | HCFA access to RRB Database | ||
MOPD | Maintenance Operations Protocol Loader Daemon | |||
MOR | Medicaid Overpayment Report | |||
MOS | Measure of Success | |||
MOSS | Mandatory Offsite Storage System | |||
MOU | Memorandum of Understanding | |||
MOUT | Maximum Output | |||
MP | Master Processor | |||
MP | Medical Psychologist | |||
MP(ASCP) | Medical Technologist in Molecular Pathology | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
MPA | Master Pending Accretion | |||
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 | |||
MPH | Master of Public Health | Also written as M.P.H. | ||
MPh | Master of Science in Pharmacy | Also abbreviated MPharm, MScPh, MScPharm, MSPh, or MSPharm | ||
MPharm | Master of Science in Pharmacy | Also abbreviated MPh, MScPh, MScPharm, MSPh, or MSPharm | ||
MPI | Master Patient Index | |||
MPI | Medicare Provider Inventory | |||
MPIER | Medicare Physician Identification and Eligibility Registry | Also known as Medicare Physician Identification and Eligibility Record | ||
MPIES | Medicare Physician Identification and Eligibility System | |||
MPLS | Multiprotocol Label Switching | |||
MPP | Massive Parallel Processing | |||
MPR | Master Procedure Record | |||
MPR | Mathematical Policy Research | |||
MPRS | Medical Policy Retrieval System | |||
MPS | Market Penetration Survey | |||
MPX | Monkeypox | |||
MQA | Medicare Quality Assurance | CWF data validation | ||
MQAG | Medicare Quality Advisory Group | |||
MQC | Medicaid Quality Control | |||
MQFE | Medicare Qualified Federal Employment | |||
MQGE | Medicare Qualified Government Employee | |||
MQIS | Medicare Quality Indicator System | |||
MQM | Medicare Quality Monitor | |||
MQS | Minimum Quality Standards | |||
MQSA | Mammography Quality Standards Act | A 1992 act | ||
MR | Management Review | |||
MR | Master Record | |||
MR | Medical Record | |||
MR | Medical Review | |||
mr | Mitral Regurgitation | |||
MR | Mortality Ratio | |||
MR/DD | Mentally Retarded/Developmentally Disabled | |||
MR/UR | Medical Review/Utilization Review | |||
MRA | Magnetic Resonance Angiogram | A type of magnetic resonance imaging (MRI) scan that uses a magnetic field and pulses of radio wave energy to provide pictures of blood vessels inside the body. In many cases MRA can provide information that can not be obtained from an X-ray, ultrasound, or CT scan. | ||
MRA | Minimum Retirement Age | |||
MRad | Master of Radiology | |||
MRAR | Medical Review Annual Report | |||
MRB | Medical Review Board | |||
MRCP | Membership of the Royal College of Physicians | |||
MRCRA | Medicare Regulatory and Contractor Reform Act | A 2001 act | ||
MRDD | Mentally Retarded Developmental Disability | |||
MRI | Magnetic Resonance Imaging | Uses a powerful magnetic field, radio frequency pulses and a computer to produce detailed pictures of organs, soft tissue, bone and other body structures
| ||
MRI | Medical Records Institute | |||
MRL | Medical Records Librarian | |||
MRM | Mercy Revenue Management | |||
MRN | Medical Record Number | A unique patient identifier, as required by HIPAA, which is provided by a healthcare provider or healthcare system. Patients do not have a universal MRN as they are provided separately by different healthcare systems. An MRN will not change throughout all of the care received within a health system - unlike an account (called a HAR in Epic) or visit number (called a CSN in Epic).Hospitals typically use MRN, rather than SSN, as a unique patient identifier. | ||
MRO | Multiple Region Option | |||
MRO | MultiRegion Operation | |||
MRP | Material Requirements Planning | |||
MRP | Maximum Reimbursement Point | |||
MRRS | Medicaid Retrospective Reimbursement System | |||
MRS-1 | Medical Review System Version 1 | Also known as Part B Medical Review Savings Reporting System | ||
MRSA | Methicillin-resistant Staphylococcus Aureus | A strain of staph bacteria that has become resistant to the antibiotics commonly used to treat ordinary staph infections | ||
MRT | Medical Radiation Technologist | |||
MRT | Medical Review Team | |||
MRTAG | Mortality Review Technical Advisory Group | |||
MS | Master of Science | Also abbreviated MSc | ||
MS | Master of Surgery | A post-medical degree specialty program. Also abbreviated ChM, CM, MC, MCh, or MChir. | ||
MS | Medical Staff | |||
MS/R | MultiState/Regional | |||
MSA | Major Service Area | |||
MSA | Medical Savings Account | Now called Health Savings Account (HSA) | ||
MSA | Medical Savings Accounts | |||
MSA | Medical Statistical Area | |||
MSA | Medicare Savings Account | |||
MSA | Metropolitan Statistical Area | |||
MSA | Monthly Statement of Accounts | |||
MSAT | Medicaid Strategic Analysis Team | |||
MSc | Master of Science | Also abbreviated MS
| ||
MSC | Medicare Status Code | |||
MSC | Message Switching Centers | See also Social Security Administration (SSA) ARS/SSADARS | ||
MScD | Master of Dental Science | Also abbreviated MDentSc or MSD | ||
MScN | Master of Science in Nursing | Also abbreviated MSN or MN | ||
MScPh | Master of Science in Pharmacy | Also abbreviated MPh, MPharm, MScPharm, MSPh, or MSPharm | ||
MScPharm | Master of Science in Pharmacy | Also abbreviated MPh, MPharm, MScPh, MSPh, or MSPharm | ||
MSD | Master of Science in Dentistry | Also abbreviated MScD or MDentSc | ||
MSDRG | Medicare Severity Diagnosis Related Group | Also written MS-DRG | ||
MSG | Multispecialty Group | |||
MSHIP | Medicare Supplemental Health Insurance Programs | |||
MSIS | Medicaid Statistical Information System | Formerly MedStat | ||
MSK | Musculoskeletal | Commonly used in the context of a Musculoskeletal Infection | ||
MSM | Men who have sex with men | |||
MSN | Master of Science in Nursing | Also abbreviated MScN or MN | ||
MSN | Medicare Summary Notice | |||
MSO | Management Services Organization | |||
MSO | Medicare Survey Option | Home Health Deemed Status | ||
MSO4 | Morphine | A dangerous abbreviation which should not be used because it can be misinterpreted | ||
MSOD | Master of Science in Organization Development | |||
MSOM | Modernized Systems Operations Manual | See also Social Security Administration (SSA) | ||
MSP | Manager Software Products | |||
MSP | Medicare Secondary Payer | Sometimes written Medicare Secondary Payor (more common in the UK) | ||
MSP | Message Security Protocol | |||
MSPFQA | Medicare Secondary Payer Functional Quality Assurance | Steering Committee | ||
MSPh | Master of Science in Pharmacy | Also abbreviated MPh, MPharm, MScPh, MScPharm, or MSPharm | ||
MSPharm | Master of Science in Pharmacy | Also abbreviated MPh, MPharm, MScPh, MScPharm, or MSPh | ||
MSPLS | Medicare Secondary Payer Litigation Support | |||
MSPPAY | Medicare Secondary Payor Payment Module | |||
MSPQ | Medicare Secondary Payer Questionnaire | |||
MSPQA | Medicare Secondary Payer Quality Assurance | |||
MSR | MidSession Review | |||
MSS | Medical Social Sevices | |||
MSS | Medicare Statistical System | |||
MSSA | Methicillin-sensitive Staphylococcus Aureus | A type of bacteria which can cause skin
infections, pneumonia, sepsis, and other serious types of
infections | ||
MSSC | Medicare Systems/State and County | |||
MSW | Master of Science in Social Work | Most states require social workers to pass a licensing exam
| ||
MSW | Medical Social Worker | |||
MT | Medical Technologist | |||
MT(ASCP) | Medical Technologist | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
MTAG | Medicare Technical Advisory Group | |||
MTBI | Mild Traumatic Brain Injury | Concussion | ||
MTD | Month to Date | |||
MTEA | Medical Treatment Effectiveness Agenda | |||
MTI | Medicare Telephone Inquiry | |||
MTM | Methods Time Measurement | |||
MTMC | Military Traffic Management Command | |||
MTMP | Medication Therapy Management Program | |||
MTOP | Multiple Type of Provider | |||
MTP | Massive Transfusion Protocol | Also known as Massive Transfusion Guideline (MTG) | ||
MTS | Medicare Target Scenario | |||
MTSO | Medical Transcription Service Organization | |||
MTUS | Miles/Times/Units/Service | |||
MU | Meaningful Use | |||
MUA | Medically Undeserved Area | |||
MUDD | Maximum Direct Output | |||
MUDS | Medicare Utilization Data System | |||
MUE | Medication Use Evaluation | Similar to DUR but emphasizes improving patient outcomes and individual quality of life. An MUE will assess clinical outcomes (cured infections, decreased lipid levels, etc.). | ||
MUP | Master Update Processor | |||
MUPPET | Medicare UPdate Processors for Enrollment Transactions | See also NEWDUP | ||
MUPS | Maintenance Update Processing System | |||
MUR | Minimum Utilization Rate | |||
MVD | Doctor of Veterinary Medicine | Also abbreviated DVM | ||
MVP | Minimum Viable Product | A version of a product (typically software) with just enough features to satisfy early customers and provide feedback for future product development. | ||
MVPS | Medicare Volume Performance Standard | |||
MVS/ESA | MVS/Enterprise System Architecture | |||
MWRS | Medicare Workload Report System | |||
N&R | Needs and Requirements | |||
NA | Narcotics Anonymous | |||
NA | Not Applicable | Also written as N/A | ||
NAACLS | National Accrediting Agency for Clinical Laboratory Science | |||
NAAP | National Association of Activity Professionals | |||
NAATP | National Association of Addiction Treatment Providers | |||
NAAV | National Average Actuarial Value | |||
NABP | National Association of Boards of Pharmacy | |||
NAC | N-Acetylcysteine | Used for treating Acetaminophen toxicity | ||
NAC | National Association of Counties | |||
NAC | Nursing Advisory Council | |||
NACDS | National Association of Chain Drug Stores | |||
NACHA | National Automated Clearing House Association | |||
NACHC | National Association of Community Health Centers | |||
NACHGR | National Advisory Council for Human Genome Research | |||
NACHRI | National Association of Children's Hospitals and Related Institutions | |||
NACI | National Agency Check and Inquiry | |||
nacl | Sodium Chloride | |||
NACRH | National Advisory Committee on Rural Health | |||
NADSA | National Adult Day Services Association | |||
NAEYC | National Association of Education for Young Children | |||
NAF | NonAppropriated Fund | |||
NAHAM | National Association of Healthcare Access Management | |||
NAHC | National Association for Home Care | |||
NAHDO | National Association of Health Data Organizations | |||
NAHFE | National Association of Hispanic Federal Executives | |||
NAHMOR | National Association of HMO Regulators | |||
NAHQ | National Association for Healthcare Quality | |||
NAIC | National Association of Insurance Commissioners | |||
NAIT | National Alliance for Infusion Therapy | |||
NAM | National Association of Manufacturers | |||
NAMDRC | National Association for Medical Directors of Respiratory Care | |||
NAMES | National Association of Medical Equipment Suppliers | |||
NAMI | National Alliance for the Mentally Ill | |||
NAON | National Association of Orthopedic Nurses | |||
NAP | National Advisory Council | |||
NAPA | National Academy of Public Administration | |||
NAPH | National Association of Public Hospitals and Health Systems | Sometimes shortened to National Association of Public Hospitals | ||
NAPHS | National Association of Psychiatric Health Systems | |||
NAPNES | National Association for Practical Nurse Education & Service, Inc. | |||
NARA | National Archives and Records Administration | |||
NARA | National Association of Rehabilitation Agencies | |||
NARD | National Association of Retail Druggists | |||
NARF | National Association of Rehabilitation Facilities | |||
NARFE | National Association of Retired Federal Employees | |||
NAS | National Academy of Sciences | |||
NASA | National Aeronautic and Space Administration | |||
NASBO | National Association of State Budget Officers | |||
NASIRE | National Association of State Information Resource Executives | |||
NASIS | National Association of State Information Systems | |||
NASLTCOP | National Association of Long Term Care Ombudsman Program | |||
NASMD | National Association of State Medicaid Directors | |||
NASOP | National Association of State Ombudsman Programs | |||
NAT | Non-Accidental Trauma | |||
NAUGH | Network Administrator's Users Group | |||
NAV | Name and Address Verification | |||
NAWRS | National Association for Welfare Research and Statistics | |||
NBCH | National Business Coalition on Health | |||
NBCOT | National Board for Certification in Occupational Therapy, Inc. | |||
NBGH | National Business Group on Health | Formerly the Washington Business Group on Health (WBGH) | ||
nbm | Nothing by Mouth | See also NPO | ||
NBME | National Board of Medical Examiners | |||
NBRC | National Board for Respiratory Care | |||
NBS | National Bureau of Standards | |||
NBS | Newborn Screening | Testing all babies for certain disorders and conditions that can hinder their normal development. Babies with these conditions appear healthy at birth but can develop serious medical problems later in infancy or childhood. Early detection and treatment can help prevent intellectual and physical disabilities and life-threatening illnesses. | ||
NC | Network Council | |||
NCA | National Coverage Analysis | |||
NCA | National Credentialing Agency | For laboratory personnel | ||
NCAI | National Coalition for Adult Immunization | |||
NCAL | National Coalition for Assisted Living | |||
NCBDE | National Certification Board for Diabetes Educators | |||
NCBPNP/N | National Certification Board of Pediatric Nurse Practitioners and Nurses, Inc. | |||
NCC | National Certification Corporation | |||
NCC | Network Coordinating Counsel | |||
NCC MERP | The National Coordinating Council for Medication Error Reporting and Prevention | 27 national health care organizations which meet, collaborate, and cooperate to address the interdisciplinary causes of errors and to promote the safe use of medications | ||
NCCA | National Commission for Certifying Agencies | |||
NCCAM | National Center for Complimentary and Alternative Medicine | |||
NCCAP | National Certification Council for Activity Professionals | |||
NCCLS | National Council of Clinical Laboratory Services | |||
NCCNHR | National Citizen's Coalition for Nursing Home Reform | |||
NCCPA | National Commission on the Certification of Physician Assistants | |||
NCCR | National Colorectal Cancer Roundtable | |||
NCD | National Coverage Determination | |||
NCDR | National Cardiovascular Data Registry | |||
NCED | Nationally Certified Educational Diagnostician | A Professional Credential for Assessment Specialists by the National Certification for Educational Diagnosticians
| ||
NCEDB | National Certification for Educational Diagnosticians | Website located at www.ncedb.org | ||
NCGME | National Council on Graduate Medical Education | |||
NCH | National Claims History | |||
NCH | National Clinical History | |||
NCHA | National Clearing House Association | |||
NCHBPL | National Claims History Beneficiary Program Liability | |||
NCHDB | National Claims History Database | |||
NCHICA | North Carolina Healthcare Information and Communications Alliance | |||
NCHLS | National Council on Health Laboratory Services | |||
NCHPR | National Claims History Processing Reports | |||
NCHQA | National Claims History Quality Assurance | |||
NCHS | National Center for Health Statistics | |||
NCHS | National Claims History System | CWF | ||
NCHSR | National Center for Health Services and Research | |||
NCHSTS | National Claims History Statistical Tabulation System | |||
NCHSUM | National Claims History Summary | |||
NCI | National Cancer Institute | |||
NCID | National Center for Infectious Diseases | |||
NCIP | National Inventory Control Point | |||
NCITS | National Committee for Information Technical Standards | |||
NCMA | National Contract Management Association | |||
NCMHD | National Center on Minority Health and Health Disparities | |||
NCNHR | National Coalition on Nursing Home Reform | |||
NCOA | National Change of Address | See also Social Security Administration (SSA) and USPS | ||
NCOA | National Council on the Aging | |||
NCOCIC | National Coordination Office for Computing, Information, and Communications | |||
NCP | National Coverage Policy | |||
NCPDP | National Council for Prescription Drug Programs | |||
NCPDP | National Council of Prescription Drug Programs | |||
NCPSSM | National Committee to Preserve Social Security and Medicare | |||
NCQA | National Committee for Quality Assurance | Established in 1990 and works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation. Through collection of the HEDIS data set and CAHPS survey, NCQA manages the PCMH, PCSP, PCCC, and WHP accreditation/certification/recognition programs (among others). | ||
NCQHC | National Committee for Quality Health Care | |||
NCR | National Cash Register Corp. | |||
NCS | National Communications System | |||
NCSA | National Computer Security Association | |||
NCSB | Neurological, Cognitive, Sensory, and Behavorial | As in different variables | ||
NCSC | National Computer Security Center | |||
NCSC | National Council of Senior Citizens | |||
NCSI | National Capitol Systems Inc. | |||
NCSL | National Conference of State Legislatures | |||
NCT | Nuclear Cardiology Technologist | A certification by the Nuclear Medicine Technology Certification Board (NMTCB) | ||
NCTL | National Computer and Telecommunications Laboratory | |||
NCTMB | Nationally Certified in Therapeutic Massage and Bodywork | |||
NCVHS | National Center for Vital and Health Statistics | PHS | ||
NCVHS | National Committee on Vital and Health Statistics | |||
ND | Doctor of Naturopathy | |||
NDA | Non-Disclosure Agreement | |||
NDAA | National Defense Authorization Act | A 1991 act | ||
NDC | National Drug Code | A unique 10-digit, 3-segment number. It is a universal product identifier for human drugs in the United States. The code is present on all nonprescription (OTC) and prescription medication packages and inserts in the US. | ||
NDEP | National Diabetes Education Program | |||
NDG | Network Design Group | |||
NDI | National Death Index | |||
NDM | Network Data Mover | |||
NDMS | National Disaster Medical System | |||
NDNQI | National Database of Nursing Quality Indicators | |||
NDPS | National Drug Pricing System | |||
NDR | National Death Repository | See also Social Security Administration (SSA) | ||
NDRR | National Data Reporting Requirements | |||
NDS | Netware Directory Services | |||
NEA | National Endowment for the Arts | |||
NEA-BC | Nursing Executive, Advanced | May also be written NEABC. Explanation from nursecredentialing.org. | ||
NEARLINE | NCH Nearline update and maintenance System | |||
NEC | Necrotizing Enterocollitis | |||
NECMA | New England County Metropolitan Area | |||
NEDS | Nationwide Emergency Department Sample | |||
NEHA | New England Health Assembly | |||
NEIC | National Electronic Information Clearinghouse | |||
NEJM | New England Journal of Medicine | |||
NEMB | Notice of Exclusion from Medicare Benefits | |||
NEMT | Non-Emergent Medical Transportation | Sometimes written Non-Emergency Medical Transportation | ||
NEPA | National Environmental Policy Act | |||
NEPSC | Northeast Program Service Center | See also Social Security Administration (SSA) | ||
NESRD | NonEnd Stage Renal Disease | |||
NETT | National Emphysema Treatment Trial | |||
NF | Neurofibromatosis | A number of inherited conditions that are clinically and genetically distinct and carry a high risk of tumor formation, particularly in the brain. It is an autosomal dominant disorder, which means only one copy of the affected gene is needed for the disorder to develop. Therefore, if only one parent has neurofibromatosis, their children have a 50% chance of developing the condition as well. | ||
NF | Nursing Facility | |||
NFA | Net Fixed Assets | |||
NFC | National Finance Center | |||
NFID | National Foundation for Infectious Diseases | |||
NFPA | National Fire Protection Association | |||
NG | Nasogastric Tube | A plastic tube inserted for nasogastric intubation (a process used for feeding and administering drugs) through the nose, past the throat, and down into the stomach | ||
NGA | National Governor's Association | |||
NGA | Notice of Grant Award | The legal documents issued to notify the grantee that an award has been made and that funds may be requested from the HHS payment system | ||
NGFR | NonGovernment Furnished Resources | |||
NGFSFHP | National Guaranty Fund for SelfFunded Health Plans | |||
NGO | Non-Governmental Organization | |||
NH | Nursing Home | |||
NHA | Nursing Home Administrator | |||
NHAC | National Health Advisory Committee | |||
NHAMCS | National Hospital Ambulatory Medical Care Survey | |||
NHANES | National Health and Nutrition Examination Survey | A program of studies designed to assess the health and nutritional status of adults and children in the United States. The survey combines interviews and physical examinations. | ||
NHB | National Health Board | |||
NHC | Nephrology Hypertension Clinic | |||
NHC | Nursing Home Certifiable | |||
NHCAA | National Health Care Anti-Fraud Association | |||
NHCMQ | Nursing Home Case Mix and Quality Demonstration | |||
