Health Care Acronyms Acronym Termgarnerhealth.com/wp-content/uploads/2011/11/acronyms.pdf · ADAPSO Association+of+DataProcessing+Services+Organization ADARS Automated+DASD+Archival+Restoration+System

Health Care Acronyms

Acronym TermA&AS Advisory & Assistance ServiceA&G Acquisitions & GrantsA&G Administrative & GeneralA&R Audit & ReimbursementA-‐PT ActionPhase TopicA/P Accounts PayableA/R Applicant and/or RecipientA109 OMB Circular "Major Systems Acquisitions (ADP)"A121 OMB Circular "Charge Back for ADP Services Provided to Multiple Users"A130 OMB Circular "Management of Federal Information Resources"A2HA American Association of Hospital AccountantsA76 OMB Circular "Policies for Acquiring Commercial or Industrial Products or ServicesAA Associate AdministratorAAA Agricultural Adjustment AdministrationAAA American Automobile AssociationAABB American Association of Blood BanksAABH Association for Ambulatory Behavioral HealthcareAACN American Association of Colleges of NursingAACR American Association for Cancer ResearchAADA Abbreviated Antibiotic Drug ApplicationAAF Aplastic Anemia FoundationAAFES Army & Air Force Exchange ServicesAAFP American Academy of Family PhysiciansAAGEG Administrative Analysis Grade Evaluation GuideAAHA American Association of Homes for the AgingAAHP American Association of Health PlansAAHSA American Association of Homes & Services for the AgingAAI Applications Alarms Infrastructure (GTE/MTS)AAKP American Association of Kidney Patients


Acronym TermAAMC Association of American Medical CollegesAAO American Academy of OphthalmologyAAP American Academy of PediatricsAAPC American Association of Professional CodersAAPCC Adjusted Average Per Capita CostAAPD American Academy of Pediatric DentistryAAPHR American Association of Physicians for Human RightsAAPP Affirmative Action Program PlanningAARG Average Annual Rate of GrowthAARP American Association of Retired PersonsAARR Approval, Adjustment & Reject ResponseAB (BC/BSA's) Administrative BulletinABA American Banking AssociationABA American Bar AssociationABD Aged, Blind & DisabledABEND Abnormal EndingABENDAID ABEND Analysis SoftwareABG Arterial Blood GasesABH Association of Behavioral HealthcareABN Advanced Beneficiary NoticeABR American Board of RadiologyABS Annual Beneficiary SummaryAC Actual ChargeAC Allowable CostACA Amputee Coalition of AmericaACC American College of CardiologyACC Automated Change ControlACCT Action Plan by Electronic Claims Transaction InstituteACD Audit Clearance Document


Acronym TermACD Automatic Cancellation DateACE (Carrier) Automated Claims ExaminationACEI Angiotensin Converting Enzyme InhibitorsACEP American College of Emergency PhysiciansACERS Annual Contractor Evaluation Reporting SystemACF Administration for Children & FamiliesACGIH American Conference of Government Industrial HygienistsACH Automated Clearing HouseACHE American College of Healthcare ExecutivesACIP PHS Immunization Practice Advisory CommitteeACL Access Control ListsACLI American Council of Life InsuranceACLU American Civil Liberties UnionACM Association of Computing MachineryACMP Audit/Civil Monetary PenaltiesACMS Advanced Cost Management SystemsACO Administrative Contracting OfficerACOG American College of Obstetricians & GynecologistsACP American College of PhysiciansACPS Advanced Claims Processing SystemACPV Average Cost per VisitACR Adjusted Community (Contract) RateACR American College of RadiologyACRG Annual Compound Rate of GrowthACRP Adjusted Community Rate ProposalACRS Accelerated Cost Recovery SystemACS Accredited Standards CommitteeACS American Cancer SocietyACS American College of Surgeons


