Practice Acronyms

 

The Glossary is designed to give ASE members an overview and explanation of terms relating to the management of their practices. It provides a comprehensive guide to the acronyms for the federal reimbursement system and healthcare reform programs. This page will be kept up-to-date with new and expanded entries as they become available.

 

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


A

ABN – Advanced Beneficiary Notice
ACA – Affordable Care Act, also referred to as the PPACA (Patient Protection and Affordable Care Act)
ACO – Accountable Care Organization
ALOS – Average Length of Stay
APC – Ambulatory Payment Classification
APMs – Alternative Payment Models

B

BART – Brachial Artery Reactivity Testing

C

CAC – Contractor Advisory CommitteeCAH – Critical Access Hospital
CARE Bill – Consistency, Accuracy, Responsibility and Excellence
CBO – Congressional Budget Office
CCI – Cardiovascular Credentialing International
CCI – Correct Coding Initiative
CCIIO – Consumer Informational and Insurance Oversight
CDM – Charge Description Master files
CERT – Comprehensive Error Rate Testing program
CHIP – Children’s Health Insurance Program
CMI – Case Mix Index
CMMI – Center for Medicare and Medicaid Innovation
CMS – Centers for Medicare & Medicaid Services
CPR – Cost Performance Report
CPT – Current Procedural Terminology
CQI – Continuous Quality Improvement

D

DIMES – Departmental Information Management Exchange System
DRG – Diagnosis Related Group

E

EF – Ejection Fraction
EFT – Electronic Funds Transfer
EHNAC – Electronic Healthcare Network Accreditation Commission
EHR/EMR – Electronic Health Record / Electronic Medical Record
EOB – Explanation of Benefits
EOC – Episode of Care
ERA – Electronic Remittance Advice
ERN – Electronic Remittance Notice

F

FCU – Focused Cardiac Ultrasound
FFS – Fee for Service
FI – Fiscal Interiary
FICA – Federal Insurance Contributions Act
FTC – Federal Trade Commission

G

GAO – General Accountability Office
GHP – Group Health Plan
GI – Geographic Index
GPCI – Geographic Practice Cost Index

H

HBP – Hospital Based Physician
HCM – Hypertrophic Cardiomyopathy
HCPCS – Healthcare Common Procedure Coding System
HHS – Department of Health and Human Services
HIPAA – Health Insurance Portability and Accountability Act
HIO – Health Information Organization
HISP – Health Information Service Provider
HOPPS – Hospital Patient Prospective Payment System
HRSA – Human Resources Services Administration
HWI – Hospital Wage Index

I

IAC – Intersocietal Accreditation Commission
ICAEL – Intersocietal Commission for the Accreditation of Echocardiography Laboratories
ICAVL – Intersocietal Commission for the Accreditation of Vascular Laboratories
IDN – Integrated Delivery Network
IDS – Integrated Delivery System
IPAB – Independent Payment Advisory Board

J

JCAHO – Joint Commission for Accreditation of Health Organizations

K

L

LCD – Local Coverage Determination
LMRP – Local Medical Review Policy

M

MAC – Medicare Administrative Contracts
MACRA – Medicare Access & CHIP Reauthorization Act of 2015
MCD – Medicare Coverage Database
MCO – Managed Care Organization
MedPAC – Medicare Payment Advisory Organization
MIPS – Merit-Based Incentive Payment System
MSSP – Medicare Shared Savings Program

N

NCD – National Coverage Determination
NCHS – National Center for Health Statistics
NDPS – National Drug Pricing System
NPDB – National Practitioner Data Bank
NPI – National Provider Identifier

O

OASIS – Outcome and Assessment Information Set

P

PAG – Policy Advisory Group
PEPP – Payment Error Prevention Program
PFFS – Private Fee-for-Service
PFS – Physician Fee Schedule
PFMs – Physician-Focused Payment Models
PIM – Program Integrity Model
PORS – Provider Overpayment Recovery System
PPO – Preferred Provider Organization
PPR – Prospective Payment Review
PQRS – Physician Quality Reporting System
PSRO – Physician Service Review Organization
PTAC – Physician-Focused Payment Model Technical Advisory Committee
PTAN – Provider Transaction Access Number

Q

QPP – Quality Payment Program

R

RAC – Reimbursement Advisory Committee
RADARS – Ranking & Data Analysis Reporting System
RBRVS – Resource-Based Relative Value Scale
RUGs – Resource Utilization Groups
RVC/RUC – AMA/Specialty Society Relative Value Scale Update Committee RVU – Relative Value Unit

S

SELF – Secretary’s (HHS) Executive Leadership Forum

T

TAVI – Transcatheter Aortic Valve Implantation
TAVR – Transcatheter Aortic Valve Replacement
TIN – Taxpayer Identification Number
TTE – Transthoracic Echocardiogram

U

V

W

X

Y

Z

ASE Headquarters – COVID-19 Update

Beginning March 26, 2020, the county where the ASE Headquarters is located is under a government order to “Stay at Home” due to the spread of the coronavirus. These “Stay at Home” recommendations continue to be in effect and depend on the infection rates in the County/State. ASE will keep all but essential personnel telecommuting until a time when it is judged safe to return to work. We are not suspending or closing operations; our employees will remain working and providing excellent customer service to our members and the cardiovascular ultrasound community. However, ASE will slightly modify its official open hours to 9 AM – 4 PM Eastern TimeMonday-Friday. Should you need to get in touch with a staff person, call our main office at 919-861-5574 and a phone list by department will be available. A staff directory is also available here. All general questions can also be sent through ASE@ASEcho.org. Thank you and our best wishes for your continued safety.

New 3D Imaging Code Survey Needs U.S. Physician Input

This is your opportunity to participate in the Relative Value Update Committee (RUC) process to ensure fair and adequate code valuation. The proposed CPT add-on code that describes the additional work required for 3D imaging, in addition to the base echocardiography service, is currently under review at the AMA RUC. Your participation in the RUC survey process is key in the assessment of the time, complexity, and physician work value for these procedures. If you were randomly selected, you received an email from “Qualtrics” with the subject line, “AMA RUC Survey – 3D Imaging of Cardiac Structures.” We ask you to look for it in all your email folders, as many members have found the survey in their spam/junk folder.

More information about the RUC and the survey process is available here.The AMA has created a video to explain the purpose of the survey process and provide specific instructions on how to complete the survey accurately. Please contact Irene Butler, ASE’s Vice President of Health Policy & Member Relations at IButler@ASEcho.org, with any questions. We greatly appreciate your time, input, and expertise.