NHCS | National Hospital Care Survey | |||
NHDAC | National Health Data Advisory Council | |||
NHDR | National Healthcare Disparities Report | |||
NHDS | National Hospital Discharge Survey | |||
NHE | National Health Expenditure | Sometimes written Nation's Health Expenditures or National Health Expenditures | ||
NHELP | National Health Law Program | |||
NHGRI | National Human Genome Research Institute | |||
NHI | National Health Insurance | |||
NHI | Nursing Home Information | |||
NHII | National Health Information Infrastructure | |||
NHIS | National Health Interview Survey | |||
NHLBI | National Heart, Lung, and Blood Institute | |||
NHO | National Hospice Organization | |||
NHPF | National Health Policy Forum | |||
NHQR | National Healthcare Quality Report | |||
NHS | National Health Service | |||
NHSC | National Health Service Corps | |||
NHTSA | National Highway and Transportation Safety Administration | |||
NIA | National Institute on Aging | |||
NIAID | National Institute of Allergies and Infectious Diseases | |||
NIAMS | National Institutes of Arthritis, Musculoskeletal, and Skin Diseases | |||
NIAMSD | National Institute of Arthritis and Musculoskeletal and Skin Diseases | |||
NIAP | National Information Assurance Partnership | |||
NICE | National Institute for Health and Clinical Excellence | |||
NICOA | National Indian Council on Aging | |||
NICU | Neonatal Intensive Care Unit | |||
NIDA | National Institute on Drug Abuse | |||
NIDDKD | National Institute of Diabetes, Digestive, and Kidney Diseases | |||
NIDR | National Institute of Dental Research | |||
NIE | Net Impact Estimate | |||
NIF | National Insurance File | |||
NIF | Not In File | |||
NIH | National Institutes of Health | |||
NIHCM | National Institute for Health Care Management | |||
NII | National Information Infrastructure | |||
NIMA | National Imagery and Mapping Agency | |||
NIMBE | Not Including Medicare Benefits Exhausted | |||
NIMH | National Institute of Mental Health | |||
NIMMS | National Integrated Medicaid Management System | |||
NINDS | National Institute of Neurological Disorders and Stroke | |||
NIOSH | National Institute for Occupational Safety and Health | |||
NIOSH | National Institute of Occupational Safety and Health | |||
NIP | National Improvement Project | |||
NIPC | National Infrastructure Protection Center | FBI | ||
NIPPV | Nasal Intermittent Positive Pressure Ventilation | |||
NIPPV | Non-Invasive Positive Ventilation | |||
NIRA | National Industrial Recovery Act | Also known as New Deal | ||
NIRS | Near-Infrared Spectroscopy | A spectroscopic method that uses the near-infrared region of the electromagnetic spectrum (from about 700 nm to 2500 nm). Typical applications include medical and physiological diagnostics and research including blood sugar, pulse oximetry, functional neuroimaging, sports medicine, elite sports training, ergonomics, rehabilitation, neonatal research, brain computer interface, urology (bladder contraction), and neurology (neurovascular coupling). | ||
NIS | Nationwide Inpatient Sample | |||
NISC | National Independent Study Center | OPM | ||
NIST | National Institute of Standards and Technology | |||
NIT | National Internal Telecommunications | See also MTS | ||
NIT | Network Information and Technology | |||
nka | No Known Allergies | |||
NKC | Northwest Kidney Centers | |||
NKF | National Kidney Foundation | |||
NLA | National Limitation Amount | |||
NLM | National Library of Medicine | |||
NLN | National League of Nursing | |||
NLP | Natural Language Processing | Studying human-computer interaction, especially deriving meaning from human generated natural language input. In healthcare, NLP is commonly use to interpret discrete data elements from Physician notes. | ||
NLRB | National Labor Relations Board | |||
NMAO | NonMedical Assistance Only | |||
NMC | National Maintenance Contractor | |||
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 and Abuse Institute | |||
NMR | Nuclear Magnetic Resonance | |||
NMS | Network Monitoring System | See also MTS | ||
NMT | Nuclear Medicine Technologist | |||
NMTCB | Nuclear Medicine Technology Certification Board | |||
NMUD | National Medicare Utilization Database | |||
NNCC | Nephrology Nursing Certification Commission | |||
NNP | Neonatal Nurse Practitioner | Serve as primary caregivers for premature babies and other newborns who require special care due to low birth weight, respiratory distress, congenital heart defects, or various other abnormalities and disorders | ||
NNWP | Noncontact Normothermic Wound Therapy | |||
NOA | Nature of Action | |||
NOA | Notice of Admission | |||
NOA | Notice of Award | |||
NOAA | National Oceanographic and Atmospheric Administration | |||
NOBA | Notice of Budget Approval | |||
NOC | Network of Care | Outpatient care services | ||
NOC | Network Operation Center | |||
NOC | Not Otherwise Classified | |||
NOCHD | Notice of Correction Hearing Decision | |||
NOCO | Northeastern Consortium | Includes Boston, New York, and Philadelphia HIROs | ||
NODMAR | Notice of Discharge and Medicare Appeal Rights | |||
NOEU | National Obscenity Enforcement Unit | |||
NOF | Not On File | |||
NOI | Notice of Intent | |||
NOMCI | Notice of Medigap Claim Information | |||
NOOH | Notice of Opportunity for Hearing | |||
NOPA | National Office Products Association | |||
NOPA | Northwest Organ Procurement Agency | |||
NOPR | Notice of Program Reimbursement | |||
NORA | National Operational Research Agenda | |||
NORQS | Number of Temporary Procedures | |||
NOS | National Operating Services | |||
NOS | Not Otherwise Specified | |||
NOSIP | Network Operations System Implementation Project | |||
NOU | Notice of Utilization | |||
NoVA | Notification, Verification, Authorization | |||
NP | Nurse Practitioner | A job title or an acronym for a program name. Usually credentialed by ANCC or AANP. | ||
NP-C | Adult Nurse Practitioner | An NP certification by the American Academy of Nurse Practitioners (AANP) | ||
NP/PA | Nurse Practitioners/Physician Assistants | |||
NPA | National PACE Association | |||
NPA | Network Performance Analyzer | |||
NPC | NetPost Certified | |||
NPDB | National Practitioner Data Bank | |||
NPF | National Provider File | |||
NPI | National Provider Identifier | |||
NPII | NPI Initiative | |||
NPIP | Non Periodic Interim Payment | |||
NPO | Nothing by Mouth | Patient is prohibited from ingesting food, fluid, or meds by mouth. Usually either in preparation for surgery/diagnostic procedure, or the patient is unable to tolerate food/fluids by mouth for some reason
| ||
NPP | Narrative Project Plan | |||
NPP | National Privacy Panel | |||
NPP | Non-Physician Practitioner | |||
NPPES | National Plan & Provider Enumeration System | |||
NPR | National Performance Review | |||
NPRG | National Partnership for Reinventing Government | |||
NPRM | National Provider Reimbursement Manual | |||
NPRM | Notice of Proposed Rule Making | |||
NPRM | Notice of Proposed Rulemaking | |||
NPS | National Prescribing Service | Australia
| ||
NPS | National Prevention Strategy | |||
NPS | National Provider System | |||
NPSA | National Pharmaceutical Services Association | |||
NPSF | National Patient Safety Foundation | |||
NPSG | National Patient Safety Goal | |||
NPWT | Negative Pressure Wound Therapy | Also known as a 'wound vac.' Also written negative-pressure wound therapy. | ||
NQF | National Quality Forum | |||
NQLC | National Quality Leadership Conference | |||
NQMC | National Quality Measures Clearinghouse | |||
NQMP | National Quality Management Program | |||
NQS | National Quality Strategy | |||
NR | Nursing | |||
NRA | National Recovery Administration | |||
NRA | National Rifle Association | |||
NRAA | National Renal Administrators Association | |||
NRC | National Research Corporation | |||
NRC | National Research Council | |||
NRC | Nuclear Regulatory Commission | |||
NRHA | National Rural Health Association | |||
NRM | Notice of Rule Making | |||
NRODC | Northwest Regional Organ Donation Center | |||
NRP | Network Resource Planning | |||
NRP | Next Responsible Party | |||
NRU | Nurse Review Unit | |||
NS | Never Surveyed | |||
NS | Non Significant | Usually used to indicate standardized assessment finding that is not clinically significant (i.e., out of concern range). Also written Non-significant | ||
ns | Normal Saline | |||
NSA | National Security Agency | |||
NSA | National Standardized Amount | |||
NSA | Network Security Assessment | |||
NSAID | Nonsteroidal Anti-Inflammatory Drug | Over-the-counter anti-inflammatory painkillers. Common examples include Ibuprofen (Advil, Motrin), Naproxen (Aleve), and Aspirin. | ||
NSC | National Security Council | |||
NSC | National Supplier Clearinghouse | |||
NSC | Nursing-Sensitive Care | Measures | ||
NSCLC | National Senior Citizens Law Center | |||
NSDD | National Security Decision Directive | |||
NSEF | National Standard Electronic Format | Also known as National Standard Electronic Media Format | ||
NSEMC | National Standard Electronic Media Claims | |||
NSF | National Science Foundation | |||
NSF | National Standard Format | |||
NSF | NonStandard Format | |||
NSF | Not Sufficient Funds | |||
Nsg | Nursing | |||
NSN | National Stock Number | |||
NSNA | No Stock Number Assigned | |||
NSQIP | National Surgical Quality Improvement Project | The American College of Surgeons' benchmarking program | ||
NSR | NonShared Resource | |||
NSS | National Systems Support | |||
NSTEMI | Non-ST Elevation Myocardial Infarction | Heart attack with non ST elevation. May be managed with medication, although percutaneous coronary intervention (PCI) may be required if the patient's risk warrants it. | ||
NSTISSI | National Security Telecommunications and Information Systems Security Institute | |||
NSVD | Normal Spontaneous Vaginal Delivery | Also known as SVD | ||
NT | New Technology | |||
NTAG | National Technical Advisory Group | |||
NTDB | National Trauma Data Bank | The ACS quality program that's the largest aggregation of U.S. trauma registry data ever assembled. Participation is voluntary and is one of the leading performance improvement tools of trauma care. | ||
NTDS | National Trauma Data Standard | A data dictionary released by the ACS National Trauma Data Bank quality program. Over 50 definitions that can be implemented by a trauma registry system as required for the National Trauma Database and TQIP. | ||
NTE | Not to Exceed | |||
NTEU | National Treasury Employees Union | |||
NTH | NonTransplant Hospital | |||
NTI | National Technical Information | |||
NTIA | National Telecommunications and Information Administration | |||
NTIOLS | New Technology IntraOcular Lenses | |||
NTIS | National Technical Information Service | NBS, DOC | ||
NTRS | National Therapeutic Recreation Society | |||
NTSB | National Transportation Safety Board | |||
NUBC | National Uniform Billing Committee | Formed in 1975 to develop and maintain a single billing form and standard data set to be used nationwide by institutional, private and public providers and payers for handling health care claims. Sponsored by the AHA. | ||
NUCC | National Uniform Claim Committee | a voluntary organization that replaced the Uniform Claim Form Task Force in 1995. The committee was created to develop a standardized data set for use by the non-institutional health care community to transmit claim and encounter information to and from all third-party payers. It is chaired by the AMA, with CMS as a critical partner. | ||
NUL | National Urban League | |||
NV | Nausea and Vomiting | Sometimes written as N/V.
| ||
NVA | NonVeterans Administration | |||
NVAC | National Vaccine Advisory Committee | |||
NVP | National Vaccine Program | |||
NWI | National Wage Index | |||
NYHA | New York Heart Association | |||
O&M | Operations and Maintenance | |||
O&M | Organization and Management | |||
O/H | Overhead | |||
O2 | Oxygen | Typically written O2 | ||
OA | Office Automation | |||
OA | Office of the Administrator | CMS | ||
OAA | Old Age Assistance | |||
OAA | Older Americans Act | |||
OAC | OASIS Automation Coordinator | |||
OACT | Office of the Actuary | |||
OAPOS | Open Access Point of Service | A POS insurance plan which typically has slightly lower premiums | ||
OASB | Old Age and Survivors Benefits | |||
OASDHI | Old Age, Survivors, Disability, and Health Insurance | |||
OASDI | Old Age, Survivors, and Disability Insurance | |||
OASH | Office of the Assistant Secretary for Health | |||
OASI | Old Age and Survivors Insurance | |||
OASIS | Outcome and Assessment Information Set | A standardized nursing assessment used in Home Health | ||
OATS | Operation Assignments Tracking System | |||
OB | Obstetrics or Obstetrician | |||
OB/GYN | Obstetrician and Gynecologist | |||
OBQI | Outcome Based Quality Improvement | |||
OBQIM | Outcome Based Quality Improvement Management | |||
OBQM | Outcome Based Quality Monitoring | |||
OBRA | Omnibus Budget Reconciliation Act | Various parts of the act passed in 1981, 1987, 1989, and 1990 | ||
obs | Observation | A level of patient care which is only allowed for 24 hours. Typically occurs after admission to an ED to determine whether a patient meets inpatient criteria or should be discharged. | ||
OBS | Office-Based Surgery | |||
OBS | Organic Brain Syndrome | |||
OCD | Obsessive Compulsive Disorder | |||
OCD | OIG Clearance Document | |||
OCD | Operational Capability Demonstration | |||
OCE | Outpatient Code Editor | |||
OCESAA | Omnibus Consolidated and Emergency Supplemental Appropriations Act | A 1999 act | ||
OCFAA | Office of Civil Fraud and Administrative Adjudication | |||
OCHAMPUS | Office of Civilian Health and Medical Program of the Uniformed Services | |||
OCHSPS | Ohio Children's Hospitals' Solutions for Patient Safety | |||
OCI | Organizational Conflict of Interest | |||
OCN | Oncology Certified Nurse | A certification by the Oncology Nursing Certification Corporation (ONCC) | ||
OCR | Office for Civil Rights | |||
OCR | Office of Civil Rights | |||
OCR | Optical Character Recognition | |||
OCSE | Office of Child Support Enforcement | |||
OCST | Outstation Customer Service Team | Also called CSOT | ||
OD | Doctor of Optometry | Also written O.D. | ||
OD | Once Daily | A dangerous abbreviation which should not be used because it can be misinterpreted as right eye. Also written o.d. | ||
OD | Right Eye | A dangerous abbreviation which should not be used because it can be mistaken for QD (every day) | ||
ODA | Occupancy Depreciation and Amortization | |||
ODD | Oppositional Defiant Disorder | |||
ODIE | Online Data Input and Edit | A subsystem which has an OSCAR frontend system | ||
ODL | Outpatient Diagnostic Laboratory | |||
ODSN | Organization Development Services Network | |||
OE | Order Entry | |||
OEC | OASIS Educational Coordinator | |||
OEM | Original Equipment Manufacturer | |||
OEO | Occupant Emergency Organization | |||
OEP | Open Enrollment Period | |||
OEPI | Open Enrollment Period for Institutionalized Individuals | |||
OEPNEW | Open Enrollment Period for Newly Eligible Individuals | |||
OES | Occupational Employment Survey | |||
OF | Optional Form | |||
OFA | Office of Family Assistance | FSA | ||
OFB | Outpatient Feedback | |||
OFCCP | Office of Federal Contract Compliance Programs | |||
OFPP | Office of Federal Procurement Policy | |||
OGC | Office of the General Council | Health and Human Services (HHS) | ||
OGE | Office of Government Ethics | |||
OHC | Other Health Coverage | |||
OHCDS | Organized Health Care Delivery System | |||
OHDS | Office of Human Development Services | |||
OHNS | Otolaryngology Head and Neck Surgery | |||
OHTA | Office of Health Technology Assessment | PHS | ||
OI | Office of Inspections | |||
OI | Office of Investigations | OIG | ||
OIA | Office of Intergovernmental Affairs | |||
OIC | Opportunity to Improve Care | |||
OICS | Office of Internal Customer Support | CMS | ||
OIFO | Office of Investigations Field Office | |||
OIG | Office of the Inspector General | |||
OIRA | Office of Information and Regulatory Affairs | |||
OIS | Office of Information Services | CMS | ||
OIS | Office of Information Systems | |||
OJT | On-the-Job Training | |||
OL | Office of Legislation | CMS | ||
OLAP | OnLine Analytic Processing | |||
OLAP | Online Analytical Processing | A computer-based technique for analyzing business data in the search for business intelligence. An OLAP cube is an array of data understood in terms of its 0 or more dimensions. | ||
OLM | Online Mapping | |||
OLMR | Office of Labor Management Relations | |||
OLQ | Online Query | |||
OLTC | Other Long Term Care | |||
OLTP | OnLine Transaction Processing | |||
OMB | Office of Management and Budget | The largest office within the EOP, it's most prominent function is to produce the President's Budget but it also measures the quality of agency programs, policies, and procedures to see if they comply with the president's policies and coordinates inter-agency policy initiatives. | ||
OMCH | Office of Maternal and Child Health | |||
OME | Home Care | A Joint Commission (JC) accreditation program | ||
OMESP | Omnibus Medicare Enrollment System Processor | |||
OMM | Office of Medicaid Management | |||
OMP | Operational Management Plan | |||
OMR | Office of Medical Review | |||
OMR | Optical Mark Reading | |||
OMRA | Other Medicare Required Assessment | |||
OMS | Oversight and Management System | |||
ONC | Orthopedic Nurse Certified | A certification by the National Association of Orthopedic Nurses' (NAON) Orthopaedic Nurses Certification Board | ||
ONCC | Oncology Nursing Certification Corporation | |||
ONG | Orthodontic National Group | |||
OON | Out-of-Network | |||
OOP | Object Oriented Programming | |||
OOP | Out-of-Pocket | As in out of pocket payments | ||
OOSA | Out of Service Area | Also known as OSA | ||
OP | Organization Purpose | |||
OP | Outpatient | Also written as O/P | ||
OP | Overpayment | |||
OPA | Organ Procurement Agency | |||
OPAC | Online Payment and Accounting Collection | |||
OPC | Orderable, Performable, Chargeable | |||
OPC | Outpatient Clinic | |||
OPD | Outpatient Department | |||
OPDIV | OPerating DIVision | |||
OPI | Office of Primary Interest | |||
OPI | Other Processing Information | |||
OPIC | Overseas Private Investment Corporation | |||
OPIM | Other Potentially Infectious Material | As defined by the OSHA Bloodborne Pathogens Standards, OPIM includes:The following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluidsAny unfixed tissue or organ (other than intact skin) from a human (living or dead)HIV-containing cell or tissue cultures, organ cultures, and HIV- or HBV-containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBV | ||
OPL | Operation Policy Letter | |||
OPM | Office of Personnel Management | Formerly known as CSC | ||
OPO | Organ Procurement Organization | |||
OPPE | Ongoing Professional Practice Evaluation | A 2008 Joint Commission (JC) standard mandating detailed evaluation of
practitioners' professional performance as part of the process of granting and maintaining practice
privileges in a health care organization. OPPE is intended as
a means of evaluating professional performance on an ongoing basis, as part of the effort to monitor
professional competency, identify areas for possible performance improvement by individual
practitioners, and utilize objective data in decisions regarding continuance of practice privileges. | ||
OPPS | Outpatient Prospective Payment System | |||
OPR | Office of Public Relations | CMS | ||
OPS | Output Performance Standards | |||
OPSA | Office of Professional and Scientific Affairs | |||
OPSC | Outpatient Specialty Clinic | |||
OpTime | Epic OR Application | Epic's operating room management application | ||
OPTN | Organ Procurement and Transplantation Network | |||
OQ | Office of Qualification | |||
OQC | Operations Quality Council | |||
OQM | Office of Quality Monitoring | |||
OR | Operating Room | |||
ORBTUP | Orbit Update | |||
ORD | Orders Master Files | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
ORDI | Office of Research, Development, and Information | CMS | ||
ORF | Outpatient Rehabilitation Facility | |||
ORHP | Office of Rural Health Policy | An HRSA office | ||
ORIF | Open Reduction and Internal Fixation | To stabilize fractures that cannot be set and maintained with a closed reduction and casting. Stabilization done in surgery
| ||
ORP | Surgical Procedures Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
ORR | Office of Refugee Resettlement | |||
ORSI | Office of Retirement and Survivors Insurance | |||
ORT | Operation Restore Trust | |||
ORTIS | Operation Restore Trust Information System | |||
ORUS | Operations Resources Utilization System | |||
ORYX | Joint Commission performance measurement initiative | The Joint Commission's (JC) performance measurement and improvement initiative, which integrates outcomes and other performance measure data into the accreditation process. Not an acronym. | ||
OS | Left Eye | A dangerous abbreviation which should not be used because it can be mistaken for QD (every day) | ||
Os | mouth | |||
OS | Office of the Secretary | |||