Acronym TermACS Automated Cartridge SystemACSC Ambulatory Care Sensitive ConditionsACSI American Customer Satisfaction IndexACSS Advisory Council on Social SecurityACT Access Control TableACTG AIDS Clinical Trials GroupACTS Automated Case Tracking SystemACU Automatic Calling UnitACV Arithmetic Coefficient of VariationACYF Administration on Children, Youth & FamiliesAD Admitting DiagnosisADA American Dental AssociationADA American Dietetic AssociationADA Americans with Disabilities Act of 1990ADAD After Date of Award DocumentADAMHA Alcohol, Drug Abuse & Mental Health AdministrationADAP AIDS Drug Assistance ProgramADAPSO Association of Data Processing Services OrganizationADARS Automated DASD Archival Restoration SystemADC Adult Day CareADG Ambulatory Diagnostic GroupADG-‐HOSDOM Ambulatory Diagnostic Group Hospital DominantADHA American Dental & Hygienists AssociationADJ Adjusted ClaimADL Activities of Daily LivingADMC Advance Determination of Medicare CoverageADMS Administrative MessageADMS Alcohol, Drug Abuse & Mental Health ServicesADOBI Advanced DOB Information (System) (SSA)


Acronym TermADP (Medicaid) Alternative Disposition PlanADP Advance Planning DocumentADP Automated Data ProcessingADR Alternative Dispute Resolution (EEO)ADR Automated Date ReviewADR Automated Desk ReviewADS Alternative Delivery SystemADS Amount, Duration & ScopeADS Automated Data SystemADS Automated Development SystemADSB Application Development System BatchADSO Application Development System OnlineADT Admission/Discharge TransferADWOH Average Day's Work On HandAE Administrative EnhancementAEP Appropriateness Evaluation PeriodAEP Annual Coordinated Election PeriodAEP Annual Enrollment PeriodAERO Automatic Earnings Recomputation Operation (MBR)AF Administrative FunctionAFA Alternative Form of AnnuityAFCEA Armed Forces Communications & Electronics AssociationAFDC Aid to Families with Dependant Children (Title IV of the SS Act)AFDS Alternative Financing & Delivery SystemAFEHCT American Federation of Electronic Health Care TransactionsAFEHCT Association for Electronic Health Care TransactionsAFFIRM Association of Federal Information Resources ManagementAFHHA American Federation of Home Health AgenciesAFIPS American Federation of Information Resources Societies


Acronym TermAFN Accumulation File NumberAFPS Accounting for Pay SystemAFSCME American Federation of State, County & Municipal EmployeesAG Affiliated GroupAGA Association of Government AccountsAGNS AT&T Global Network ServicesAGPAM American Guild of Patient Account ManagersAHA American Heart AssociationAHA American Hospital AssociationAHCA American Health Care AssociationAHES Average Hourly EarningsAHFSA Association of Health Facility Survey AgenciesAHIMA American Health Information Management AssociationAHP Accountable Health PartnershipAHP Accountable Health PlanAHP Alternative Health PlanAHP Average Historical PaymentAHPA American Health Planning AssociationAHPB Adjusted Historical Payment BasisAHRQ Agency for Healthcare Research & QualityAHRQ Agency for Healthcare Research and QualityAHSEA Adjusted Hourly Salary Equivalency AmountAHSS Adhoc Sampling SurveyAI Audit IntermediaryAIC Amount In ControversyAICC Anti-‐Inhibitor Coagulant ComplexAICPA American Institute of Certified Public AccountantsAICR Alternative Internal Control ReviewAID Agency for Informational Development


Acronym TermAID Agency for International DevelopmentAIF Applications Interface FacilityAIIM Association for Information & Image Management (trade association)AIM Automated Insertion MachineAIMS Audit Information Management SystemAINS Advanced Information Network SystemAKF American Kidney FundALBN Amount of Last Billing NoticeALC Active License CounterALC Active Location CounterALC Alternate Level of CareALE Annual Loss ExpectancyALFA Assisted Living Federation of AmericaALJ Administrative Law JudgeALNF Auto Liability NoFaultALOS Average Length of StayALS Advanced Life SupportALS Advanced Logistics SystemALSO Automatic Lump Sum Operation (MBR)ALT Average Length of TreatmentAM Adjustment ModuleAM Amplitude ModulationAMA American Medical AssociationAMASDS Asset Management & Automated Software Distribution SystemAMCP Academy of Managed Care PharmacyAMCRA American Medical Care & Review AssociationAMCS Automated Medical Coding SystemAMHPS Association of Minority Health Professional SchoolsAMI acute myocardial infarction (heart attack)


