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
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
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
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
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
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