OS | Organization Structure | |||
OS/ES | Office of the Secretary/Executive Secretariat | |||
OSA | Out of Service Area | Also known as OOSA | ||
OSC | Office of Standards and Certification | |||
OSC | Office Systems Coordinator | |||
OSCAR | Office of Standards and Certification Automated Retrieval System | |||
OSCAR | Online Survey Certification and Reporting | |||
OSDIT | Office of Software Development and Information Technology | |||
OSE | Office Systems Equipment | |||
OSE | Open Software Evaluation | |||
OSE | Open Systems Environment | |||
OSERS | Office of Special Education Rehabilitation Services | |||
OSG | Office of the Surgeon General | |||
OSH | Outside Hospital | OSH is sometimes handwritten by clinicians when referring to an outside hospital (e.g., radiology results obtained from OSH) | ||
OSH ACT | Occupational Safety and Health Act | |||
OSHA | Occupational Safety and Health Administration | A federal agency of the United States that regulates workplace safety and health | ||
OSHPD | Office of Statewide Health Planning and Development | A California agency that promotes an equitably distributed healthcare workforce, publishes information about healthcare outcomes, provides loan insurance to assist the capital needs of California's not-for-profit healthcare facilities, and monitors the construction, renovation, and seismic safety of hospitals/skilled nursing facilities | ||
OSI | Open System Interconnection | |||
OSI/SAS | Optimum System Incorporated/Shared Arkansas System | |||
OSP | Outpatient Speech Pathology | |||
OSPATS | OnSite Surveyor Performance Assessment and Training Survey | |||
OSTP | Office of Science and Technology Policy | |||
OT | Occupational Therapy | It is also used to describe the job title of Occupational Therapist (not a credential) | ||
OTA | Office of Technical Assistance | |||
OTA | Office of Technology Assessment | |||
OTA | Orthodontic Technicians Association | |||
OTC | One-Time Cost | |||
OTC | Over the Counter | As in over the counter drugs | ||
OTIS | Office of Telecommunications and Information Systems | |||
OTIS | Online Telecommunications Information System | |||
OTP | One-Time Payment | |||
OTP | Opioid Treatment Program | |||
OTR | Off-the-Record | |||
OTR | On-the-Record | |||
OTR | Registered Occupational Therapist | Also abbreviated OTReg | ||
OTReg | Registered Occupational Therapist | Also abbreviated OTR | ||
OTS | OneTime Source | |||
OU | Both Eyes | A dangerous abbreviation which should not be used because it can be mistaken for QD (every day). | ||
OWCP | Office of Worker's Compensation Programs | |||
OWL | Older Women's League | |||
OWTDS | Office of Washington Training and Development Services | |||
P | Process | |||
P | Pulse | One of the vital signs, usually counted at the inner wrist
| ||
P&E | Parenteral and Enteral | |||
P&L | Profit and Loss | |||
P&O | Prosthetics and Orthotics | |||
P&P | Policy & Procedure | |||
P&T | Pharmaceutical and Therapeutic | |||
P/B | Provider/Beneficiary | |||
P/N | Part Number | |||
P4P | Pay for Performance | |||
PA | Pathologist Assistant | |||
PA | Patient Access | |||
PA | Physician Advisor | A physician who works closely with Case Management to manage appropriate Level of Care (LOC) for the patient. The PA serves as liaison between medical staff and hospital on issues related to utilization of services. | ||
PA | Physician Assistant | A title for the position of Physician Assistant, not a credential. PAs are licensed to practice medicine with physician supervision, are able to diagnose/treat illnesses, perform physicals, order/interpret tests, assist with surgery, write prescriptions (in most states). A Physician's Assistant has a Bachelor's degree and four years of healthcare experience, in addition to the 26 month PA training program | ||
PA | Privacy Act | A 1974 act | ||
PA | Project Assessment | |||
PA-C | Physician Assistant-Certified | A certification by the National Commission on the Certification of Physician Assistants (NCCPA) | ||
PAC | Patient Assessment Computerized | |||
PAC | Personal Access Code | |||
PAC | Political Action Committee | |||
PAC | Pre-Admission Certification | |||
PAC | Premium Amount Collectible | |||
PAC | Products of Ambulatory Care | |||
PAC | Professional and Administrative Careers | |||
PAC | Professional, Administrative, Clerical | |||
PAC | Project Account Code | |||
PACE | Pharmaceutical Assistance Program | |||
PACE | Planning, Assigning, Controlling, and Evaluating System | |||
PACE | Professional and Administrative Career Examination | |||
PACE | Program for All Inclusive Care for the Elderly | |||
PACEMKR | Pacemaker System | |||
PACO | Principal Administrative Contracting Officer | |||
PACS | Patient Care and Services | |||
PACS | Picture Archival Computer Systems | Mainly radiology | ||
PACs | Premature Atrial Contractions | Also written pac's | ||
PACT | Pediatric Analysis and Comparison Tool | |||
PACU | Post-Anesthesia Care Unit | Also written as Post-Anesthetic Care Unit and Post Anesthesia Care Unit | ||
PAG | Policy Advisory Group | |||
PAHP | Prepaid Ambulatory Health Plan | |||
PAL | Patient Accounting Language | IBM software | ||
PAL | Provider Audit List | |||
PALS | Pediatric Advanced Life Support | |||
PAM | Priority Audit Memorandum | |||
PAM | Project Administration Manual | |||
PANAPT | APCSS Automated Production Turnover software | |||
PANVALET | APCSS source code management software | |||
PAO | Procurement Assistance Office | |||
PAO | Property Accountable Officer | |||
PARD | Provider Audit and Reimbursement Department | |||
PARF | Pennsylvania Association of Rehabilitation Facilities | |||
PARL | Physician/Supplier Assignment Rate List | |||
PART A | Medicare Hospital Insurance | See also PTA | ||
PART B | Medicare Supplementary Medical Insurance | See also PTB or MEDB | ||
PAS | Pediatric Academic Society | |||
PAS | Pediatric Appendicitis Score | Introduced by Maden Samuel in 2002 as a way to stratify children's risk of having appendicitis when they present with abdominal pain. The scoring system consists of 8 findings (6 worth 1 point, and 2 worth 2 points for a total score of 10 points). | ||
PAS | Pre-Award Survey | |||
PAS | Premium Accrual Stop | |||
PAS | Professional Activity Study | |||
PAS | Public Appearances Staff, OPA | |||
PASARR | Preadmission Screening and Annual Resident Review | |||
PASRR | Preadmission Screening and Resident Review | A federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care. PASRR requires thatAll applicants to a Medicaid-certified nursing facility be evaluated for mental illness and/or intellectual disabilityBe offered the most appropriate setting for their needs (in the community, a nursing facility, or acute care settings)Receive the services they need in those settings | ||
PASS | Pediatric Asthma Severity Score | |||
PASS | Policy Access Support System | |||
PASS | Procurement Automatic Source System | |||
Pat | Patient | |||
PAT | Planning Action Team | |||
PAT | Preadmission Testing | |||
PATCO | Professional, Administrative, Technical, Clerical Other | |||
PATHVU | Path View | |||
PAYERID | Payer Identification | National provider identifier initiative | ||
PB | Physician Billing | Usually used to describe Epic's Physician Billing system | ||
PBA | Part B Advisory | See also Medicare Part B (PTB or MEDB) | ||
PBA | Pharmacy Benefit Administrator | |||
PBC | Premium Billing Code | |||
PBG | Physician Billing Group | |||
PBGC | Pension Benefit Guaranty Corp. | |||
PBIS | PerformanceBased Incentive System | |||
PBMS | Pharmacy Benefit Managers | |||
PBO | Payment Bill Option | |||
PBP | Plan Benefit Package | |||
PBP | Provider Based Physician | |||
PBPM | Per Beneficiary Per Month | |||
PBR | Process Bill Register | |||
PBT | Participating Tax-Exempt Bond Transaction | |||
PBX | Private Branch Exchange | |||
pc | After Meals | Such as taking medication after a meal. Also written p.c.
| ||
PC | Partnership Council | |||
PC | Procurement Cycle | |||
PC | Professional Component | |||
PC | Program Coordinator | |||
PC | Project Coordinator | |||
PC | Provision of Care | Also applies to treatment and services | ||
PCA | Patient Care Assistant | |||
PCA | Patient-Controlled Analgesia | Electronically controlled infusion pump filled with an analgesic used for pain control. Patient pushes a button to infuse a controlled amount of medication into an IV or epidural catheter. Physicians write an order for the dose and timing of the drug. Pump has a "lock out" feature so patients do not overdose on medication. Patient may not leave the hospital with a PCA. | ||
PCA | Physical Configuration Audit | |||
PCA | Physicians Comparability Allowance | |||
PCA | Principle Certification Authority | |||
PCA | Private Collection Agency | |||
PCA | Progressive Corrective Action | |||
PCAM | Punch Card Accounting Machines | |||
PCAS | Patient Care Algorithm | |||
PCBA | Privacy Certification for Business Associates | |||
PCC | Per Capita Cost | |||
PCCC | Patient Centered Connected Care | An NCQA recognition which focuses on an Urgent Care's communication with Primary Care and use of evidence-based guidelines. Sometimes written Patient-Centered Connected Care. | ||
PCCC | Pediatric Cardiac Care Consortium | |||
PCCM | Primary Care Case Management | |||
PCCMP | Primary Care Case Management Provider | |||
PCD | Premium Conversion Date | |||
PCD | Primary Chronic Disease | Identifies chronic conditions in 3M's Clinical Risk Grouping Software | ||
PCDB | Provider/Contractor Data Base | |||
PCE | Personal Care Expenditures | |||
PCH | Primary Care Hospital | |||
PCI | Percutaneous Coronary Intervention | Commonly known as coronary angioplasty or simply angioplasty. A non-surgical procedure used to treat the stenotic (narrowed) coronary arteries of the heart found in coronary heart disease. | ||
PCIE | President's Council on Integrity and Efficiency | |||
PCIT | Parent Child Interaction Therapy | Also written Parent-Child Interaction Therapy | ||
PCM | Patient Care Manager | |||
PCMH | Patient Centered Medical Home | An NCQA recognition which focuses on improving care coordination and communication in Primary Care settings. Sometimes written Patient-centered Medical Home | ||
PCMI | President's Council on Management Improvement | |||
PCN | Primary Care Network | |||
PCO | Procurement Contracting Officer | |||
PCON | Pathways Contract Management | |||
PCORI | Patient Centered Outcomes Research Institute | |||
PCP | Primary Care Physician | A position, not a credential | ||
PCPI | Physicians Consortium for Performance Improvement | |||
PCPR | Provider Claims Processing Requirements | |||
PCR | Private Consumer Rate | |||
PCR | Procurement Center Representative | |||
PCR | Prospective Composite Rate | |||
PCRP | Per Capita Rate Payment | |||
PCRS | Performance Control Reporting System | |||
PCS | Patient Care Services | |||
PCS | Permanent Change of Station | |||
PCS | Position Classification Standard | |||
PCSP | Patient Centered Specialty Practice | An NCQA recognition which focuses on streamlined referral processes and care coordination with referring clinicians, timely patient and caregiver-focused care management and continuous clinical quality improvement. Sometimes written Patient-Centered Specialty Practice. | ||
PCT | Patient Care Tech | |||
PCT | Percent | Or Percentage | ||
PCT | Primary Care Trust | United Kingdom
| ||
PCT | Project Coordination Team | |||
PCYA | Presidential Classroom for Young Americans | |||
PD | Doctor of Pharmacy | See also PharmD or DP | ||
PD | Parkinson's Disease | |||
PD | Physical Database | |||
PD | Position Description | |||
PD | Premium Deducted | |||
PD | Process Description | |||
PD | Program Development | |||
PDA | Patent Ductus Arteriosus | A heart problem that affects some babies, especially when born premature, soon after birth. In PDA, abnormal blood flow occurs between two of the major arteries connected to the heart (the aorta and the pulmonary arteries). | ||
PDA | Preliminary Denial of Accreditation | |||
PDA | Premium Due Amount | |||
PDBO | Public Disability Benefit Offset | |||
PDCA | Plan Do Check Act | An iterative four-step management method used in business for the control and continuous improvement of processes. PDCA is a common component of Lean project management. Synonym: Plan Do Study Act (PDSA). | ||
PDD | Physical Database Design | |||
PDD | Preliminary Design Document | |||
PDD | Presidential Decision Directive | Also known as PDED | ||
PDD63 | Presidential Decision Directive #63 | |||
PDE | Prescription Drug Event | |||
Program Development Facility | ||||
PDFS | Prescription Drug Front-End System | |||
PDLO | Printing and Distribution Liaison Officer | |||
PDM | Parallel Development Manager | |||
PDM | Personalized Documentation Manager | |||
PDM | Program Decision Memorandum | |||
PDMA | Prescription Drug Marketing Act | A 1988 act | ||
PDOTH | Prior Date of Termination of Hospital Insurance | |||
PDP | Prescription Drug Plan | |||
PDP | Private Prescription Drug Plan | |||
PDP | Program Decision Package | |||
PDR | Physician's Desk Reference | |||
PDS | Partitioned Data Set | |||
PDS | Peer Data System | Also known as Peer Review Organization Data System | ||
PDSA | Plan Do Study Act | A synonym of PDCA | ||
PDSC | Phased-Down State Contribution | |||
PDT | Physical Design Team | |||
PDV | Program Data Vector | |||
PE | Performance Evaluation | |||
PE | Post Entitlement | |||
PE | Program Evaluation | |||
PE | Pulmonary Embolism | |||
PEAG | Physician Engagement Advisory Group | |||
PEB | Performance Evaluation Board | |||
PEBES | Personal Earnings and Benefit Estimate Statement | See also Social Security Administration (SSA) | ||
PEBS | Personal Earnings and Benefit Statement | |||
PEBTAG | Provider Electronic Billing Technical Advisory Group | |||
PEC | Performance Engineering Corp | SAIC subcontractor | ||
PECARN | Pediatric Emergency Care Applied Research Network | Strives to conduct meaningful and rigorous multi-institutional research into the prevention and management of acute illnesses and injuries in children and youth across the continuum of emergency medicine health care | ||
PECOS | Provider Enrollment, Chain, and Ownership System | |||
PED | Project Engineering Development | |||
PEEP | Positive End-expiratory Pressure | The pressure in the lungs (alveolar pressure) above atmospheric pressure (the pressure outside of the body) that exists at the end of expiration. The two types of PEEP are extrinsic PEEP (PEEP applied by a ventilator) and intrinsic PEEP (PEEP caused by a non-complete exhalation). Pressure that is applied or increased during inspiration is termed pressure support. | ||
PEG | Percutaneous Endoscopic Gastrostomy | An endoscopic medical procedure in which a tube (PEG tube) is passed into a patient's stomach through the abdominal wall, most commonly to provide a means of feeding when oral intake is not adequate. The procedure is an alternative to surgical gastrostomy insertion and does not require a general anesthetic (mild sedation is typically used). | ||
PEI | Postentitlement Internet | A Master Beneficiary Record (MBR) Query | ||
PEL | Permissible Exposure Limits | An OSHA guideline | ||
PEM | Pediatric Emergency Medicine | |||
PENVAL | Post Entitlement Notices Validations | See also Social Security Administration (SSA) | ||
PEO | Program Executive Officer | |||
PEP | Partial Episode Payment | |||
PEP | Partnerships in Education Program | |||
PEP | Performance Evaluation Program | |||
PEP | Proposal Evaluation Plan | |||
PEPP | Payment Error Prevention Program | |||
PEPPER | Post Entitlement Premium Payment and Enrollment Program | See also Social Security Administration (SSA) | ||
PEPPER | Program for Evaluating Payment Patterns Electronic Report | The report, created by Medicare's HPMP, provides the results of focused audits on potential problem areas and provides to hospitals. The 13 target areas with frequent payment errors (under or overcoding) include one-day inpatient hospital stays (listing the hospital's top 10 one-day stay admissions), seven day readmits, three day nursing home qualifying stays, coding of complications and co-morbidities (used to optimize to a higher paying DRG) and a focus on nine problematic primary diagnoses/DRGs (heart failure and shock, chest pain one day stays, gastroenteritis and other digestive disorders one day stays, nutritional and metabolic disorders one-day stays, intracranial hemorrhage and stroke with infarct, simple pneumonia, complex pneumonia, back problems and septicemia). The source of the data is Medicare's own inpatient hospital discharge data. The PEPPER report is compiled quarterly and provided to hospitals by their Medicare Quality Improvement Organization (QIO). Hospitals use this data to focus their monitoring and auditing efforts and track improvement over time and to compare their performance with other hospitals in their state and nationwide. | ||
Per os | Orally | A dangerous abbreviation which should not be used because 'os' can be misinterpreted as 'left eye.' | ||
PERRLA | Pupils equal, round and reactive to light and accommodation | Neurological signs checked after a head injury
| ||
PERT | Program Evaluation and Review Technique | |||
PERVU | Practice Expense Relative Value Units | |||
PESO | Post Entitlement Scheduling Operation | See also Social Security Administration (SSA) | ||
PESO | Post Entitlement System Operation | See also Social Security Administration (SSA) | ||
PET | Positron Emission Tomography | Uses computers, scanners and radioactive material to measure blood flow, oxygen and glucose metabolism. | ||
PET | Provider Education and Training | |||
PET | Provider Evaluation and Training | |||
PETS | Problem and Enhancement Tracking System | See also GHP | ||
PETT | Position Emission Transverse Tomography | |||
PEW | PRO Efficiency Workgroup | |||
PEWS | Pediatric Early Warning Sign | A score assigned to patients | ||
PFA | Priority Focus Area | |||
PFAC | Patient and Family Advisory Council | |||
PFCRA | Program Fraud Civil Remedies Act | |||
PFF | Physician Fee Freeze | |||
PFFS | Private Fee-For-Service Plan | |||
PFI | Plan for Improvement | |||
PFP | Priority Focus Process | |||
PFS | Patient Financial Services | |||
PFT | Priority Focus Tool | |||
PFT | Pulmonary Function Test | |||
Pg | Page | |||
PGNZ | Pharmaceutical Guild Of New Zealand | |||
PGY | Postgraduate Year | |||
PH | Paoli Hospital | |||
PH | Partial Hospitalization | |||
pH | Power of Hydrogen | The symbol used to depict the hydrogen ion concentration of a solution, i.e. acidity. pH 7.0 is neutral; above 7.0 is alkaline, below is acid. | ||
PHAB | Public Health Accreditation Board | |||
PHARM | Pharmaceutical Health and Rational Use of Medicines | Australia
| ||
PharmD | Doctor of Pharmacy | Sometimes abbreviated Pharm.D. See also DP or PD. | ||
PHC4 | Pennsylvania Health Care Cost Containment Council | |||
PHCE | Personal Health Care Expenditures | |||
PHCP | Prepaid Health Care Plan | |||
PHCQA | Pennsylvania HealthCare Quality Alliance | |||
PhD | Doctor of Philosophy | Sometimes written Ph.D. | ||
PHDDS | PRO Hospital Discharge Data Set | |||
PHEC | Post-Hospital Extended Care | |||
PHHH | Post-Hospital Home Health | |||
PHI | Premium Hospital Insurance | |||
PHI | Protected Health Information | Sometimes referred to as Personal Health Information | ||
PHIC | Partnership for Health Insurance Counseling | |||
PHIP | Pharmacist's Incentive Program | |||
PHIS | Pediatric Health Information System | A comprehensive pediatric database containing clinical and financial details of more than six million patient cases from nearly 50 children's hospitals in the United States. The main database dates back to 2004, with some data available from the late 1990s. A related database known as PHIS+, contains even more details (lab results, images, etc.) but is limited to six hospital for up to 6 years. | ||
PHM | Pediatric Hospital Medicine | |||
PHM | Population Health Management | |||
PHO | Physician | |||
PHOS | Post Hospital Outcome Study | |||
PHP | Partial Hospitalization Program | |||
PHP | Prepaid Health Plan | |||
PHPO | Prepaid Health Plan Option | |||
PHPO | Private Health Plan Option | |||
PHR | Professional in Human Resources | |||
PHRMA | Pharmaceutical Manufacturers and Researchers of America | |||
PhRMA | Pharmaceutical Research and Manufacturers of America | |||
PHS | Public Health Services | |||
PHTP | Priority Health Training Programs | |||
PHUS | Payment History Update System | |||
PHY/SUP | Physician/Supplier | |||
PI | Penalty Indicator | |||
PI | Performance Improvement | Sometimes also called Process Improvement | ||
PI | Performance Indicator | |||
PI | Principal Investigator | |||
PI | Productivity Investment | |||
PI | Program Integrity | |||
PI | Project Initiation | |||
PIA | Primary Insured Amount | |||
PIC | Policy Information Center | Health and Human Services (HHS) | ||
PIC | PRO Intermediary Carrier | |||
PIC | Program Information Coordinator | |||