Acronym TermAMIA American Medical Informatics AssociationAMIS American Management Information SystemAML Arithmetic Mean of the LogarithmAMOC Automated Manual Ordering CycleAMP Average Manufacturer's PriceAMR Acquisition Management ReviewAMRA American Medical Records AssociationAMS Activities Management SystemAMW Average Monthly WageAN Account Number (also A/N)ANA Administration for Native AmericansANA American Nurses AssociationANCHR Access to the NCH Repository (online query to 5% sample)ANCI American National Standards InstituteANDA Abbreviated New Drug ApplicationsANNA American Nephrology Nurses AssociationANSCII American National Standard Code for Information InterchangeANSI American National Standards InstituteANSI X12 837 American National Standards Institute Health Data Committee X12 file format 837AO Accreditation OrganizationAOA Administration on AgingAOA American Optometric AssociationAOA American Osteopathic AssociationAOLS All Other Local ScreensAONE American Organization of Nurse ExecutivesAOPA American Orthotic & Prosthetic AssociationAOR After Outliers RemovedAOR Application Owning RegionAP Award Processing


Acronym TermAPA American Pharmaceutical AssociationAPA American Psychiatric AssociationAPACHE Acute Physiology & Chronic Health EvaluationAPC Ambulatory Payment ClassAPC Average Per CapitaAPC Average Projected CostsAPCSS Automated Production Control & Scheduling System (at HDC)APD Advanced Planning DocumentsAPDA Accretion Premium Due AmountAPDSR Average Per Diem State RateAPF Authorized Program FacilityAPG Ambulatory Patient GroupAPG Ambulatory Payment GroupAPHA American Public Health AssociationAPHP Acute Partial Hospitalization ProgramAPHP Applied as Hospital Insurance PremiumsAPHSA American Public Human Services AssociationAPI Application Programming InterfaceAPM Admission Pattern MonitoringAPM Audit Priority MatrixAPMA American Podiatric Medical AssociationAPME Advisory Panel on Medicare EducationAPO Awards Processing OperationAPP Application Portability ProfileAPPC Advanced ProgramtoProgram CommunicationAPPS (GHP) Automated Plan Payment SystemAPR Acquisition Procurement RequestAPR Agency Procurement RequestAPR Average Payment Rate


Acronym TermAPR -‐ DRG all payer refined -‐ diagnosis related groupsAPS Acquisition Planning ScheduleAPS Acute Physiology ScoreAPS Adjudication Payment SystemAPS Annual Person Summary SystemAPS Application Productivity SystemAPSA American Political Science AssociationAPT Automated Production TurnoverAPTD Aid to the Permanently & Totally DisabledAPWA American Public Welfare Association (changed to APHSA)AQI Audit Quality InitiativeAQL Acceptable Quality LevelAQRP Audit Quality Review ProgramAR Accounts ReceivableAR Alpha RepresentationARA Assistant Regional AdministratorARA Associate Regional AdministratorARC AIDS Related ComplexARC American Red CrossARC Association for Retarded CitizensARCS Accounts Receivable & Collection SystemARF Actuarial Reduction Factor Program (MBR)ARF Area Resource FileARIMA Arithmetic Moving AverageARK Arkansas Part B SystemARMIS Ad Hoc Reports Management Information SystemARMS Adhoc Reports Management SystemARMS Automated Resource Management SystemARO Annualized Rate of Occurence


Acronym TermARP Admission Review ProgramARS Active Record StatusARS Advanced Record System (GSA)ARS Advanced Retrieval SystemARS Age/Race/SexARS Agricultural Research ServiceARS Altanthus Response SystemARSTOP ARS Telephone Communications Operating ProceduresARTEMIS (mainframe project management software testing tool)ARTS Automated Reporting & Tracking SystemARU Audio Response UnitARU Automated Response Unit (Phone system with automated routing)AS Administrative SimplificationAS Advanced System (AJS)AS American SamoaAS Application SystemASAP Automated Standard Application for PaymentsASAP American Society of Automation in PharmacyASBCA Armed Services Board of Contract AppealsASBCA Armed Services Board of Contract/State AssessmentsASC Accredited Standards Committee (ANSI)ASC Ambulatory Surgical/Surgery CenterASCA Administrative Simplification Compliance ActASCII American Standard Code for Information Interchange (see ANSCII)ASCM Application Software Configuration ManagementASCO American Society of Clinical OncologyASCP American Society of Consultant PharmacistsASCPT American Society of Clinical Pharmacology & TherapeuticsASCT American Society of Cytotechnology


Acronym TermASCW Audit Selection Criteria WorksheetASER/SA Annual State Evaluation Report/State AssessmentsASF Automatic System FacilityASH Assistant Secretary for HealthASHP American Society of Hospital PharmacistsASHP American Society of Health Systems PharmacistsASHRM American Society of Healthcare Risk ManagementASI Alert Screen InitiativeASIC Application Specific Integrated CircuitASIM American Society of Internal MedicineASIS Association Society of Industrial SecurityASM Annuity & Survivors Master (OPM file)ASMB Assistant Secretary for Management & BudgetASMH Assembler H SoftwareASMT American Society for Medical TechnologistsASO Administrative Services OnlyASO Application Services OrganizationASP Acquisition Strategy PlanASPA American Society of Public AdministratorsASPE Assistant Secretary for Planning & EvaluationASPEN Automated Survey Processing EnvironmentASPER Assistant Secretary for PersonnelASTER Automated System for Transaction Exception ResolutionASTHO Association of State & Territorial Health OfficesASTM American Society for Testing & MaterialsASTME31 ASTM Committee 31ASTS American Society of Transplant SurgeonsATARS Audits Tracking & Reporting SystemATB All Trunks Busy


Acronym TermATBCB Architectural & Transportation Barriers Compliance BoardATLA Association of Trial Lawyers of AmericaATM Aschronous Transfer ModeATP Advanced Technology Projects (GTE)ATRA American Therapeutic Recreation AssociationATSDR Agency for Toxic Substances & Disease Registry (EPA)AUF Automatic Update FacilityAUSA Assistant United States AttorneyAUSCT Autologous Stem Cell TransplantationAUSU Assistant U S AttorneyAUTO3480 HDC LMS Robotic Processing softwareAVERT AntiVirus Emergency Response Team (McAfee)AVGS Ambulatory Visit GroupsAVP Assistant Vice PresidentAVT Automated Voice TechnologyAWAS Automated Work Administration SystemAWP Actual Wholesale PriceAWP Average Wholesale Price (Drugs)AWP Average Wholesale PriceAZT Azidothymidine (AIDS drug therapy)B&P Bid & ProposalBA Basic AgreementBA Budget AdministrationBA Budget AuthorityBA Business AssociateBAAADS Budget Apportionment Allotment Allowance & Database SystemBAC Beneficiary Advisory CommitteeBAC Billing Action CodeBACOM Beneficiary Annotation & Communication Operation


Acronym TermBAR Beneficiary Adjustment ReportBARS Bid Analysis & Reporting SystemBATF Bureau of Alcohol, Tobacco & FirearmsBBA Balanced Budget Act of 1997BBA Balanced Budget ActBBRA Balanced Budget Refinement Act of 1999 (PL 106113)BC/BS Blue Cross/Blue ShieldBCA Board of Contract AppealsBCB Beneficiary Confidentiality BoardBCBSA Blue Cross/Blue Shield AssociationBCC Billing Cycle CodeBCC Block Check CharacterBCCE Baltimore Computer Conference & ExpositionBCCP Business Continuity & Contingency PlanBCD Binary Coded DecimalBCF Benefit Correction FormBCN Batch Clearance NoticeBCSS Batch Completion Status SummaryBD Budget DistributionBDAM Basic Data Access MethodBDF Bulk Data FacilityBDOD Beneficiary Date of DeathBDP Beneficiary Database PrototypeBDPC Breakthrough Drug Pricing CommitteeBDPP Beneficiary Database Prototype ProjectBDTS Batched Data Transmission SystemBEA Budget Expense AccountBEA Bureau of Economic AffairsBEA Bureau of Economic Analysis