PICC | Peripherally Inserted Central Catheter | Long-term IV that goes to the heart. Must be placed by a special team and many facilities will not accept patients with a PICC, but Home Health can | ||
PICS | Plan Information Control System | |||
PICS | Program Information Control System | |||
PICU | Pediatric Intensive Care Unit | |||
PICU | Pulmonary Intensive Care Unit | |||
PID | Payer Identification System | |||
PID | Program Inspections Division, OIG | |||
PID | Project Idea Document | |||
PIDS | People or Individual with Disabilities | Also known as POIWD | ||
PIE | Post Implementation Evaluation | |||
PIG | Program Integrity Group | OFM and CMS | ||
PIHP | Prepaid Inpatient Health Plan | |||
PII | Public Information Interview | |||
PIIS | Program Instructions Issuance System | |||
PIM | Personal Information Manager | |||
PIM | Program Intergrity Manual | Medicare guidelines | ||
PIMR | Program Integrity Management Reporting | |||
PIN | Performance Improvement Network | |||
PIN | Personal Identification Number | |||
PIN | Pre-Invitation Notice | |||
PIN | Primary Insured Number | |||
PIN | Provider Identification Number | The Department of Health Services assigns each provider a unique nine-character identification number which identifies the provider through a claims processing system and enables the provider to receive payment. Separate provider numbers may be assigned for inpatient and outpatient claims submission. Sometimes known as a Physician Identification Number. | ||
PINQ | Premium Inquiry | |||
PIP | Performance Improvement Plan | |||
PIP | Periodic Interim Payment | |||
PIP | Physician Incentive Plan | |||
PIP | Private Independent Practice | |||
PIP | Productivity Improvement Program | |||
PIP | Projects in Progress | |||
PIPC | Public Information Program Circular | |||
PIPDCG | Principal Inpatient Diagnostic Cost Group | |||
PIR | Periodic Interim Reimbursement | |||
PIR | Post Implementation Review | |||
PIT | Process Improvement Team | See also ALJ | ||
PITS | PRO Information Tracking System | |||
PJS | Personal Job Scheduler | |||
PKU | Phenylketonuria | A rare, inherited metabolic disorder that is characterized by the inability of the body to utilize the essential amino acid, phenylalanine (Phe) | ||
PL | Performance Level | |||
PL | Proposed Legislation | |||
PL | Public Law | |||
PL99-474 | Computer Fraud and Abuse Act | A 1986 act | ||
PLAN | Plain Language Action Network | |||
PLAN | Protection for Long Term Assistance Needs | |||
PLANNET | Plan Network | |||
PLD | Patient Level Detail | |||
PLT | Production Lead Time | |||
PM | post meridiem | |||
PM | Procedure Manual | |||
PM | Program Management | |||
PM | Program Memoranda | |||
PM | Project Manager | |||
PM-DRG | Pediatric Modified Diagnosis Related Group | |||
PM-PET | Program ManagementProvider Education and Training | |||
PM/PM | Per Member/Per Month | |||
PMA | Pre-Market Approval | |||
PMA | Prior Month Accrual | |||
PMBOK | Project Management Body of Knowledge | |||
PMC | Patient Management Categories | |||
PMCS | Program Management Control System | |||
PMCS | Project Management Collection System | |||
PMD | Primary MD | Primary doctor. More commonly called PCP. | ||
PME | Partial Month Eligible | Medicaid eligibility | ||
PME | Prior Month Ending | |||
pmhx | Past Medical History | |||
PMI | Project Management Institute | |||
PMIS | Program Management Information System | |||
PMIS | PSRO Management Information System | |||
PMMIS | Program Management and Medical Information System | |||
PMO | Project Management Office | |||
PMO | Property Management Officer | |||
PMP | Preventive Maintenance Program | |||
PMP | Project Management Plan | |||
PMPM | Per Member Per Month | A form of payment capitation in which a set amount is paid to provider each period, whether or not care is provided | ||
PMRS | Performance Management and Recognition System | |||
PMRS | Performance Management Rating System | |||
PMS | Payment Management System | |||
PMS | Performance Measurement System | |||
PMS | Personal Medical Services | An alternative contract for United Kingdom GPs | ||
PMS | Personnel Manual for Supervisors | See also Social Security Administration (SSA) | ||
PMS | Program Management System | |||
PMS | Property Management System | |||
PMSA | Primary Metropolitan Statistical Area | See also BLSC | ||
PMTT | Programmable Magnetic Tape Terminal | Also known as Programmable Magnetic Tape Transmission | ||
PN | Pneumonia | |||
PNL | Profit and Loss | Also written P&L | ||
PNM | Price Negotiation Memorandum | |||
PNP | Pediatric Nurse Practitioner | Job title for the position of Pediatric Nurse Practitioner, not a credential | ||
po | per os | Latin for "by mouth." For example, patients may be transitioned from intravenous (IV) medications to PO (by mouth) medications prior to discharge. Also written p.o. | ||
PO | Post Office | |||
PO | Privacy Officer | |||
PO | Procurement Office | |||
PO | Project Officer | |||
PO | Purchase Order | |||
POA | Plan of Action | |||
POA | Power of Attorney | |||
POA | Present on Admission | |||
POAM | Plan of Action and Milestones | |||
POC | Parent of Child | |||
POC | Patterns of Care | |||
POC | Plan of Care | |||
POC | Plan of Correction | |||
POC | Point of Contact | |||
POC | Principal Operating Component | |||
POC | Proof of Concept | |||
POCI | Physician Ownership/Compensation Interest | |||
POCT | Point of Care Testing | Typically referring to a device, service providing testing at patient location, e.g., bedside glucose testing with Freestyle. Sometimes shortened to "POC." | ||
POE | Plan of Expenditures | |||
POIWD | People or Individuals with Disabilities | Also known as PIDS | ||
POL | Physician Office Laboratories | |||
POMS | Program Operations Manual System | Formerly Claims Manual (CM). See also Social Security Administration (SSA). | ||
POR | Print/Utility Owning Region | |||
POR | Provider Overpayment Recovery | |||
POR | Provider Overpayment Report | |||
PORA | Principal Official Responsible for Acquisition | |||
PORS | Provider Overpayment Recovery System | |||
PORS | Provider Overpayment Reporting System | |||
PORT | Patient Outcome Research Team | Also known as Patient Outcome Research Treatment | ||
PORTS | Patient Outcome Research Teams | |||
POS | Place of Service | |||
POS | Point of Sale | |||
POS | Point of Service | Point of Service CollectionsThe collection of the portion of the bill that is likely the responsibility of the patient prior to the provision of service. It can include co-pays, as well as estimated patient liability after payer reimbursement. Managing point-of-service collections effectively has been shown to reduce cost to collect, increase overall cash flow, and in some instances improve patient satisfaction.A hybrid payer modelA hybrid of HMOs and PPOs. Some require members to choose PCPs and offer the highest amounts of insurance benefits by staying in network. Like PPO plans, however, members are able to go out of network and still receive insurance coverage but the amounts will be lower. Members do not have to get referrals for non-network care even if they have PCPs. However, out-of-pocket expenses, such as deductibles and co-payments, are substantially higher for members who do not get referrals for non-network care. See also EPO, HMO, and PPO. | ||
POS | Provider of Service | Also known as Provider of Services | ||
POSIX | Portable Operating System Interface Exchange | |||
POT | Plan of Treatment | |||
PP | Project Plan | |||
PP | Prospective Payment | |||
PP&A | Plan Performance and Assistance | |||
PPA | Premium Paid Amount | |||
PPAC | Practicing Provider Advisory Council | |||
PPAC | Prospective Payment Assessment Commission | |||
PPACA | Patient Protection and Affordable Care Act | A US federal statute signed into law by President Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act, it represents the most significant regulatory overhaul of US healthcare since the passage of Medicare and Medicaid in 1965.
| ||
PPB | Planning, Programming, Budgeting | |||
PPC | Processing Payment Cycle | |||
PPD | Postpartum Depression | |||
PPD | Purified Protein Derivative | A screening tool for tuberculosis (TB). Also known as Mantoux test, Mendel-Mantoux test, Mantoux screening test, tuberculin sensitivity test, and Pirquet test. | ||
PPE | Personal Protective Equipment | |||
PPG | Primary Care Physician Groups | |||
PPI | Producer Price Index | |||
PPI | Proton Pump Inhibitors | A group of drugs whose main action is a pronounced and long-lasting reduction of gastric acid production | ||
PPL | Potentially Penalty Liable | |||
PPLS | Policy Planning Liaison Staff | |||
PPM | Parts Per Million | |||
PPN | Partial Parenteral Nutrition | IV, or parenteral, nutrition delivered through a system other than the digestive system because a patient is unable to take enough food by mouth. Partial parenteral nutrition is given for short periods of time, to replace some of the nutrients required daily and only supplements a normal diet. See also TPN and HPN. | ||
PPN | Preferred Provider Network | A network comprised of Preferred Provider Organizations (PPO) | ||
PPNA | Program Planning and Needs Analysis | |||
PPO | Preferred Provider Organization | The most flexible managed health care plans. Members are not required to stay in-network for health care and do not have to use PCPs. The insurance benefits are not as high as HMOs because members will have to pay deductibles and co-payments when visiting network doctors. They can go out of network for care and still receive insurance coverage, however, it will be less than what they would have received for staying in-network. Members can be responsible for up to 40 percent of their medical bills out-of-pocket by going out of network. See also EPO, HMO, and POS. | ||
PPP | Preference Procurement Program | |||
PPP | Production Program Profile | |||
PPR | Periodic Performance Review | |||
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 | |||
PPRVU | Professional Practice Relative Value Unit | |||
PPS | Prepayment Screen | |||
PPS | Primitive Process Specification | |||
PPS | Proposed Price Setting | |||
PPS | Prospective Payment System | A method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. The payment amount for a particular service is derived based on the classification system of that service (for example, DRGs for inpatient hospital services). Sometimes known as Prospective Pricing System. | ||
PPSMS | Printing and Paper Stock Management System | |||
PPSP | Physician's Primary Sponsor Plan | |||
PPSSCC | President's Private Sector Survey on Cost Control | |||
PPV | Pharmaceutical Prime Vendor | |||
PPWY | Productivity Per Work Year | |||
PQA | Pediatric Quality Alliance | |||
PQA | Pharmacy Quality Alliance | |||
PQE | Prior Quarter Ending | |||
PQI | Prevention Quality Indicators | |||
PQRS | Physician Quality Reporting System | |||
PR | Peer Review | |||
PR | Program Requirement | |||
PR | Purchase Request | Also known as Procurement Request | ||
PRA | Paperwork Reduction Act | A 1980 act | ||
PRA | Per Resident Amount | |||
PRA | Percent Reactive Antibody | |||
PRA | Performance Risk Assessment | |||
PRA | Professional Research Assistant | |||
PRACP | Project Review and Coordination Panel | |||
PRAF | Physician Reviewer Assignment Format | |||
PRB | Payment Record Batch | |||
PRB | Performance Review Board | |||
PRCP | Project Review and Coordination Panel | |||
PRENT | Prior Entitlement Program | See also HDPRENT | ||
PRES | Policy Review and Evaluation Staff | |||
PRG | Performance Recognition Group | |||
PRHO | Pre-Registration House Officer | United Kingdom
| ||
PRI | Procurement Request Information | |||
PRIS | Pediatric Research in Inpatient Settings | A research network whose mission is to improve the health of and healthcare delivery to hospitalized children and their families. PRIS manages the PHIS+ database. | ||
PRISM | Project to Redesign Information Systems Management | Begun in 1984, ended in 1991 when funding expired | ||
PRK | Photorefractive Keratectomy | A laser eye surgery procedure intended to correct a person's vision, reducing dependency on glasses or contact lenses, first performed in 1987. PRK removes the surface layer of the eye, while LASIK involves cutting into the eye, creating a flap, and correcting the deeper layers of the eye. The success of PRK versus LASIK is similar, however, PRK has a slightly longer recovery time (3-5 days), some people claim that after this period PRK patients experience less dryness than those of LASIK. | ||
PRM | Provider Reimbursement Manual | |||
PRMDS | Provider Minimum Data Set | |||
prn | as needed | Such as taking pain medication which is taken when pain/discomfort is present. Also written p.r.n.
| ||
PRN | Physician Referral Network | |||
PRO | Peer Review Organization | |||
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 and Tracking System | |||
PROPAC | Prospective Payment Assessment Commission | A task force | ||
PROV | Provisional Accreditation | |||
PRP | Prospective Reimbursement Plan | |||
PRP | Provider Reimbursement Profile | |||
PRPD | Payment Reform Policy Development | |||
PRRA | Paperwork Reduction Reauthorization Act | |||
PRRB | Provider Reimbursement Review Board | |||
PRS | Parameter Release Study | |||
PRS | Payment Reconciliation System | |||
PRS | Prepayment Review System | |||
PRUCOL | Permanently Residing Under Color of Law | |||
PRVSF | Provider Summary File | |||
PS | Physician Sequential | |||
PS&E | Performance Standards and Evaluation | |||
PS&E TAG | Performance Standards and Evaluation Technical Advisory Group | |||
PS&RR | Provider Statistical and Reimbursement Report | |||
PSA | Pre-Solicitation Announcement | |||
PSA | Problem Statement Analysis | |||
PSA | Public Service Announcement | |||
PSAF | Physician/Supplier Action File | |||
PSAG | Patient Safety Advisory Group | |||
PSAP | Public Safety Answering Point | |||
PSC | Patient Services Coordinators | |||
PSC | Product and Service Code | |||
PSC | Program Safeguard Contractor | Also written Program Safety Contractor | ||
PSC | Program Service Center | Formerly known as Payment Center (PC). See also Social Security Administration (SSA). | ||
PSC | Program Support Center | Health and Human Services (HHS) | ||
PSC | Public Service Commission | |||
PSF | Provider Specific File | |||
PSGH | Policy Standards and Guidelines Handbook | |||
PSI | Patient safety indicator | |||
PSI | Problem Source Identification | |||
PSL | PHIS Service Line | |||
PSL | Problem Statement Language | |||
PSM | Physician Summary Master | |||
PSNZ | Pharmaceutical Society of New Zealand | |||
PSO | Physician Security Officer | |||
PSO | Provider-Sponsored Organization | Sometimes written Provider Sponsored Organization | ||
PSOR | Physician and Supplier Overpayment Report | |||
PSOR | Physician Supplier Overpayment Recovery | |||
PSOR | Provider Statistical and Overpayment Report | |||
PSP | Provider/Supplier Service Plan | |||
PSPRICE | Physician Fee Schedule System | |||
PSQIA | Patient Safety & Quality Improvement Act | |||
PSR | Proposal Submission Requirements | |||
PSR | Provider Statistics and Reimbursement Report | Also known as PS&R | ||
PSR | Provider Summary Report | |||
PSRB | Performance Standards Review Board | |||
PSRO | Performance Standards Review Organization | |||
PSRO | Physician Service Review Organization | |||
PSRS | Provider Statistical and Reimbursement System | |||
PSS | Packet Switch Service | FTS2000 | ||
PSS | Programed Symbol Set | A board | ||
PsyA | Psychologist Associate | Also written Psy.A or Psy.A. | ||
pt | Patient | |||
PT | Physical Therapy | Also known as a Physiotherapist. It is also used to describe the job title of Physical Therapist (not a credential). | ||
PT | Processing Time | |||
PT | Proficiency Testing | |||
PT | Prothrombin Time | Evaluates the ability of the blood to clot properly. Used in conjunction with PTT to evaluate the functions of ALL coagulation factors. PT levels for patients adjusting to anticoagulation therapy should be between 2.0 - 3.5 before they will be discharged from the hospital. | ||
PTA | Medicare Part A | Medicare coverage for nursing care and hospital stays, although not doctors' fees. Part A also covers some home health services, skilled nursing care after a hospital stay, and hospice care. | ||
PTA | Percutaneous Transluminal Angioplasty | |||
PTA | Point of Total Assumption | |||
PTA | Prior To Admission | |||
PTAC | Premium Target Advisory Commission | |||
PTAC | Professional and Technical Advisory Committee | |||
PTAG | Program Training Advisory Group | |||
PTAMUS | Part A Medicare Utilization System | |||
PTAN | Provider Transaction Access Number | Assigned by Medicare to authenticate the provider when using the local MAC self-help tools like the Medicare IVR, internet portal, on-line application status, etc. | ||
PTAPTT | Part A Processing Times Tabulation | As in Medicare Part A (PTA) | ||
PTB | Medicare Part B | Medicare coverage for outpatient care, including a portion of doctor visits, some home health care, medical equipment, rehabilitation therapy, laboratory tests, imaging, mental health services, and ambulance services. Part B is optional and many patients opt out if they have additional health insurance coverage. Part B can cover in-house IP care for patients with Part A exhausted. | ||
PTO | Paid Time Off | |||
PTO | Patent and Trademark Office | US | ||
PTP | Performance Test Platform | See also PRISM | ||
PTP | Portable Training Package | |||
PTP | Proficiency Testing Program | |||
PTS | Provider Terminal System | |||
PTT | Partial Thromboplastin Time | Measures the ability of the blood to clot properly. Values used in combination with other tests. See Activated Partial Thromboplastin Time (aPTT). | ||
PU/ME/DE | Public Use/Medical Effectiveness/Demonstration and Evaluation | |||
PUC | Public Utilities Commission | |||
PUDI | Prior Unqualifying Disabled Indicator | See also Renal Insured Status Indicator (RISI) | ||
PUF | Public Use Files | |||
PUFF | Proposed Uses of Federal Funds | |||
PUFS | Public Use Files System | |||
PUP | Provider Update Operation | |||
PUT | Payment Update Transaction | |||
PV | Performance Value | |||
PV | Present Value | |||
PVA | Priority Value Assessment | |||
PVA | Project Valuation Assessment | |||
PVB | Provider Bills | |||
PVC | Permanent Virtual Circuit | |||
PW | Project Workbench | |||
PW | Public Welfare | |||
PWBA | Pension Welfare and Benefits Administration | |||
PWD | Persons With Disabilities | |||
PWS | Payment Withhold System | |||
PWS | Performance Work Standard | |||
PX | Post Exchange | |||
PY | Prior Year | |||
PYE | Prior Year Ending | |||
q | Every | As prescribed by the physician. For example, q. 2h,3h, etc. For example, q. PM (every evening). For example, q. AM (every morning). | ||
q hs | At bedtime | A dangerous abbreviation which should not be used because it can be misinterpreted. For example, taking a sleeping pill. Also written q. hs. | ||
Q&A | Questions and Answers | |||
q3h | Every Three Hours | |||
QA | Quality Assessment | |||
QA | Quality Assurance | |||
QAE | Quality Assurance Evaluator | |||
QAHB | Quality Assurance Program Handbook | |||
QAI | Quality Assessment Index | |||
QALY | Quality Adjusted Life Year | |||
QAM | Quadrature Amplitude Modulation | |||
QAM | Quality Assurance Monitoring | |||
QAP | Quality Assurance Program | |||
QAR | Quality Assurance Representative | |||
QAS | Quality Assurance Standards | |||
QAS | Quality Assurance System | |||
QASC | Quality Alliance Steering Committee | |||
QATAP | Quality Assurance Through Attributes Program | |||
QBE | Query By Example | |||
QBL | Qualified Bidders List | |||
QC | Quality Control | |||
QC | Quality Council | |||
QC | Quarters of Coverage | See also Social Security Administration (SSA) | ||
QCDR | Qualified Clinical Data Registry | |||
QCEM | Quality Control Enforcement Mechanism | |||
QCM | Quality Call Monitoring | |||
QCM | Quality Care Monitoring | |||
QCP | Quality Control Program | |||
QD | Every Day | A dangerous abbreviation which should not be used because it can be mistaken for qid, especially if the period after the 'q' or the tail of the 'q' is mistaken as an 'i.' 'Daily' or 'every day' should be used instead. Sometimes written q.d. | ||
QDN | Quality Deficiency Notice | |||
QDR | Quality Deficiency Report | |||
QDWI | Qualified Disabled and Working Individual | Sometimes written Qualified Disabled and Working Individuals. Also known as QWDI. | ||
qh | Hourly | Such as monitoring a recent surgery site hourly. Also written q.h. See also q. | ||
QHP | Qualified Health Plan | A type of health insurance plan under which a self-insured employer elects to set up its own managed care program. QHP offers high quality medical care and timely access to medical services. Service under QHP is provided by the health care providers from a list of health-care providers participating in the employer's QHP. | ||
QI | Quality Improvement | |||
QI | Quality Indicator | |||
QIC | Qualified Independent Contractor | |||
qid | Four times daily | Such as taking vital signs or medication. Sometimes written as q.i.d.