Acronym TermBEA Business Enterprise AreaBEAM Brain Electrical Activity MappingBEAU Budget Expense Account UnitBEER Beneficiary Earnings Exchange RecordBEI Budget Estimating InitiativeBENDEX Beneficiary & Earnings Data Exchange SystemBENDEX Beneficiary Data ExchangeBERT (EDB) Beneficiary Enrollment Retrieval SystemBESS Part B Extract & Summary System (nee BMAD)BEST Beneficiary Eligibility State Tape (EDB Bene Alpha File)BEST Beneficiary State Totals (from SPACE System)BETOS Berenson Eggers Type of ServiceBF Beneficiary FileBGN Beneficiary Given NameBHO Behavioral Health OrganizationBHS Business Health ServicesBI Background InvestigationBI Benefits IntegrityBI Buy InBIA Business Impact AnalysisBIC Beneficiary Identification CodeBICEQN BIC Equate NumberBIEC BuyIn Eligibility CodeBIER Billing Information Exchange RecordBIF Beneficiary Insurance FileBIF Benefit Information FormBIMF Beneficiary Inactive Master FileBIPA Benefits, Improvements & Protection Act of 2000BISC Benefit Integrity support Center


Acronym TermBISYNC Binary Synchronous Communication (IBM data communications protocol)BIT Beneficiary Inquiries TaskforceBITF Beneficiary Implementation Task ForceBITS Beneficiary Information Tracking SystemBITS Beneficiary Inquiry Tracking SystemBITSMIS BITS Management Information SystemBIW Beneficiary Inquiries WorkgroupBL Black LungBLASER Black Lung Automated Search & Edit RoutineBLM Bureau of Land ManagementBLP Bypass Label ProcessingBLS Basic Life SupportBLS Bureau of Labor Statistics (DOL)BLS Bureau of Labor StatisticsBLUC Bottom Line Unit CostBLUES Blue Cross/Blue Shield associationsBMA BioMedical ApplicationsBMACS Part B Medicare Automated Claims SystemsBMCHRD Bureau of Maternal & Child Health & Resources DevelopmentBOA Basic Ordering AgreementBOAN Beneficiary's Own Account Number (SSN)BOCMIS Beneficiary Overpayment Control & Management Information SystemBOD Bid Opening DateBOIS Beneficiary Online Inquiry System (HI/SMI online in HCFA)BOM Bill of MaterialsBOMA Building Owners & Managers AssociationBOME Bureau of Medical ExaminersBOR Before Outliers RemovedBOSS Best on Open Systems Solutions


Acronym TermBOSSN Beneficiary's Own SSNBP Benefit PeriodBP Best PriceBP Business PartnerBPA Blanket Purchase Arrangement (or Agreement)BPC Base Period ChargeBPO Bargain Purchase OptionBPR Budget & Performance RequirementsBPR Business Process ReengineeringBPS Budget Preparation SystemBPST Bill Processing System TestBQAS Part B Quality Assurance SystemBR Budget RequestBRA Business Resumption AssessmentBRC Base Rate CalculationBRDPI Biomedical Research & Development Price IndexBRDS Bill Review Documentation Summary formBRI Basic Rate InterfaceBRI Benefit Rate IncreaseBRRR Bills Received & Returned ReportBRS Bibliographic Retrieval ServiceBRT Business RoundtableBSA Business Software AllianceBSC Binary Synchronous CommunicationBSF Benefit Stabilization FundBSP Business Systems PlanningBSR (Part B) Bill Summary RecordsBSRS Benefit Savings Reporting SystemBSS Beneficiary Satisfaction Survey


Acronym TermBSS Benefit Summary StatisticsBTW Bill Type WeightBUCS Budget Under Control SystemBUR Billing Update RecordBUTE Beneficiary Database Update Transaction System (HDBUTE)BVR Budget Variance ReportBVS Bureau of Vital StatisticsBY Budget YearC&P Compensation & Pension (DVA)C/BR Cost/Benefit RatioC/BR Cost/Burden ReductionC/O Center or OfficeC/S Client/ServerC/SPS Cost/Scheduling Performance SystemC:D Connect:DirectC2IW CAFM II Implementation WorkgroupCA Certification AuthorityCA Change AdministrationCA Claims AnalystCA Competitive AdvocateCAAS Certificate for Advisory & Assistance ServicesCAAS Contracted Advisory & Assistance ServicesCABBS Carrier Bulletin Board SystemCABG coronary artery bypass graftCABLE Combined A/B Local EligibilityCABS Carrier Access Billing SystemCABS Contractor Administrative Budget & Cost Reporting SystemCABWF Combined A/B Working File (also see CWF)CAC Carrier Advisory Committee


Acronym TermCAC Categorical Assistance CodeCAC Contractor Advisory CommitteeCACO Corporate Administrative Contracting OfficerCAFM Contractor Administrative, Budget & Financial ManagementCAGE Contractor & Government Entity Code (formerly FSCM)CAH Critical Access HospitalCAHHS California Association of Hospitals & Health SystemsCAHP Consumer Assessment of Health PlanCAHPS Consumer Assessments of Health Plans SurveyCAHSA California Association of Home Services for the AgedCALPERS California Public Employees Retirement SystemCALSO (Death Termination System (SSA))CAMP Carrier Accountability Monitoring ProjectCAMS Customer Account Management SystemCAN Claim Account NumberCAN Common Accounting (or Account) NumberCANDA Computer Assisted New Drug ApplicationsCAP Change Acceleration ProcessCAP Corrective Action PlanCAP community acquired pneumoniaCAP-‐REL Capital RelatedCAPI Computer Assisted Personal Interviewing (software)CAPS Capitated Ambulatory PlanCAPS Claims Automated Processing System (SSA MBR)CAR Corrective Action ReviewCAR Cost Accounting ReportCARE Center for Analytical Review & EducationCARES Contractors Analysis & Reporting SystemCARF Commission on Accreditation of Rehabilitation Facilities


Acronym TermCARRPR Carrier Payment RecordCAS Cost Accounting StandardsCASB Cost Accounting Standards BoardCASE Committee on Academic Science & Engineering ReportCASE Computer Aided (or Assisted) Software EngineeringCASE Computer Assisted Systems EngineeringCASF Carrier Alphabetic State FileCASL Competition Advocate Shopping ListCASO (HI) Combine & Sort OperationCASPER Certification and Survey Provider Enhanced ReportingCASPRO Clinical Area Support PROCASR Contractor Audit & Settlement Report (System)CAST Carrier Alpha State Microfilm/Microfiche SystemCAST Carrier Alpha State TapeCAST Contractor Assessment Security ToolCASU Cooperative Administrative Support ProgramCAT Computerized Axial TomographyCAWR Combined Annual Wage ReportingCB Consolidated BillingCB Cost BenefitCBA Cost/Benefit AnalysisCBC Cipher Block ChainingCBC Center for Beneficiary ChoicesCBI Confidential Business InformationCBO Congressional Budget OfficeCBR CASE Based ReasoningCBR Cost Based ReimbursementCBS Current Beneficiary Survey (by OACT)CBSR Cost Benefit Savings Report


Acronym TermCBSS Customer Billing Services SystemCBT Computer Based TrainingCC Ceiling CostCC Claims ControlCC Complication or ComorbidityCC Condition CodeCC Configuration ControlCCA Catastrophic Coverage ActCCA Child Care AssociationCCB Change Control BoardCCC Change Control CoordinationCCC Civilian Conservation CorpsCCC Comprehensive Care CenterCCDR Contract Cost Data ReportCCDRS Contract Cost Data Reporting SystemCCHCC Coordinating Center for Home & Community CareCCI Correct Coding InitiativeCCIP Chronic Care Improvement ProgramsCCITT Consultative Committee on International Telephone & TelegraphCCLR Claims Collection Litigation ReportCCM Common Cap ModuleCCN Carrier Control NumberCCN Claim Control NumberCCN Correspondence Control NumberCCO Claims Collection OfficerCCP Change Control PlanningCCP Comprehensive Care ProviderCCP Coordinated Care PlansCCP Comprehensive Compliance Program


Acronym TermCCPR Coordinated Comprehensive Provider ReviewCCR Cost to Charge RatioCCR Coverage Compliance ReviewsCCRC Continuing Care Retirement CommunityCCRC Continuum of Care Residential CenterCCS Community Care SettingCCS Contract Control SystemCCU (Carrier) Cost Containment UnitCCUITT Consultive Committee on International Telegraphy & TelephonyCD Civil DefenseCD-‐RISC Clinically Detailed Risk Information System for CostsCDB (Carrier) Correspondence Database SystemCDC Center for Disease ControlCDC Corporate Data CenterCDE Core Data ElementCDF Children's Defense FundCDI Catastrophic Drug Insurance (Trust Fund)CDM (Hospital) Charge Description Master (Files)CDOC Covered Days of CareCDP Computerized Decision ProceduresCDR Continuing Disability ReviewCDR Critical Design ReviewCDRG Children's Diagnosis Related GroupsCDRL Contract Data Requirements ListCDRTS COMDISCO Disaster Recovery ServicesCDS Central Distribution SystemCDS Chain Directory SystemCDT Current Dental TerminologyCDW Collision Damage Waiver