| ||
QIES | Quality Improvement Evaluation System | |||
QIO | Quality Improvement Organization | 53 Medicare Quality Improvement Organizations are contracted by CMS to provide data analysis and education as a part of Medicare's HPMP | ||
QIP | Quality Improvement Process | |||
QIP | Quality Intervention Plan | |||
QIPRO | Quality Improvement Professional Research Organization | |||
QIS | Qualifications Information Statement | |||
QIS | Qualified Individuals | |||
QISMC | Quality Improvement System for Managed Care | |||
QIT | Quality Improvement Team | |||
QM | Quality Management | |||
QMB | Qualified Medicare Beneficiary | Sometimes written Qualified Medicare Beneficiaries | ||
QMCE | Qualified Management Care Facility | |||
QML | Qualified Manufacturers List | |||
QMMP | Quality Measurement and Management Project | |||
QMRP | Qualified Mental Retardation Professional | |||
QMS | Quality Measurement System | |||
QNS | Quantity Not Sufficient | |||
QO | Qualification Officer | |||
QOC | Quarterly Operational Cost | |||
QOD | Every Other Day | A dangerous abbreviation which should not be used because it can be misinterpreted as qid (four times daily). | ||
QPDA | Questionable Premium Due Amount | |||
QPL | Qualified Products List | |||
QR | Quality Review | |||
QR | Quarterly Refund | |||
QR | Quarterly Report | |||
QRO | Quality Review Organization | |||
QRS | Quality Review Studies | |||
QRUR | Quality and Resource Use Reports | |||
QSRS | Quality and Safety Reporting System | |||
QSS | Quality Systems and Software | |||
QST | Quality Support Team | |||
QTR | Quarter | |||
QUEST | Quality Assurance Expert System Testbed | |||
QUEST | Quality Evaluation of Settlement | |||
QUGS | Quality Utilization Generic Screens | |||
QW | Quick Reference | |||
QWDI | Qualified Working Disabled Individual | Also known as QDWI | ||
R&A | Repair and Alteration | |||
R&C | Reasonable and Customary | |||
R&D | Research and Development | |||
R-GOWS | Roles, Goals, Objectives, Workflows, Stories | Epic's recommended process for creating lesson plans and building training environments so the lesson can be supported with hands-on learning in the system | ||
R/C | Report of Contact | |||
RA | Radiologist Assistant | |||
RA | Regional Administrator | |||
RA | Remittance Advice | Similar to the Explanation of Benefits (EOB). A report produced by Medicare, Medicaid, and other large volume CCMC payers that explains reimbursement, contractual allowances, coinsurance, deductible, and denials. | ||
RA | Risk Assessment | |||
RAAC | Risk Adjustment Advisory Committee | |||
RAB | Register Accreditation Board | |||
RAC | Recovery Audit Contractor | |||
RAC | Reimbursement Advisory Committee | |||
RACF | Resource Access Control Facility | Software | ||
RACP | Royal Australasian College of Physicians | |||
RACS | Royal Australasian College of Surgeons | |||
RAD | Rapid Application Development | |||
RAD | Requirements Analysis Document | |||
RAD | Respiratory Assist Device | |||
RADAR | Radio Detection and Ranging | |||
RADAR | RSDI Account Data Record | |||
RADARS | Ranking and Data Analysis Reporting System | An HCFA system | ||
RADARS | Rapid Data Retrieval System | |||
RAFO | Research and Find Out | |||
RAI | Resident Assessment Instrument | |||
RAID | Redundant Array of Independent Disk | |||
RAP | Ready Assessment Packages | A Y2k program | ||
RAP | Request for Accelerated Payment | |||
RAP | Request for Anticipated Payment | |||
RAP | Resource Allocation Plan | |||
RAPS | Resident Assessment Protocol System | |||
RAPS | Risk Adjustment Processing System | |||
RAS | Risk Adjustment System | |||
RASC | Regional Administrative Support Center | Health and Human Services (HHS) | ||
RAT | Remote Access Trojan | |||
RBAC | RoleBased Access Control | |||
RBBS | Remote Bulletin Board System | |||
RBC | Red Blood Cell | |||
RBO | Regional Business Office | |||
RBRVS | Resource-Based Relative Value Scale | Sometimes written Resource Based Relative Value Scale | ||
RBRVU | ResourceBased Relative Value Use | |||
RBS | Report of Benefit Savings | |||
RC | Reasonable Charge | Also known as Reasonable Cost | ||
RC | Record of Care | Also applies to treatment and services | ||
RC | Regional Carrier | |||
RC | Retention Catheter/Foley | Catheter used to drain urine from the bladder, following surgery, because of obstruction or other causes. Sometimes called a retention catheter because it is left in the bladder. | ||
RC | Reviews/Correspondence | Typically Case Management review/correspondence with long term care facilities (i.e. nursing homes, LTAC facilities). Also written R/C. | ||
RCA | Refugee Cash Assistance | |||
RCA | Root Cause Analysis | |||
RCAS | Reconsideration Control and Appeals System | |||
RCC | Ratio of Cost to Charges | |||
RCCAC | Ratio of Charges to Charges Applied to Costs | |||
RCCO | Regional Care Collaborative Organization | An Colorado organization which connects Medicaid clients to Medicaid providers and helps clients find community and social services in their area | ||
RCCS | Revenue Center Code System | |||
RCE | Reasonable Compensation Equivalent | |||
RCGP | Royal College of General Practitioners | |||
RCICS | Registry Customer Information Control System | |||
RCL | Report Card Listing | See also Social Security Administration (SSA) | ||
RCL | Routine Cost Limit | |||
RCM | Royal College of Midwives | |||
RCN | Royal College of Nursing | |||
RCO | Revenue Cycle Operations | |||
RCOG | Royal College of Obstetricians and Gynaecologists | |||
RCP | Reasonable Charge Pricing | |||
RCP | Report of Contractor Performance | ACER replacement | ||
RCP | Royal College of Pathologists | |||
RCP | Royal College of Physicians | |||
RCPA | Royal College of Pathologists of Australasia | |||
RCS | Royal College of Surgeons | England | ||
RCSI | Royal College of Surgeons in Ireland | |||
RCSRS | Resource Cost Reporting System | |||
RCT | Randomized Clinical Trials | |||
RCT | Registered Care Technologist | |||
RCT | Religious Compensatory Time | |||
RD | Registered Dietician | |||
RD&E | Research, Demonstration, and Evaluation | |||
RDA | Registered Dental Assistant | |||
RDA 1 | Registered Dental Assistant Level I | In some areas this designates that an individual is registered to perform chairside assistance and reception duties, but have not completed any intra-oral training | ||
RDA 2 | Registered Dental Assistant Level II | In some areas this designates that an individual is registered to perform any or all of the legal intra-oral duties after completion of an in-school formal training program | ||
RDBMS | Relational DBMS | |||
RDCS | Registered Diagnostic Cardiac Sonographer | A certification by the American Association of Diagnostic Medical Sonographers (ARDMS) | ||
RDEM | Regional Office Data Exchange Manager | |||
RDES | Regional Data Exchange System | |||
RDF | Renal Dialysis Facility | |||
RDMS | Registered Diagnostic Medical Sonographer | A certification by the American Association of Diagnostic Medical Sonographers (ARDMS) | ||
RDO | Resource Definition Online | |||
RDS | The Retiree Drug Subsidy Program | |||
RDS NUMBER | see Plan Sponsor number | |||
RDT | Rate Development Template | A health plan process for establishing reimbursement rates for services | ||
RDT&E | Research, Development, Test, and Evaluation | |||
RE | Reasonable Expectancies | Also known as Reasonable Expectations | ||
REA | Rural Electrification Administration | US administration | ||
REACH | Regional Education About Choices in Health | |||
REACT | Return Check Action | |||
REBUS | Renal Beneficiary and Utilization System | |||
RECONS | Reconsideration Information System | |||
RECOUP | Recovery of Unpaid Premiums | |||
REGO | Reinventing Government | |||
REGTRK | Regulations Tracking System | |||
REI | Reproductive Endocrinology and Infertility | |||
REINS | Reduced Expenditure Initiatives | |||
REIT | Real Estate Investment Trust | |||
REL | Recommended Exposure Limits | |||
REM | Remark Line | |||
REMAS | Recovery Management and Accounting System | |||
REMAS | Report on Medicare as Secondary Payor System | |||
REMIS | Renal Management Information System | |||
REPORE | Report Output Retrieval System | |||
RESDAC | Research Data Assistance Center | |||
RETAP | Regular Transcript Selection and Attainment Pass | See also Social Security Administration (SSA) | ||
REVS | Recipient Eligibility Verification System | Mass. DPW | ||
REXX | Restructured Extended Executor Language | |||
RFA | Reason for Assessment | |||
RFA | Regulatory Flexibility Act | |||
RFA | Request for Applications | |||
RFC | Regional Financial Center | Treasury | ||
RFC | Request for Comment | |||
RFC | Request for Contract | |||
RFI | Request for Information | |||
RFI | Requirement for Improvement | |||
RFID | Radio Frequency Identification Device | |||
RFP | Request for Proposal | |||
RFQ | Request for Quotation | |||
RGT | Requirements Gathering Techniques | |||
Rh | Rh Blood Group | A blood group system comprised of a series of related blood groups. Rh is the most complex of all human blood groups and is responsible for serious hemolytic disease of the newborn. See also ABO. | ||
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 | |||
RHIO | Regional Health Information Organization | |||
RHIR | Resident Health Insurance Representative | |||
RHIT | Registered Health Information Technician | |||
RHP | Rebundling of Hospital Payment | |||
RHP | Review Hearing Panel | |||
RHQDAPU | Reporting Hospital Quality Data Annual Payment Update | |||
RHQDAPU | Reporting of Hospital Quality Data for Annual Payment Update | |||
RI | Regional Intermediary | |||
RI | Research Institute | |||
RI | Revenue Intelligence | |||
RI | Rights and Responsibilities of the Individual | |||
RI | Routing Indicator | |||
RIA | Regulatory Impact Analysis | |||
RIC | Record Identification Code | |||
RIC | Rehabilitation Impairment Category | |||
RICO | Racketeer Influenced and Corrupt Organization Act | |||
RIE | Rapid Improvement Event | Another term for a Kaizen process improvement event | ||
RIF | Reduction In Force | A large-scale labor reduction | ||
RIL | Regional Informational Letter | |||
RIL | Return on Lives | |||
RIM | Retrieve Inactive Master System | |||
RIMS | Reconsideration Information Management System | |||
RISC | Reduced Instruction Set Computing | |||
RISC | Regulatory Information Service Center | |||
RISI | Renal Insured Status Indicator | See also Prior Unqualifying Disabled Indicator (PUDI) | ||
RIT | Reorganization Implementation Team | |||
RJE | Remote Job Entry | |||
RLA | Right Lower Arm | |||
RLQ | Right Lower Quadrant | Pain in this area is sometimes appendicitis | ||
RM | Release Management | |||
RM | Revenue Management | |||
RM | Risk Management | |||
RMA | Referral and Monitoring Agency | |||
RMA | Refugee Medical Assistance | |||
RMA | Registered Medical Assistant | A non-licensed healthcare worker performing clerical, administrative, and basic clinical support to doctors. Designates the credential earned after completing a medical assistant program (either a one-year certificate or diploma program, or a two-year Associate's degree). | ||
RMAPS | Rocky Mountain Part A Processing System | Medicare Part A (PTA) | ||
RMF | Resource Measurement Facility | Software | ||
RMFA | Restricted Medicare Fraud Alert | |||
RMP | Resource Management Plan | |||
RMRP | Regional Medical Review Policy | |||
RMS | Record Management System | |||
RMS | Regional Management System | |||
RMS | Requirements Management System | |||
RMS | Retention Management System | |||
RMT | Requirements Management Team | |||
RMU | Resource Management Unit | |||
RN | Recruitment Notices | |||
RN | Registered Nurse | |||
RN,BC | Nursing Bachelors Degree | A certification by the American Nurses Credentialing Center (ANCC) | ||
RN,C | Nursing Associate Degree | A certification by the American Nurses Credentialing Center (ANCC) | ||
RNA | Registered Nurse Anesthetist | |||
RNA | Registered Nursing Assistant | |||
RNC | Registered Nurse Specialist | Includes various nursing specialists including Women's Health Care Nurse Practitioner and Neonatal Nurse Practitioner
| ||
RNC(INPT) | Inpatient Obstetric Nursing Specialist | A nursing specialist certification by the National Certification Corporation (NCC) | ||
RNC(LRN) | Low Risk Neonatal Nursing Specialist | A nursing specialist certification by the National Certification Corporation (NCC) | ||
RNC(MN) | Maternal Newborn Nursing Specialist | A nursing specialist certification by the National Certification Corporation (NCC) | ||
RNC(NIC) | Neonatal Intensive Care Nursing Specialist | A nursing specialist certification by the National Certification Corporation (NCC) | ||
RNC(TNP) | Telephone Nursing Practice Specialist | A nursing specialist certification by the National Certification Corporation (NCC) | ||
RNHCI | Religious NonMedical Health Care Institution | |||
RNO | Race and National Origin | |||
RO | Regional Office | |||
RO | Rule Out | Such as determining what is wrong with the patient, r/o a heart attack (MI) | ||
ROA | Return on Assets | |||
ROADV | Regional Office Advance Copy Note | |||
ROAM | ROAR Master | See also Social Security Administration (SSA) | ||
ROAMS | Regional Office Appeals Management System | |||
ROAR | Recovery of Overpayments Accounting and Reporting System | See also Social Security Administration (SSA) | ||
ROAR | Regional Office Automating Representatives for Managed Care Operations | ROAR for MCO | ||
ROC | Report of Contact | Also written R/C | ||
ROC | Resumption of Care | |||
ROCL | Regional Office Contractor Letter | |||
ROE | Report of Eligibility | |||
ROE | Return on Equity | |||
ROF | Regional Office Flag | |||
ROI | Release of Information | Epic's Health Information Management (HIM) application used to track and fulfill requests for patient health information | ||
ROI | Resource Optimization & Innovation | |||
ROI | Return on Investment | |||
ROM | Range of Motion | Usually measuring the movement of any limb in all directions. Generally found in physician or therapy notes
| ||
ROM | Regional Office Manual | |||
ROM | Risk of Mortality | For example, APR-DRGs are assigned a subclass for risk of mortality, including the following values:MinorModerateMajorExtreme | ||
ROM | Room Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
ROMGRS | Regional Office Managers | |||
ROP | Retinopathy of Prematurity | A potentially blinding eye disorder that primarily affects premature infants weighing about 2.75 pounds or less that are born before 31 weeks of gestation (full-term pregnancy is 38–42 weeks) | ||
ROPES | Regional Office Performance Evaluation System | |||
ROPO | Regional Office Project Officer | |||
ROS | Review of Systems | As in body systems used during an H&P | ||
ROSTAR | Regional Office System Tracking for Audit Reimbursement | |||
ROUB | Registered Ophthalmic Ultrasound Biometrist | A certification by the American Association of Diagnostic Medical Sonographers (ARDMS) | ||
ROUG | Regional Office Users Group | |||
RPA | Renal Physicians Association | |||
RPBC | Rejected Provider Bill Control | Also known as Rejected Provider Bill Control Process | ||
RPC | Remote Procedure Call | |||
RPCH | Regional Primary Care Hospital | |||
RPCH | Rural Primary Care Hospital | |||
RPD | Run Processing Date | |||
RPFT | Registered Pulmonary Function Technologist | A certification by the National Board for Respiratory Care (NBRC) | ||
RPG | Report Program Generator | |||
RPh | Registered Pharmacist | Also written R.Ph
| ||
RPI | Robust Process Improvement | |||
RPL | Reasonable Performance Level | |||
RPL | Reemployment Priority List | |||
RPM | Revolutions Per Minute | |||
RPN | Registered Practical Nurse | See Licensed Practical Nurse (LPN) | ||
RPN | Registered Psychiatric Nurse | |||
RPO | Regional Personnel Officer | |||
RPS | Royal Pharmaceutical Society | |||
RPT | Registered Physical Therapist | Also known as a Registered Physiotherapist
| ||
Rpt | Report | |||
RQC | Regional Quality Council | |||
RR | Rate Review | |||
RRA | Registered Records Librarian | |||
RRB | Railroad Retirement Board | |||
RRC | Residency Review Commission | |||
RRC | Rural Referral Center | |||
RRIA | Resource Requirements for Impact Analysis | |||
RRP | Reimbursement Review Program | |||
RRT | Rapid Response Team | |||
RRT | Registered Respiratory Therapist | A certification by the National Board for Respiratory Care (NBRC) | ||
RRU | Relative Resource Use | |||
RS | Random Search | |||
RSC | Record Status Code | |||
RSC | Reimbursement Statistics by State and County System | |||
RSDHI | Retirement, Survivors, Disability, and Health Insurance | |||
RSDI | Retirement, Survivors, and Disability Insurance | |||
RSF | Renal Services Facility | |||
RSI | Retirement and Survivors Insurance | |||
RSN | Renal Support Network | |||
RSV | Respiratory Syncytial Virus | Most common germ that causes lung and airway infections (i.e., pneumonia and bronchiolitis) in infants and young children
| ||
RSVP | Retired Senior Volunteer Project | |||
RT | Radiological Technologist | |||
RT | Record Type | |||
RT | Recovery Team | |||
RT | Respiratory Therapist | Usually a job title, not a credential
| ||
RT | Respiratory Therapy | |||
RTC | Reports to Congress | |||
RTC | Resolution Trust Corporation | |||
RTE | Real Time Eligibility | |||
RTG | Return to Government | |||
RTI | Return to Intermediary | |||
RTKI | Real Time Key Indicators | A TeleTracking view of real-time metrics, such as response time, trip time, and census | ||
RTM | Ready to Move | A patient status used in the TeleTracking software system | ||
RTN | Routing and Transit Number | |||
RTN(ARRT) | Registered Nuclear Medicine Technologist | A certification by the American Registry of Radiologic Technologists (ARRT) | ||
RTP | Request for Technical Proposal | |||
RTP | Return to Provider | Claims returned to the Billing Unit by Medicare for additional edits or information | ||
RTR(ARRT) | Registered Radiography Technologist | A certification by the American Registry of Radiologic Technologists (ARRT) | ||
RTS | Recovery Tracking System | |||
RTS | Request to Send | |||
RTS | Return to Stock | As in return tapes to stock | ||
RTT(ARRT) | Registered Radiation Therapist | A certification by the American Registry of Radiologic Technologists (ARRT) | ||
RU | Retrofit Update | A software update for the Epic EMR | ||
RUA | Right Upper Arm | |||
RUC | Relative Value Scale Update Committee | AMA's CPT code governance committee | ||
RUG | Resource Utilization Group | A classification of groups given to nursing home residents, based on functional status and anticipated use of services and resources | ||
RUNT | RRB Universal RIC | |||
RUQ | Right Upper Quadrant | Liver located here | ||
RUR | Recurring Utilization Report | |||
RV | Residual Value | |||
RVP | Respiratory Viral Panel | A lab test which detects a broad range of viruses and subtypes
representing the majority of circulatory respiratory disease-causing
pathogens of particular importance to children, elderly,
and immunocompromised patients. | ||
RVS | Relative Value Scale | |||
RVT | Registered Vascular Technologist | A certification by the American Association of Diagnostic Medical Sonographers (ARDMS) | ||
RVU | Relative Value Unit | Used to calculate compensation for physicians using a set formula tied to various services. The number of RVUs assigned to a patient case represents an attempt to accurately capture the amount of physician work expended. RVUs are comprised of:Physician work RVUs - The time spent, the cognitive and technical skills needed, and the overall difficulty involved in providing a service or performing a procedurePractice expense RVUs - Nonphysician clinical staff time, medical supplies, and equipment used to maintain and run the facility where the medical encounter occursProfessional liability RVUs - The cost of malpractice insurance | ||
RW | Relative Weight | |||
RWB | Reporting Workbench | Epic's real-time reporting module. Sometimes abbreviated RW. | ||
RWJF | Robert Wood Johnson Foundation | |||
RWP | Ryan White HIV/AIDS Program | Founded in 1990 and administered by HHS, HRSA, and HAB. It works with cities, states, and local community-based organizations to provide services to an estimated 536,000 people each year who do not have sufficient healthcare coverage or financial resources to cope with HIV disease. The majority of the program funds support primary medical care and essential support services while some program funds support technical assistance, clinical training, and the development of innovative models of care. | ||
RWS | Receivables Workstation | STAR | ||
Rx | Prescription | |||
rx | Treatment | |||
RZIP | Residence ZIP | Zip code | ||
S&C | Survey and Certification | |||
S&E | Staff and Equipment | |||
S&H | Sign & Hold | As in signing and holding orders which will not be active until they are released. For example, S&H orders may be released once a patient arrives on a unit. | ||
S&I | Supervision and Interpretation | |||
S&P | Standard & Poor | |||
S-MIME | Secure Multipurpose Internet Mail Extensions | |||
S/HMO | Social Health Maintenance Organization | |||
s/s | Signs/Symptoms | |||
S/W | Software | |||
S3 | Strategic Surveillance System | |||
SA | Scheduled Allowance | |||
SA | Security Administrator | |||
SA | Settlement Agreement | |||
SA | Staff Assistant | |||
SA | State Agency | |||
SA | State Assessment | |||
SA | Supplemental Agreement | |||
SA | Systems Administrator | |||
SA | Systems Analyst | |||
SA-CMM | Software Acquisition Capability Maturity Model | |||
SAB | Spontaneous Abortion | |||
SABA | Short Acting Beta Agonist | i.e., Albuterol | ||
SAC | Special Action Code | |||
SAC | Statistical Analysis Contractor | |||
SACP | Society for Ambulatory Care Professionals | An AHA organization that promotes standards and education for ambulatory care workers | ||
SAD | Self Administered Drug | |||
SAD | Service Area Directory | See also Social Security Administration (SSA) | ||
SAD | Simultaneous Accretion/Deletion | |||
SADBUS | Small And Disadvantaged Business Utilization Specialist | |||
SADMERC | Statistical Analysis Durable Medical Equipment Regional Carrier | |||
SADP | Stand Alone Dental Plan | |||
SAEP | State Agency Evaluation Plan | |||
SAF | Standard Analytic File | |||
SAG | Survey Activity Guide | |||
SAGE-204 | SAS interface to M204 databases | |||
SAHD | Staff Assisted Home Dialysis | |||
SAI | Special Audit Initiative | |||
SAIC | Science Applications International Corp | PRISM software contractor | ||
SALT | Suspensions and Life Terminations System | |||
SAM | Software Asset Management | |||
SAM | Surveyor Assignment Management | Sometimes also called Surveyor Assignment Management System (JC) | ||
SAMHSA | Substance Abuse and Mental Health Services Administration | |||
SANDPO | Surgeon ready, Anesthesia ready, Nursing ready, Documentation complete, Patient ready, Operating room ready | Acronym used in Epic for measuring surgery readiness status | ||
SAR | Safeguard Activity Report | |||
SAR | Service Area Report | |||
SAR | Storage and Retrieval unit | Stores and retrieve microfilms | ||
SARS | Severe Acute Respiratory Syndrome | |||
SAS | Single Award Schedules | |||
SAS | Statement of Auditing Standards | |||
SAS | Statistical Analysis Software | |||
SAS | Statistical Analysis System | |||
SAS/C | SAS Compiler | |||
SAVE | Systematic Alien Verification of Eligibility | |||
SB | Standards Board | |||
SBA | Small Business Administration | |||
SBAR | Situation, Background, Assessment, Recommendation | A system used to create a structured and standardized communication format (typically used between two healthcare workers). It is particularly useful for reporting changes in a patient's status and/or deterioration between healthcare services or shifts. The most common use of SBAR is during nursing shift changes. Other common uses of SBAR include changes of services.S: Situation - Briefly describe the situationB: Background - What is the background information that is pertinent to the situation?A: Assessment - Summarize the facts. What is going on?R: Recommendation/Reconfirm - What do you think the answer is? Your proposed solution. Reconfirm the plan | ||
SBB(ASCP) | Specialist in Blood Banking | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
SBC | School Based Clinics | |||
SBC | Summary of Benefits and Coverage | |||
SBI | Single Scope Background Investigation | |||
SBI | State Buy In | |||
SBIGPPP | State BuyIn Group Practice Prepayment Plan | |||
SBIR | Small Business Innovation Research | Also known as Small Business Innovation Research Program | ||
SBO | Single Billing Office | Epic's module for consolidating hospital billing and professional billing into a single claim | ||
SBR | Supplemental Budget Request | |||
SBRS | Senior Biomedical Research Service | |||
SBSA | Small Business SetAside | |||
SBU | Sensitive But Unclassified | |||
SBU | Strategic Business Unit | |||
SC | State and County | |||
SC | Sub Contractor | |||
SC | Subcutaneous | SC is a preferred acronym rather than SQ. Means under the Skin. Injection of medication just under the skin, in the subcutaneous space and not into the muscle. Sometimes written s.c. | ||
SC(ASCP) | Specialist in Chemistry | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
SCACA | Seniors Coalition Against Catastrophic Act | |||
SCAMP | Standardized Clinical Assessment and Management Plan | A quality improvement initiative that aims to optimize care delivery for patients iteratively over time. Each SCAMP outlines a sound, standardized care pathway for a somewhat diverse patient population with a particular diagnosis or condition. It is accompanied by a systematic and robust, but also selective data collection process, allowing measurable differences in outcomes to emerge based on clinical heterogeneity. | ||
SCAR | Significant Correspondence Assignment Report | |||
SCC | Security Control Center | |||
SCC | State/County Code | |||
SCD | Service Computation Date | |||
SCE | Separate Cost Entity | |||
SCH | Sole Community Hospital | |||
SCHIP | State Children's Health Insurance Program | A federal-state program enrolling children from families that earn too much to qualify for Medicaid but not enough to afford private health insurance. Also known as State Child Health Insurance Program | ||
SCI | Spinal Cord Injury | |||
SCIC | Significant Change In Condition | |||
SCIF | Sensitive Compartmentalized Information Facility | |||
SCIP | Surgical Care Improvement Project | |||
SCIP | Survey and Certification Improvement Project | |||
SCLM | Source Code Librarian Manager | |||
SCM | Software Configuration Management | |||
SCN | Strategic Communication Network | |||
SCOPE | Share Cost Options for Private Employees | |||
SCORE | Service Corps of Retired Executives | |||
SCP | Sole Community Provider | |||
SCQ | Social Communication Questionnaire | |||
SCS | Systemic Corticosteroid | |||
SCSA | Significant Change in Status Assessment | |||
SCT | Specialty Care Transport | |||
SCT(ASCP) | Specialist in Cytotechnology | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
SDA | Software Design Activity | |||
SDA | System Design Alternatives | |||
SDAC | Statewide Data Analytics Contractor | A Colorado organization which provides secure electronic access to clinically actionable data to help CO healthcare organizations meet
the goals of the Accountable Care Collaborative (ACC) - to improve client health and reduce costs. | ||
SDB | Small Disadvantaged Business | A small business that is at least 51 percent owned by one or more individuals who are both socially and economically disadvantaged. SDB status makes a company eligible for bidding and contracting benefit programs involved with federal procurement. See also SBDU. | ||
SDBU | Small & Disadvantaged Business Utilization | The Office of Small and Disadvantaged Business Utilization (OSDBU) ensures that all legislatively specified categories of small businesses in prime contracts and subcontracts are effectively utilized to the maximum extent possible. See also SDB. | ||
SDC | Secondary Diagnostic Category | |||
SDD | Software Design and Development | |||
SDE | Smart Data Elements | Discrete fields in free-text Epic notes which can be extracted for reporting purposes | ||
SDF | Standard Deviation Factor | |||
SDLC | System Development Life Cycle | |||
SDM | Structured Development Methodology | Also known as Structured Design Methodology | ||
SDM/S | Systems Development Methodology/Structured | |||
SDO | Servicing District Office | See also Social Security Administration (SSA) | ||
SDO | Standards Development Organization | |||
SDO | System Design Overview | |||
SDP | Service Delivery Point | |||
SDP | Single Drug Pricer | |||
SDPS | Standard Data Processing System | |||
SDR | System Design Review | |||
SDX | State Data Exchange | |||
SE | Sentinel Event | |||
SEA | Sentinel Event Alert | |||
SEALP | Search Alpha Program | Beneficiary Alpha Match/Reinstate. Also known as HASEALP. | ||
SEALP | State Agency Evaluation Program | |||
SEC | Securities Exchange Commission | An agency of the US government which holds primary responsibility for enforcing the federal securities laws, proposing securities rules, and regulating the securities industry, the nation's stock and options exchanges, and other activities and organizations, including the electronic securities markets. | ||
SEDD | State Emergency Department Database | |||
SEER | Surveillance, Epidemiology, and End Results | Also known as Surveillance, Epidemiology, and End Results Program | ||
SEF | Separated Employee File | |||
SEF | Software Engineering Facility | |||
SEI | Software Engineering Institute | |||
SEI-CMM | Software Engineering Institute Capability Maturity Model | |||
SEIU | Service Employees International Union | |||
SEIU | Software Engineering Institute Union | |||
SELF | Secretary's Executive Leadership Forum | Health and Human Services (HHS) | ||
SEMS | Security Management System | |||
SEN | State Enrolled Nurse | United Kingdom. Similar to Licensed Practical Nurse (LPN) | ||
SEP | Special Election Period | |||
SEP | Special Enrollment Period | |||
SEPG | Software Engineering Process Group | |||
SEPSC | Southeastern Program Service Center | See also Social Security Administration (SSA) | ||
SER | Provider Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
SER | Schedulable Epic Resource | A type of file utilized by the Epic HIS. For example, the Provider Master File INI (SER). | ||
SER | Scientific, Engineering, and Research | |||
SER | Summary Earnings Record | |||
SES | Standards Enforcement Software | |||
SES | System External Specifications | |||
SET | Secure Electronic Transaction | |||
SET | Software Engineering Technology | |||
SEX | Sorted Exceptions | See also HDSEX | ||
SF | Standard Form | |||
SF-36 | Medical Outcomes Study 36 Item Short Form Health Survey | |||
SFI | Statement of Financial Information | |||
SFO | Solicitation for Offers | |||
SFRO | SanFrancisco Regional Office | |||
SFTP | Secure File Transfer Protocol | |||
SG | Surgeon General | |||
SGA | Substantial Gainful Activity | |||
SGF | State Guaranty Funds | |||
SGL | Standard General Ledger | |||
SGR | Sustainable Growth Rate | The sustainable growth rate formula is a projection of Medicare's future solvency | ||
SH | Self Harm | |||
SH | Systems Handbook | |||
SH(ASCP) | Specialist in Hematology | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
SHA | Secure Hash Standard | |||
SHA | State Hospital Association | |||
SHC | Select Health Care | |||
SHCC | State Health Coordinating Council | |||
SHCC | State/Statewide Health Coordinating Council | |||
SHI | Supplemental Health Insurance | |||
SHIMSS | Senior Member HIMSS | Advanced member level recognition from HIMSS for dedication to the organization and to the healthcare industry. | ||
SHINE | Serving Health Information Needs of Elders | |||
SHIP | Senior Health Insurance Program | |||
SHIP | State Health Insurance Assistance Program | |||
SHIP | Supplemental Health Insurance Plan | AFGE. A Medicare supplement. Also known as Supplemental Health Insurance Programs | ||
SHMO | Social Health Maintenance Organization | |||
SHN | State Health Notes | |||
SHO | Senior House Officer | United Kingdom
| ||
SHP | Specified Health Professional | |||
SHPDA | State Health Planning and Development Agency | |||
SHRM | Society for Human Resource Management | |||
SHS | Society for Health Systems | Serving healthcare professionals throughout the world by contributing to the improvement of healthcare processes through systems engineering, analysis, and process improvement methods | ||
SHTIP | Secure Hyper Text Transfer Protocol | |||
SI | Severity of Illness | Required criteria, along with IS in a Medical Necessity Screening Tool (i.e. Interqual or Milliman). See also IS. | ||
SI | Single Intermediary | |||
SI | System Integrator | |||
SI | Systems Inventory | |||
SIB | Self Injurious Behavior | |||
SIC | Special Indicator Code | |||
SIC | Standard Industrial Classification | See also DOL and BLS | ||
SIC | State Insurance Commission | |||
SICE | Social Insurance Claims Examiner | |||
SICU | Surgical Intensive Care Unit | |||
SID | Security Income Data | Also known as Supplemental Security Income Data | ||
SID | Special Income Deduction | |||
SID | Sufficiently Important Difference | The smallest amount of patient-valued benefit that an intervention would require to justify associated costs, risks and other harms. Understood in the context of existing evidence and measured at the level of an individual. Barrett et al. 2005, Medical Decision Making: 25 pg 250 | ||
SIED | Security Income Entitlement Date | Also known as Supplemental Security Income Entitlement Date | ||
SIFT | Security Income file Type | |||
SIG | Special Interest Group | |||
SIG | Standards Interpretation Group | |||
SIGCAT | Special Interest Group CDROM Applications and Technology | |||
SIGN | Scottish Intercollegiate Guidelines Network | Similar to the English NICE | ||
SIGOMET | Special Interest Group on Optical Media in Education and Training | |||
SII | Security/Suitability Investigation Index | |||
SII | Standards Improvement Initiative | |||
SIM | Service Item Master | Typically called a "SIM Code" - an internal service code (specific to your hospital) which identifies billable services within the Charge Master. They can typically be linked to HCPCS or ICD procedure codes which allow these services to be linked across the healthcare industry. | ||
SIM | Society for Information Management | |||
SIMS | Standard Information Management System | |||
SIN | Special Item Number | |||
SIP | Session Initiation Protocol | A signaling communications protocol, widely used for controlling multimedia communication sessions such as voice and video calls over Internet Protocol (IP) networks | ||
SIPP | Systems Issues, Policies, and Procedures | See also HIPP and BIPP | ||
SIR | System Implementation Roadmap | |||
SIR | System Improvement Request | |||
SIRS | Systemic Inflammatory Response Syndrome | Potentially leads to sepsis | ||
SIRT | Security Incident Response Team | |||
SIS | Strategic Information Strategy | |||
SIS | System Internal Specifications | |||
SISC | Security Income Status Code | Also known as Supplemental Security Income Status Code | ||
SISSO | Senior Information Systems Security Officer | |||
SIWG | Strategic Issues Work Group | |||
sl | Sublingual | |||
SLA | Service Level Agreement | |||
SLAE | State and Local Administration Expenditure | |||
SLAMS | Second Level Appeals Management System | |||
SLE | Single Loss Expectancy | |||
SLE | Systemic Lupus Erythematosus | Commonly known as lupus. A systemic autoimmune disease in which the body's immune system mistakenly attacks normal, healthy tissue. This can affect the skin, joints, kidneys, brain, and other organs, resulting in inflammation and swelling. | ||
SLIAG | State Legislation Impact Assistance Grants | |||
SLIM | Software Life Cycle Maintenance | |||
SLIP-A | Supplemental Low Income Patient Adjustment | |||
SLM | Service Level Metrics | |||
SLMB | Specified Low Income Medicare Beneficiary | Also written SLIMB. Qualifying income is between 100% and 120% of the Federal Poverty Level (FPL) and are considered partial dual eligible members since they are not responsible for paying their Part A or Part B cost sharing. These members are not eligible to have full Medicaid benefits.SLMB+ is a similar plan in which participants are considered a zero cost share dual eligible member since they are not responsible for paying their Part A or Part B cost sharing but are eligible to have full Medicaid benefits. | ||
SLP | Speech and Language Pathologist | |||
SLS(ASCP) | Specialist in Laboratory Safety | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
SM | System Manager | |||
SM(ASCP) | Specialist in Microbiology | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
SMA | Spinal Muscular Atrophy | |||
SMART | System for MSP Automated Recovery and Tracking | |||
SmartChart | MLH branding for the entire Soarian suite of products | |||
SMDA | State Medicaid Directors Association | |||
SME | Subject Matter Expert | |||
SMF | System Measurement Facility | |||
SMF | Systems Management Facility | |||
SMG | State Medicaid Group | |||
SMI | Standardized Medreview Instrument | |||
SMI | Supplementary Medical Insurance | For example, Medicare Part B (PTB or MEDB) | ||
SMIB | Supplementary Medical Insurance Medicare Part B | See also Medicare Part B (PTB or MEDB) | ||
SMIRK | SOBER Miscellaneous Input Record | |||
SMIS | Safety Management Information System | |||
SML | Solicitation Mailing List | |||
SMM | State Medicaid Manual | |||
SMP | Special Needs Plan | |||
SMP | System Modernization Program | |||
SMQC | System for Monitoring Quality of Care | |||
SMRF | State Medicaid Research Files | Also known as SMURF | ||
SMS | Shared Maintenance System | |||
SMS | Storage Management System | |||
SMS | System Managed Software | |||
SMS | System Managed Storage | |||
SMS | Systems Management Specialist | |||
SMS/SPS | Shared Maintenance System/Shared Processing System | |||
SMSA | Standard Metropolitan Statistical Area | |||
SMURF | State Medicaid Uniform Research File | Also known as SMRF | ||
SN | Student Nurse | |||
SNAP | Standard National Accounting Program | BC/BS | ||
SNC | Skilled Nursing Care | |||
SNCRIS | Skilled Nursing Cost Reporting Information System | |||
SNCT | Sensory Nerve Conduction Threshold | |||
SNF | Skilled Nursing Facility | Establishment that houses and provides long-term care to chronically ill (often elderly) patients. Coordinated by Discharge Planner.