Acronym TermCDWOH Calendar Days Work on HandCE Covered EntityCEA Cost Effectiveness AnalysisCEA Council of Economic AdvisorsCEB Contractor Efficiency BenchmarkCEB Cost Efficiency BenchmarkCEBMA Computer & Business Equipment Manufacturers AssociationCED Committee for Employees with DisabilitiesCELIP Claim Expansion & Line Item ProcessingCEMS CostEffectiveness Measurement SystemCER Capital Expenditure ReviewCER Combined Exchange Record (from the MBR) (nee URIC)CER Comprehensive Evaluation ReportCER Cost Estimating RelationshipCERT Comprehensive Error Rate TestingCES Cost Estimating SystemCES Credential Evaluation ServiceCF Case Folder Control SystemCF Conversion FactorCFB Cipher FeedbackCFE Contractor Furnished EquipmentCFO Chief Financial OfficerCFOA Chief Financial Officer's Act of 1990CFPP Contracting for Prepaid PlansCFR Code of Federal RegulationsCFSR Contract Funds Status ReportCGMP Current Good Manufacturing PracticeCHA Catholic Health AssociationCHA County Health Authorities


Acronym TermCHAFF Change of Address System (MBR)CHAIN Chain Provider Director SystemCHAMPUS Civilian Health & Medical Programs of the Uniformed Services (Now TRI-‐CARE)CHAMPVA Civilian Health & Medical Program of the Veterans AdministrationCHAP Child Health Assurance ProgramCHAP Community Health Accreditation ProgramCHAPS Consumer Assessment of Health Plans SurveyCHBI Commission on Health Benefits & IntegrationCHC Community Health CenterCHC Comprehensive Health CenterCHC Continuous Home CareCHCC Center for Hospital & Community CareCHCL Center for Health Care LawCHDR Center for Health Dispute ResolutionCHDS (National) Charge Distribution SystemCHER Center of Health Economics Research (aka HERI)CHF Congestive Heart FailureCHHA Certified Home Health AgencyCHHC Continuous Home Health CareCHI Catastrophic Health InsuranceCHICN HI Enrollment Cards Operation (HECHICN)CHICO Combined Health Insurance & Checkwriting OperationsCHIM Center for Healthcare Information ManagementCHIME College of Healthcare Information Management ExecutivesCHIP Catastrophic Health Care ProgramCHIP Child Health Insurance ProgramCHMSA Critical Health Manpower Shortage AreaCHN Community Health NetworkCHO Community Health Organization


Acronym TermCHOW Change of OwnershipCI Catastrophic IndicatorCI Configuration IdentificationCI Configuration ItemCI Control IntervalCIA Commercial Industrial Activity (also GCIA)CIADV Carrier/Intermediary Advance NoticeCICA Competition in Contracting Act (1984)CICG Critical Infrastructure Coordination GroupCICO Commercial Industrial Control OfficerCICS Customer Information Control System (replaces SSADARS)CID Commercial Item DescriptionCIEP Contractor Inspection & Evaluation ProgramCIM Corporate Information ManagementCIM Coverage Issues ManualCIMS Case Investigation Management SystemCIN Common Identification NumberCIO Chief Information OfficerCIP Claims In ProcessCIP Competitive Incentive ProgramCIP Continuous Improvement Process ProgramCIP Customer Initiated PaymentsCIPS (FRC) Center Information Processing SystemCISC Complex Instruction Set ComputingCISTR Correspondence Image Storage, Transmission & RetrievalCITIC Consolidated Information Technology Infrastructure ContractCKD Count Key DataCKM Constructive Key ManagementCLAIM Community Leaders Assisting the ICA (Insurance Counseling Assistance) in Missouri