| ||
SNFMDS | SNF Minimum Data Set | |||
SNI | System Network Interface | |||
SNIP | Strategic National Implementation Process | |||
SNMA | Student National Medical Association | |||
SNOMED | Systematized Nomenclature of Medicine | |||
SNSP | Safety Net Surveillance Project | |||
SO | Successful Offerer | |||
SOA | Sarbanes-Oxley Act | A 2002 act passed by congress to protect investors from the possibility of fraudulent accounting activities by corporations. SOX is also used frequently. | ||
SOB | Shortness of Breath | Difficulty breathing or obtaining a breath | ||
SOB | Statement of Benefits | |||
SOC | Start of Care | |||
SOC | Statement of Conditions | |||
SOC | SubObject Code | Also known as SubObject Classification Code | ||
SOCO | Southeastern Consortium | Atlanta & Dallas HIROs | ||
SOD | Superintendent of Documents | |||
SOI | Severity of Illness | For example, APR-DRGs are assigned a subclass for severity of illness, including the following values:MinorModerateMajorExtreme | ||
SOI | Statement of Intent | |||
SOL | Solicitation | |||
SOM | SOBER Operating Month | |||
SOM | State Operations Manual | |||
SON | Submitting Office Number | |||
SOP | Standard Operating Procedure | |||
SOP | Status of Provider | |||
SOP | Style of Practice | |||
SOR | Section Operating Report | |||
SOR | System of Record | |||
SORCES | Service Office Record Computer Entry System | See also MTS | ||
SORS | Systems of Records | |||
SORT | Seniors Organized to Restore Trust | |||
SOU | Statement of Understanding | |||
SOW | Scope of Work | |||
SOW | Statement of Work | |||
SP | Sample Persons | |||
SP | Special Project | |||
SP | Standard of Performance | |||
sp | Status Post | After a procedure, e.g. surgery. Sometimes written s/p
| ||
SP | Systems Performance | |||
SPA | State Plan Amendment | |||
SPAC | SMI Premium Amount Collectable | Master Beneficiary Record (MBR)/BCM | ||
SPACE | SMI Premium Accounting, Collection, and Enrollment | |||
SPACEX | SPACE Exceptions | |||
SPAMS | Small Purchase Automated Management System | |||
SPAP | State Pharmaceutical Assistance Program | |||
SPARC | Stroke Prevention Awareness Recognition Campaign | |||
SPARCS | Statewide Planning and Research Cooperative System | |||
SPAS | State Plan Amendment System | |||
SPAW | State Plan Amendment Waiver | |||
SPBA | Society of Professional Benefit Administrators | |||
SPC | State Program Characteristics | |||
SPC | Statistical Process Control | A method of quality control which uses statistical methods to monitor and control a process | ||
SPC | Supervisory Project Coordinator | |||
SPCAN | Special Announced Survey | |||
SPCU | Surgical Progressive Care Unit | |||
SPCUNA | Special Unannounced Survey | |||
SPD | Seniors and Persons with Disabilities | A Medicaid coverage specific to the disabled and people over 65. | ||
SPD | Standard Position Description | |||
SPD | Sterile Processing Department | |||
SPD | Summary Plan Description | |||
SPDATA | State Profile Data System | |||
SPECT | Single Photon Emission Computed Tomography | |||
SPECTRUM | State Performance Evaluation and Comprehensive Test of Reimbursement Under Medicaid | |||
SPF | Sequential Processing Facility | |||
SPH | Shared Processing Host | |||
SPI | Software Process Improvement | |||
SPIDER | System to Provide Immediate Data on Eligibility for Reimbursement | Now known as CWF | ||
SPIES | Shared Project and Information Exchange System | |||
SPIN | Standard Prescriber Identification | |||
SPIN | Supplier Profile Identification Number | |||
SPMS | Storage Products Management System | |||
SPO | Self Protection Organization | |||
SPO | Servicing Personnel Office | |||
SPO2 | Oxygen Saturation | Oxygen Saturation of Blood. Typically written SPO2. | ||
SPO2 | Saturation of Peripheral Oxygen | An estimation of the oxygen saturation level usually measured with a pulse oximeter device
| ||
SPOC | Single Point of Contact | Now known as CSCC | ||
SPOE | Secure Point of Entry | |||
SPOF | Single Point of Failure | |||
SPP | Select Provider Program | |||
SPP | SMI Premium Penalty | |||
SPPS | State Plan Profile System | |||
SPR | Safeguard Procedures Report | |||
SpR | Specialist Registrar | United Kingdom
| ||
SPR | Standard Paper Remittances | |||
SPR | Systems Performance Review | |||
SPRDRS | SPR Data Reporting System | |||
SPRY | Setting Priorities for Retirement Years | |||
SPS | Schedule of Providers Serviced | |||
SPS | Solutions For Patient Safety | A network of Children's Hospitals striving to create a universally safe and healing environment for children. The program primarily strives to reduce HACs, readmissions, and SSEs. See also http://www.solutionsforpatientsafety.org | ||
SPSP | State Payment of SMI Penalty | |||
SPU | Specialty Practice Unit | |||
sq | Subcutaneous | See also SC. A dangerous acronym which should not be used because 'q' can be misinterpreted as 'every (e.g. 'heparin sub q 2 hours before surgery' misunderstood as every 2 hours before surgery).Subcutaneous means under the Skin. Injection of medication just under the skin, in the subcutaneous space and not into the muscle. Sometimes written s.q. | ||
SQA | Software Quality Assurance | |||
SQA | Surgical Quality Alliance | |||
SQHC | Standards for Quality Hospice Care | Released by the California Hospice and Palliative Care
Association (CHAPCA) in 2005 | ||
SQIG | Supplier Quality Information Group | |||
SQL | Structured Query Language | Sometimes known as System Query Language | ||
SQRD | Monthly Sequential Read Program | Also written as HDSQRD | ||
SR | Service Representative | See also Social Security Administration (SSA) | ||
SR | Service Request | |||
SR | Systems Requirements | |||
SRA | Significant Regulatory Actions | |||
SRA | State Regulatory Agency | |||
SRA | Systems Research Associates | |||
SRC | Status Report Coordinator | |||
SRD | Systems Requirements Definition | |||
SRD | Systems Requirements Design | |||
SRD | Systems Requirements Document | |||
SRG | Situation Response Guidelines | |||
SRMC | Statistical Report Medicaid Services | |||
SRMS | Statistical Report on Medicaid Services System | HCFA2082 | ||
SRS | Social and Rehabilitation Service | |||
SS | Seconds | |||
SS | Sequential Search | |||
SS | Shared Systems | |||
SS | Short Stay | |||
ss | Sliding Scale | A dangerous acronym because it can misinterpreted as 55. Used in insulin dosages. | ||
SS | Social Security | |||
SS | Standard Systems | |||
SS1 | Selective Signaling | |||
SSA | Social Security Act | |||
SSA | Social Security Administration | An independent agency of the United States federal government that administers Social Security, a social insurance program consisting of retirement, disability, and survivors' benefits. To qualify for these benefits, most American workers pay Social Security taxes on their earnings. Future benefits are based on the employees' contributions. | ||
SSA | State Survey Agency | |||
SSA | Systems Security Assessment | |||
SSACCS | SSA Claims Control System | |||
SSADO | Social Security Administration District Office | See also Social Security Administration (SSA) | ||
SSAFO | Social Security Administration Field Office | See also Social Security Administration (SSA) | ||
SSARA | SSA Reform Act | A 1994 act establishing SSA as an independent agency | ||
SSB | Social Security Board | Now known as Social Security Administration (SSA) | ||
SSC | Standard Source Code | |||
SSC | Systems Security Coordinator | |||
SSD | Standard Solicitation Document | |||
SSDE | Size-Specific Dose Estimate | A radiation dosage measurement which controls for patient size by providing a unique conversion factor based on the size of the patient's body (approximated as a diameter) and the size of the phantom (a device used to approximate dose levels and standardize scanner settings). | ||
SSDI | Social Security Disability Insurance | |||
SSE | Serious Safety Event | |||
SSG | Staffing Support Group | |||
SSG | Standard Systems Group | |||
SSH | Short Stay Hospital | |||
SSI | Sophisticated Software Inc | |||
SSI | Supplemental Security Income | |||
SSI | Surgical Site Infections | |||
SSIDUP | SSI Duplicate Payment | |||
SSIPML | Second State Issuing Professional Medical License | |||
SSM | Standard System Maintainers | |||
SSM | Sterling Space Monitor | |||
SSMP | Systems Security Management Program | |||
SSN | Social Security Number | A nine-digit number issued to US citizens, permanent residents, and temporary (working) residents as a part of the Social Security Act. The number is issued to an individual by the Social Security Administration (SSA), an independent agency of the United States government. Its primary purpose is to track individuals for Social Security purposes.Hospitals typically use SSN, in conjunction with MRN, as unique patient identifiers. | ||
SSO | Social Security Office | |||
SSO | Systems Security Officer | |||
SSOP | Second Surgical Opinion Program | |||
SSP | Standards and Survey Procedures Committee | |||
SSP | State Supplemental Payments | |||
SSP | System Security Plan | |||
SSPM | System Security Plan Methodology | |||
SSPML | Second State Professional Medical License | |||
SSR | Social Security Rulings | |||
SSR | Supplemental Security Income Record | |||
SSRI | Selective Serotonin Reuptake Inhibitor | |||
SSS | Senior Scientist Service | |||
SSS | Shared Support Services | |||
SSSA | Senior Systems Security Advisor | |||
SSSGS | Similarly Sized Subscriber Groups | |||
SST | Supplemental Systems Test | |||
ST | Speech Therapy | |||
STAG | System Technical Advisory Group | |||
STAPE | Short Format State Magnetic Tape File | |||
STAR | Standard Administrative Reporting | |||
STAR | System for Tracking Audit and Reimbursement | |||
STAR | Systems Test for Alternative Reimbursement | Medicaid | ||
stat | Urgent | Abbreviation for the Latin word statim, meaning immediately | ||
STD | Sexually Transmitted Disease | An older, less preferred term for STI | ||
STD | Short Term Disability | |||
STEMI | ST Elevation Myocardial Infarction | Heart attack with ST elevation. Treated with reperfusion therapy, such as percutaneous coronary intervention (PCI) or thrombolysis. | ||
STFM | Society of Teachers of Family Medicine | |||
STI | Sexually Transmitted Infection | An illnesses that has a significant probability of transmission between humans by means of human sexual behavior, including vaginal intercourse, oral sex, and anal sex. In recent years, STI is the more preferred term for STD or VD because a person may be infected and may potentially infect others, without having a disease. | ||
STM | Staff Time Measure | |||
STP | Satellite Ticket Printer | |||
STS | Safety Tracking System | |||
STU | System Testing Unit | |||
STX | Start of Text | |||
SU | Special Update | A software update for the Epic EMR | ||
SUBC | State Uniform Billing Committee | |||
SUEI | Standard Unique Employer Identifier | Also known as Employer Identification Number (EIN) | ||
SUL | Standard User Label | |||
SUNA | Society of Urologic Nurses and Associates | |||
SUP | Supply Master File | OpTime only. An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database). | ||
SUR | Surveillance and Utilization Review | Also known as S/UR | ||
SURS | Surveillance and Utilization Review Subsystem | S/URS | ||
SUT | System User Test | |||
SV(ASCP) | Specialist in Virology | A certification by the American Society for Clinical Pathology (ASCP) Board of Registry | ||
SVC | Superior Vena Cava | Large vein located in the upper chest that collects blood from the head and arms, delivers blood back to the right atrium of the heart | ||
SVC | Supervisor Call | |||
SVCS | Services | |||
SVD | Spontaneous Vaginal Delivery | Also known as NSVD | ||
SVES | State Verification and Exchange System | See also Social Security Administration (SSA) | ||
SVRS | Statistically Valid Random Sample | |||
SW | Social Worker | Job title for the position of Social Worker (not a credential) | ||
SW | Step Weight | |||
SW-CMM | Software Development Capability Maturity Model | |||
SW/T | Structured Walkthrough | |||
SWAT | Specialized Work Action Team | |||
SWBI | State Welfare BuyIn Enrollment Profile System | |||
SWICA | State Wage Information Collection Agency | |||
SYS | OCO systems support application system code | |||
T | Temperature | Body temperature, considered one of the vital signs
| ||
T&A | Tonsillectomy and Adenoidectomy | Removal of tonsills and adenoids
| ||
T&D | Training and Development | |||
T&E | Travel & Expense | |||
T&M | Time and Materials | |||
T-Code | Transaction Code | |||
T1 | Title I of the Social Security Act | Grants for old age assistance and 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 | Medicaid. See also MAA. | ||
T2 | Title II of the Social Security Act | Social Security (SS) benefits | ||
t2dm | Type 2 Diabetes Mellitus | |||
T2R | Title II Redesign | See also Social Security Administration (SSA) | ||
T4 | Title IV of the Social Security Act | |||
TA | Technology Assessment | |||
TA | Termination Actions | |||
TAA | Time Account Adjustment | A schedule or report | ||
tab | Tablet | Such as medication
| ||
TAC | Technology Advisory Committee | |||
TAC | Type of Activity Code | |||
TACT | Total Audit Concept Technique | |||
TACT | Transfer, Automate, Contract Out, and/or Terminate Project | |||
TAG | Technical Advisory Group | Also known as Technical Assistance Group | ||
TAMRA | Technical and Miscellaneous Revenue Act | A 1988 act | ||
TANF | Temporary Assistance for Needy Families | |||
TAP | Technical Advisory Panel | |||
TAP | Terminal Acquisition Project | See also Social Security Administration (SSA) | ||
TAPEDSN | Tape Data Set Protection | |||
TAR | Temporary Transaction Master File | An Epic Master File which is a subset of the Chronicles database (Epic's integrated production database) | ||
TAR | Treatment Authorization Requirements | A requirement of some state Medicaid programs
| ||
TARP | Triage Assessment and Response Plan | A measure of patient acuity | ||
TARS | Telephone Action Requests System | |||
TASC | Training Assistance Services Cadre | See also OWTDS | ||
TASC | Transportation Administration Service Center | |||
TAVERN | Terminations and Attainments Validation and Enforcement of Returned Notices | |||
TAVI | Transcatheter Aortic-Valve Implantation | Used to treat severe Aortic Stenosis, a condition in which the aortic valve becomes narrowed, obstructing the outflow of blood from the heart and thereby requiring the heart to work harder to pump blood around the body. It's a procedure performed using the Edwards Sapien Transcatheter Heart Valve (THV), an artificial heart valve designed to be inserted into your heart so that it holds open and replaces your diseased aortic valve. | ||
TB | Transaction Branch | DMOS. Formerly GPABS or PM. | ||
TB | Tuberculosis | |||
TBA | To be Announced | |||
TBC | Transit Benefit Coordinator | |||
TBD | To Be Determined | |||
TBI | Traumatic Brain Injury | |||
TBO | Transaction Back Out | |||
TBP | To Be Provided | |||
TBP | Transit Benefit Program | |||
TBS | Total Benchmark Solution | Provides healthcare benchmarking data by DRG. View TBS website. | ||
Tbsp | Tablespoon | |||
TBSR | Total Business Systems Review | |||
TC | Technical Component | |||
TC | Technology Component | |||
TC | Telecommunications | |||
TC | Total Cost | |||
TC | Transaction Code | |||
TCAB | Technical Computer Advisory Board | |||
TCC | Technical Control Center | |||
TCC | Temporary Continuation of Coverage | |||
TCC | Transitional Care Center | |||
TCD | Trauma Code Development | |||
TCP | Transitional Corridor Payments | |||
TCS | Telephone Customer Service | |||
TCSDB | Test Case Specification Database | |||
TD | Treasury Department | |||
TDABC | Time-Driven Activity Based Costing | A methodology explored by Robert Kaplan and Steven Anderson in their 2007 book which expands upon Activity Based Costing (ABC)/traditional cost accounting and outlines what may be a more practical approach to implementation. Their book discusses two primary questions:How much does it cost per time unit to supply resource capacity for each business process?How much resource capacity (time) is required to perform work for a company's many transactions, products, and customers? | ||
TDC | Training and Development Center | |||
TDD | Telecommunications Device for the Deaf | |||
TDEA | Triple Data Encryption Algorithm | |||
TDOC | Total Days of Care | |||
TDP | Testing Designated Positions | |||
TDY | Temporary Duty Travel | |||
TEAM | Technology Evaluation and Acquisition Methods | |||
TEC | Technical Evaluation Criteria | |||
TED | Training, Environments, and Documentation | An acronym used to describe Epic's Training, Environments, and Documentation class | ||
TEDBA | Target Enrollment Database Architecture | |||
TEDH | Third Party Entitlement Date for Hospital Insurance | |||
TEDS | Third Party Entitlement Date for Supplementary Medical Insurance | |||
TEFRA | Tax Equity and Fiscal Responsibility Act | A 1982 act | ||
TENS | Transcutaneous Electrical Nerve Stimulation | Aso known as Transcutaneous Electronic Nerve Stimulator | ||
TEP | Technical Evaluation Panel | |||
TEP | Technical Experts Panel | |||
TEP | Transfer Enrollment Period | |||
TERMID | Terminal ID | |||
TFCS | Treasury Financial Communications Systems | Also known as FEDWIRE | ||
TFSS | Task Force for Standard Systems | |||
TH | Teaching Hospital | |||
THD | Total Hospice Days | |||
THE | Trailblazers Health Enterprises, Inc. | MD component of TX BC/BS | ||
THR/THA | Total Hip Replacement/Total Hip Arthroscopy | Replacement of the hip joint | ||
TI | Texas Instruments | |||
TIA | Transient Ischemic Attack | |||
TIARA | Tactical Intelligence and Related Activities | |||
tid | Three Times a Day | Frequency. Sometimes written t.i.d.
| ||
TIM | Technical Instruction Manual | |||
TIMS | Text Information Management System | |||
TIN | Taxpayer Identification Number | An identification number used by the Internal Revenue Service (IRS) in the administration of tax laws. It is issued either by the Social Security Administration (SSA) or by the IRS. Sometimes known as Tax Identification Number. | ||
TINA | Truth In Negotiations Act | |||
TIPPS | Test of Intermediary Prospective Payment System | |||
TIS | Technology Information Services | Also known as Technical Information Services | ||
TIS | Therapeutic Intervention Scoring | Also known as Therapeutic Intervention Scoring System (TISS) | ||
Title XIX | Title 19 | The portion of the federal Social Security Act which authorizes a joint federal/state Medicaid program. Title XIX claims can require different charge and procedure codes, and thus can cause billing problems.
| ||
TIW | Three Times a Week | A dangerous abbreviation which should not be used because it can be misinterpreted as tid (three times a day). Also written tiw. | ||
TJC | The Joint Commission | See also Joint Commission (JC) | ||
TKO | To Keep Open | i.e. IV TKO (don't remove IV) | ||
TKR | Total Knee Replacement | Replacement of the knee joint
| ||
TLC | Total Location Counter | |||
TLS | Transport Layer Security | |||
TLV | Threshold Limit Exposure Values | |||
TM | Traditional Medicine | |||
TMIS | Training Management Information System | |||
TMJ | Temporomandibular Joints | |||
TMP | Task Management Plan | |||
TMR | Transmyocardial Revascularization | |||
TMS | Tape Management System | |||
TN | Transmittal Number | |||
TNCC | Trauma Nursing Core Course | A 16 to 20 hour post-RN course by the Board of Certification for Emergency Nursing (BCEN) | ||
TNF | Tumor Necrosis Factor | As in Anti-tumor necrosis factor drugs. They are a class of drugs that are used to treat inflammatory conditions such as rheumatoid arthritis, psoriatic arthritis, juvenile arthritis, Crohn's colitis, ankylosing spondylitis, and psoriasis. | ||
TNHP | Teaching Nursing Home Program | |||
TNIF | Transaction NIF | |||
TNIF | True Not In File | |||
TNTC | Too Numerous To Count | |||
TO | Task Order | |||
TO | Training Office | |||
TOB | Type of Bill | |||
TOC | Transfer of Care | |||
TOC | Transition Office Contact | |||
TOD | Time of Death | |||
TOL | Trial of Labor | If a woman has had a previous Cesarean birth and wants to have a VBAC, she is said to be undergoing a "trial of labor" when her contractions start | ||
TOP | Trade Opportunities Program | |||
TOP | Transitional Outpatient Payment | |||
TOP | Treasury Offset Program | |||
TOP | Triple Option Package | |||
TOP | Type of Provider | |||
TOPR | Type of Program Record | |||
TOPS | Transitional Outpatient Payments System | |||
TOR | Terminal Owning Region | |||
TOS | Type of Service | |||
TP | Third Party | |||
TP | Transaction Processor | |||
TPA | Third Part Administrator | |||
TPA | Third-Party Administrator | Sometimes written 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 and 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, and XR Records | |||
TPF | Third Party File | |||
TPG | Third Party Groups | |||
TPL | Third Party Liability | |||
TPLAB | Third Party List Agency Billing | |||
TPM | Third Party Master | |||
TPN | Total Parenteral Nutrition | IV, or parenteral, nutrition delivered through a system other than the digestive system because a patient is unable to take any food by mouth. Typically not able to discharge to home on TPN (possibly switch to PPN first). See also PPN and HPN. | ||
TPNS | Teleprocessing Network Simulator | |||
TPO | Thyroid Peroxidase | As in a TPO Antibodies test, a blood test that is used to help determine and differentiate between whether an individual has hypothyroidism (underactive thyroid) or thyroiditis (inflammation of the thyroid). The TPO test measures the level of an antibody that is directed against the enzyme thyroid peroxidase. | ||
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 | |||
TQI/TQM | Total Quality Improvement/Management | |||
TQIP | Trauma Quality Improvement Program | An ACS program, sometimes referred to as ACS TQIP, that works to elevate the quality of care for trauma patients in trauma centers. | ||
TR | Team Review | Also written T/R | ||
TR | Therapeutic Recreation | In a pediatric hospital, sometimes merged with Child Life (CL) departments | ||
TRACE | Third Party Recovery Audit Coordinated Effort | |||
TRACS | Teleprocessing Remote Access Control System | |||
TRADE | Training and Development Exchange | |||
TRASOP | Tax Reduction Act Stock Ownership Plan | |||
TRC | Technical Review Committee | |||
TRC | Transaction Reply Code | |||
TRID | Telecommunications Routing Indicator Directory | |||
TRIDE | TRID Extended | |||
TRIM | Target Rate Implementation Monitoring | |||
TRIM | Total Resources Information Management System | |||
TRM | Technical Reference Model | |||
TRO | Tax Refund Offset | |||
TROMP | Track Recovery of Mistaken Payments | |||
TROOP | True Out-of-Pocket | |||
TRPBETA | Third Party BuyIn Exceptions for TP Agencies | |||
TRR | Transaction Reply Report | |||
TS | Technical Strategy | Official meaning | ||
TS | Tentative Settlement | |||
TS | Transplant/Tissue Safety | |||
TSC | Technical Service Center | |||
TSCOG | TSC Operator Guide | |||
TSG | The Surgeon General | |||
TSH | Thyroid Stimulating Hormone | A hormone that stimulates the thyroid gland to produce thyroxine (T4), and then triiodothyronine (T3) which stimulates the metabolism of almost every tissue in the body | ||
TSIPML | Third State Issuing Professional License | |||
TSO | Time Sharing Option | |||
TSO/ISPF | TSO Interactive System Productivity Facility | |||
tsp | Teaspoon | |||
TSP | Teleprocessing Services Program | |||
TSP | Terminal Simulator Panel | |||
TSR | Terminate and Stay Resident | |||
TST | Testing Phase | |||
TT | Trust Territories | Including Micronesia, Marshalls, Palau | ||
TTDH | Third Party Termination Date for Hospital Insurance | |||
TTDS | Third Party Termination Date for Supplementary Medical Insurance | |||
TTNA | Time to Next New Appointment | A scheduling metric that estimates a patient's wait time in scheduling with an outpatient provider (especially with specialists). Alternatively, many health systems measure Time to Third Next New Appointment (TTTNA or TTTNNA) because it provides a better measure of a patient's true wait time since filling scheduling slots for last minute cancellations may not be realistic. | ||
TTSF | Test Time Sharing Facility | |||
TTY | Text Telephones | |||
TVA | Tennessee Valley Authority | |||
TVA | Threat and Vulnerability Assessment | |||
TVIP | Testing, Validation, and Implementation Plan | |||
TVS | Test Value Sets | |||
TWA | Time Weighted Average | |||
TWA | Transaction Work Area | |||
TWG | Technical Work Group | |||
TWP | Trial Work Period | |||
TWWIA | Ticket to Work and Work Incentives Act | A 1999 act | ||
tx | Treatment | |||
U | Unit | A dangerous acronym which should not be used because it can be misinterpreted as 0 or 4. Sometimes written as 'u' | ||
U&C | Usual and Customary | |||
U/I | Unit of Issue | |||
UA | Unit and Analysis | |||
UA | Urinalysis | Common lab test performed on urine. Sometimes written u/a
| ||
UAMCDS | Uniform Ambulatory Medical Care Data Set | |||
UAP | Unlicensed Assistive Personnel | |||
UAT | User Acceptance Testing | |||
UAW | United Auto Workers | |||
UB | Uniform Bill | |||
UB-04 | Uniform Bill 04 | Claim form accepted by all third party payers for hospital services. | ||
UB-92 | Uniform Billing Form 92 | Replaced by the UB-04 Form per the ruling of the National Uniform Billing Committee in 2005. Sometimes known as Universal Billing Form 92 | ||
UBI | Unrelated Business Income | |||
UBIT | Unrelated Business Income Tax | |||
UC | Utilization Control | |||
UCAS | Uniform Cost Accounting Standards | |||
UCC | Uniform Commercial Code | |||
UCC | User Communication and Control | |||
UCDS | Uniform Clinical Data Set | |||
UCDSS | UCD System | |||
UCF | Universal Control Facility | |||
UCFT | Uniform Claim Form Taskforce | |||
UCI | Unique Contact Identifier | |||
UCL | Universal Charge Line | A single charge in the charge router | ||
UCL | Upper Confidence Limit | Also known as Upper Control Limit in SPC | ||
UCM | Universal Charge Message | |||
UCP | Uncompensated Care Payment | A Centers for Medicare and Medicaid Services (CMS) within (at least) the Inpatient Prospective Payment System (IPPS) | ||
UCR | Uniform Cost Report | |||
UCR | Usual, Customary, and Reasonable | Referring to charges | ||
UCR/PACE | Ususal, Customary, and Reasonable/Performance, and Cost Efficiency | |||
UCRD | Uniform Cost Report Demonstration | |||
UDB | Utilization Database | |||
UDC | University Disability Consortium | |||
UDE | User Defined Exit | |||
UDR | Uniform Desk Review | |||
UDS | Uniform Data System | |||
UDS | Universal Data System | |||
UE | User Etract | |||
UEMS | Union Europ | |||
UFAS | Uniform Federal Accessibility Standards | |||
UGMT | Users Group Management Terminal | |||
UHC | University HealthSystem Consortium | An alliance of 118 academic medical centers and 290 of their affiliated hospitals representing the nation's leading academic medical centers. These members developed the Quality and Accountability Study so they could have a truly objective, data-driven measure for comparing their systems. | ||
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 | |||
UKPDS | United Kingdom Prospective Diabetes Study | |||
UL | Underwriters Laboratory | |||
UL | User Language | |||
ULP | Unfair Labor Practice | |||
UM | Utilization Management | The evaluation of the appropriateness, medical need and efficiency of health care services procedures and facilities according to established criteria or guidelines and under the provisions of an applicable health benefits plan | ||
UMBI | Utilization Management and Benefit Integrity | |||
UMO | Utilization Management Organization | |||
UMPC | Union Management Partnership Council | |||
UMS | Universal Measured Service | |||
UMW | United Mine Workers | |||
UNAI | Uniform Needs Assessment Instrument | |||
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 | |||
Ung | Ointment | Oil based compound applied externally (to the skin) | ||
UNIBILL | Uniform Bill | Intermediary Submitted Files of Processed Medicare Provider Bills | ||
UNICEP | Uniform Contractor Evaluation Program | |||
UNOS | United Network for Organ Sharing | |||
UOS | Unit of Service | |||
UPD | Unilateral Price Determination | |||
UPI | University Physicians, Inc. | Provides business operations and administrative support to the University of Colorado School of Medicine's providers | ||
UPIN | Unique Physician Identification Number | An old physician identification system which was replaced in 2007 by the NPI. It was also sometimes referred as the Universal Provider Identification Number (also UPIN) which may be used by some state Medicaid systems. | ||
UPL | Upper Payment Limit | A Medicaid limit | ||
UPN | Universal Product Number | |||
UPPS | Uninterruptible Premium Power Supply | |||
UPS | Uninterruptable Power Supply | |||
UPS | United Parcel Service | |||
UPT | User Proposal Team | |||
UR | Upon Receipt | |||
UR | Utilization Review | The evaluation of the necessity and appropriateness of the healthcare services planned for and received by the patient | ||
URAC | Utilization Review Accreditation Commission | Now known as URAC | ||
URC | Utilization Review Committee | |||
URC | Utilization Review Coordinator | An intermediary | ||
URF | User Request Form | |||
URI | Upper Respiratory Infection | Usually a common cold
| ||
URL | Uniform Resource Locator | |||
URO | Utilization Review Organization | |||
URQ | User Requirements | |||
US | User Services | |||
USAID | United States Agency for International Development | |||
USARC | United States America Registration Committee | |||
USBC | Uniform State Bill Committee | |||
USC | United States Code | |||
USCA | USC Annotated | |||
USCM | United States Conference of Mayors | |||
USCS | United States Code System | |||
USDA | United States Department of Agriculture | |||
USERID | User Identification | |||
USGAO | United States General Accounting Office | |||
USGS | United States Geological Survey Department | |||
USHIK | U.S. Health Information Knowledgebase | |||
USIA | United States Information Agency | |||
USMLE | United States Medical Licensing Examination | |||
USP | US Pharmacopeia | |||
USPCC | United States Per Capita Cost | |||
USPS | United States Postal Service | |||
USQ | Utilization Status Query | |||
USRDS | United States Renal Data System | |||
USTF | Uniformed Services Treatment Facility | |||
UTI | Urinary Tract Infection | Urine infection
| ||
UTL | Unable To Locate | |||
UTL | Utilization Database application system code | |||
V&V | Verification and Validation | |||
VA | Veterans Affairs | Also used to describe the Department of Veterans Affairs or the Veterans Administration Hospitals. A US government-run military veteran benefit system with Cabinet-level status. | ||
VAB | Visitor Access and Badging | |||
VAD | Vacuum Assisted Delivery | The doctor applies a suction cup to the baby's head and gently draws it out, when the mother is too tired to push effectively any more but the baby is very low in the pelvis | ||
VAD | Ventricular Assist Device | |||
VADATS | Veterans Administration Data Automatic Transmission System | |||
VAERS | Vaccine Adverse Event Reporting System | A national vaccine safety surveillance program co-sponsored by the CDC and the FDA | ||
VAM | Volume Allocation Manager | |||
VAN | Value Added Network | |||
VAP | Ventilator Associated Pneumonia | |||
VAR | Value Added Reseller | |||
VAT | Value Analysis Team | |||
VAX | Value Added Exchange | |||
VAX | Voice Activated Exchange | |||
VBA | Visual Basic Architecture | |||
VBAC | Vaginal Birth After Cesarean | The mother has had a previous Cesarean delivery but has now delivered vaginally | ||
VBP | Value Based Payment | |||
VBP | Value Based Purchasing | |||
VC | Value Code | |||
VC | Voluntary Closing | |||
VCPR | Visit Code Comparative Performance Report | |||
VD | Venereal Disease | An older, less preferred term for STI | ||
VDI | Virtual Desktop Infrastructure | A desktop-centric service that hosts user desktop environments on remote servers and/or blade PCs, which are accessed over a network using a remote display protocol. A connection brokering service is used to connect users to their assigned desktop sessions. For users, this means they can access their desktop from any location, without being tied to a single client device. Since the resources are centralized, users moving between work locations can still access the same desktop environment with their applications and data. For IT administrators, this means a more centralized, efficient client environment that is easier to maintain and able to respond more quickly to the changing needs of the user and business. | ||
VDRE | Value Driven Reengineering | |||
VDS | Voluntary Data Sharing | |||
VDSA | Voluntary Data Sharing Agreement | |||
VECP | Value Engineering Change Proposal | |||
VERA | Voluntary Early Retirement Act | A 1993 act | ||
VFC | Vaccines for Children Program | A CDC program that provides vaccines at no cost to children who might not otherwise be vaccinated because of inability to pay | ||
VICP | Vaccine Injury Compensation Program | |||
VICS | Virtual Integrated Communications System | |||
VIP | Voucher Insurance Plan | |||
VIPS | Viable Information Processing Systems | |||
VISION | Vital Information System to Improve Outcomes in Nephrology | |||
VISN | Veteran Integrated Service Networks | The VA Hospitals' 22 VISNs include 153 medical centers | ||
VLSI | Very Large Scale Integration | |||
VM | Value Modifier | |||
VMS | Viable Medicare Systems | |||
VMS | VIPS Medicare System | See also Viable Information Processing Systems (VIPS) | ||
VMS | Virtual Multiple Storage | |||
VMX | Voice Message Exchange | |||
VNA | Visiting Nurses Association | |||
VO | Verbal Orders | |||
VOLSER | Volume Serial Number | |||
VON | Vermont Oxford Network | A nonprofit healthcare collaboration which focuses on neonatal care | ||
VOS | Virtual Operating System | |||
VP | Ventriculoperitoneal | As in "ventriculoperitoneal shunt." A medical device that relieves pressure on the brain caused by fluid accumulation. | ||
VPAC | Variable Premium Amount Collectable | |||
VPMA | Vice President of Medical Affairs | |||
VPN | Virtual Private Network | |||
VPS | Volume Performance Standard | |||
VPS | VTAM Printer Support System | |||
VRA | Veteran's Readjustment Appointment | |||
VRR | Validation Readiness Review | |||
VRU | Ventilator Rehabilitation Unit | |||
VS | Vital Signs | Also written v/s | ||
VSAM | Virtual Storage Access Method | |||
VSCR | Virtual Storage Constraint Relief | |||
VSS | Vital Signs are Stable | Usually seen in charting, blood pressure, pulse and respirations
| ||
VT | Veterinary Technician | |||
VTAM | Virtual Total Access Method | |||
VTE | Venous Thromboembolism | |||
VTOP | Voluntary Termination of Pregnancy | |||
VWA | View Work Area | |||
WA | Working Aged | |||
WAC | Wholesale Acquisition Cost | |||
WAEPA | Worldwide Assurance for Employees of Public Agencies | |||
WALS | Wilderness Advanced Life Support | |||
WAN | Wide Area Network | |||
WAR | Working Aged Recovery | |||
WASC | Washington DC Area Service Center | OPM | ||
WATS | Wide Area Telephone Service | |||
WBC | White Blood Cell | Sometimes the acronym used for White Blood Cell Count | ||
WBS | Web BLOB Service | |||
WBS | Work Breakdown Structure | Also written Work Breakdown Schedule | ||
WBT | Web-Based Training | |||
WC | Wheelchair | |||
WC | Workers Compensation | |||
WCF | Working Capital Fund | |||
WDL | Within Defined Limits | For example, vitals for a patient (flowsheet) may be WDL | ||
WEAL | Women's Equity Action League | |||
WECO | Western Consortium | Denver, San Francisco & Seattle HIROs | ||
WEDI | Workgroup on Electronic Data Interchange | |||
WEL | Women's Executive Leadership | |||
WEP | Windfall Elimination Provision | |||
WERS | Work Experience Reporting System | |||
WFE | Weekly FrontEnd Bill and Payment Records Processing System | |||
WFP | Workforce Planning Initiative | |||
WG | Workgroup | |||
WHA | Wisconsin Hospital Association | |||
WHCOA | White House Conference on Aging | |||
WHCRA | Women's Health and Cancer Rights Act | A 1998 act | ||
WHI | Women | |||
WHIM | Weekly Merge File of all HI Processed Transactions | |||
WHIO | Wisconsin Health Information Organization | |||
WHIP | Write HI Printout | Format Printout Responses. Also written HDWHIP. | ||
WHO | World Health Organization | |||
WHP | Wellness & Health Promotion | An NCQA accreditation program for organizations that offer comprehensive wellness and health promotion services. | ||
WHPUOS | Worked Hours Per Unit of Service | For example, worked hour per patient day on an inpatient unit or worked hours per order filled in pharmacy | ||
WI | Wage Index | |||
WIC | Western Integrity Center | |||
WIC | Women, Infants, and Children | A federal assistance program which provides supplemental nutrition | ||
WINDEX | Widow Indexing | Also written Widowers Indexing | ||
WIP | Work in Progress | Also known as Work in Process. Although the two terms are often used synonymously, in accounting, Work in Progress is more common. In manufacturing, typically Work in Process is used to refer to in-process inventory. | ||
WIR | Wisconsin Immunization Registry | |||
WIS | Warehouse Inventory System | |||
WIS | WWMCCS Information System | |||
WISC-IV | Wechsler Intelligence Scale for Children - 4th Edition | |||
WITS | Washington Interagency Telecommunications System | |||
WIX | Wage Index System | |||
WJIII | Woodcock Johnson (3rd Edition) | Standardized assessment measure of cognitive abilities or academic achievement (separate versions). | ||
WKFL | Workflow | Customer Inquiry System | ||
WKKF | W.K. Kellogg Foundation | |||
WMA | World Medical Association | |||
WMTI | Women's Management Training Initiative | |||
wnl | Within Normal Limits | |||
WNPSC | Western Program Service Center | See also Social Security Administration (SSA) | ||
WNV | West Nile Virus | |||
WOC | Workplan Objective Code | |||
WOCN | Wound Ostomy Continence Nurses | |||
WOCNCB | Wound Ostomy Continence Nursing Certification Board | |||
WORKGP | Work Group Membership Tracking System | |||
WPA | Whistleblower Protection Act | |||
WPA | Works Progress Administration | |||
WPC | Washington Publishing Company | |||
WSM | Whole System Measure | |||
WSW | Women who have sex with women | |||
WT | Waived Testing | |||
WT | Weight | A person's weight | ||
WWMCCS | World Wide Military Command and Control System | |||
WY | Workyear | Formerly known as manyear | ||
x3d | For Three Days | A dangerous acronym because it can misinterpreted as 'for three doses' | ||
XA | Extended Architecture Operation System | See also Social Security Administration (SSA) | ||
XAC | Cross Reference Account Code | |||
XCN | Executive Control Number | |||
XCOM | External Communications System | |||
XDE | Extended Development Environment | |||
XDP | Extended Data Processing | |||
XDR | Extended Data Representation | |||
XID | Exchange Identifier | |||
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 | |||
XL | Excelerator | CASE tool software | ||
XLD | Excelerator Dictionary | |||
XMBA | Executive Masters in Business Administration | |||
XMS | Cross Memory Services | |||
XMT | Transmit | |||
XMTL | Transmittal | |||
XQA | Expanded Quality Assurance | |||
XRAN | Cross Reference Account Number | |||
XVI | Title 16 | Grants to States for Aid to the Aged, Blind or Disabled | ||
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 | Year-to-Date | |||
YYYY | Year | |||
ZBB | Zero Base Budgeting | |||
ZD | Zero Defects | |||
ZEBRA | Zero Balanced Reimbursement Account | |||
ZI | Zonal Index | |||
ZIP | Zone Improvement Plan | |||
ZIP+4 | 9 digit ZIP Code Plan | |||
ZnSO4 | Zinc Sulfate | A dangerous abbreviation which should not be used because it can be misinterpreted | ||
ZO | Zero Overpricing | |||
ZPIC | Zone Program Integrity Contractors | Different than a RAC or MAC audit (which is a payment review), a ZPIC audit identifies SNF fraud and audits are targeted based on sample data analysis | ||
ZST | Zone Standard Time | |||
ZULU | Greenwich Mean Time |