Acronym TermCLCCP Comprehensive Limiting Charge Compliance ProgramCLFS Clinical Laboratory Fee ScheduleCLIA Clinical Laboratory Improvement Act (of 1965) (Amendments 1988)CLIA Clinical Laboratory Interstate Act (or Amendments)CLM Current Logical ModelCLMA Clinical Laboratory Management AssociationCLOE (Carrier) Claims Only Entry SystemCLT Certified Lab TechnicianCLUW Coalition of Labor Union WomenCM Complexity MetricsCM Configuration ManagementCM Configuration ManualCMA Contract Management ActionCMA Current Month AccrualCMD Carrier Medical DirectorCMD Contractor Medical DirectorsCMFMRA Consolidated Master File of Military Retirees & AnnuitantsCMG Case Mix GroupCMG Computer Measurement GroupCMG Contractor Management GroupCMHC Community Mental Health Center (or Clinic)CMHS Continuous Medical (or Medicare) History Sample (or Study)CMI Case Mix IndexCMIS Communications Management Information SystemCMM Capability Maturity ModelCMN Certified Medical NecessityCMP Capacity Management ProgramCMP Career Management ProgramCMP Change Management Process


Acronym TermCMP Civil Monetary PenaltyCMP Competitive Medical Plan (under TEFRA)CMP Comprehensive Medical PlanCMP Configuration Management PlanCMP Competitive Medical PlanCMP-‐EIS CMP Executive Information SystemCMPL Civil Monetary Penalty LawCMPL Civil Monetary Penalty LiabilityCMPTS Civil Monitory Penalty Tracking SystemCMR Comprehensive Medical ReviewCMRI California Medical Review, Inc.CMS Centers for Medicare and Medicaid Services (HCFA prior to July 1, 2001)CMS Centers for Medicare & Medicaid ServicesCMSA Consolidated Metropolitan Statistical AreaCMSS Council of Medical Specialty SocietiesCMTI Customized Claims System IdentifierCN Claim Number (also C/N)CNACO Community Nursing & Ambulatory Care OrganizationCNBC Congress of National Black ChurchesCNH Community Nursing HomeCNPB Clean NonPIP BillsCNV Conversion PhaseCO Central OfficeCO Change OrderCO CoinsuranceCO Contract OfficerCO Control OfficerCOA Change of AddressCOB Close of Business


Acronym TermCOB Coordination of BenefitsCOB Coordination of BenefitCOBA Coordination of Benefits AgreementCOBC Coordination of Benefits ContractorCOBRA Consolidated Omnibus Budget Reconciliation Act (of 1985)COC Certificate of CompetencyCOCA Clearinghouse on Computer AccommodationCOF Carrier Option FileCOFFE Council of Former Federal EmployeesCOG Continuity of GovernmentCOGME Council On Graduate Medical EducationCOI Certificate of IndebtednessCOI Change of IntermediariesCOM Centralized Office MinicomputerCOM Computer Output MicrofilmCOM Current Operating MonthCOMPAS COMDISCO Plan Automation SystemCOMSEC Communication SecurityCON Certificate of NeedCONOPS Concept of OperationsCONUS Continual U.S. (48 Contiguous states & DC, aka: CONTERMINOUS U.S.)COO Chief of OperationsCOO Chief Operating OfficerCOOP Continuity of Operation PlanCOP Concept of Operations PapersCOP Conditions of ParticipationCOP Continuation of PayCOPC Community Oriented Primary CareCOPD Chronic Obstructive Pulmonary Disease


Acronym TermCOPES Community Options Program Entry SystemCORC Carrier of Record ControlCORF Comprehensive Outpatient Rehabilitation FacilityCORTS Calculation of Overpayment Recovery Timeliness SystemCOT Chain of TrustCOTF Chain Organization Task ForceCOTR Contract Officer's Technical RepresentativeCOWAPS Council on Wage & Price StabilityCP Claims ProcessingCP Contractor ProfilesCP/M Control Program for MicroprocessorsCPA Cost Plus AwardCPAF Cost Plus Award FeeCPAP Common Provider Audit ProgramCPAP Continuous positive airway pressureCPAS Claims Processing Assessment SystemCPCM Certified Professional Contract ManagerCPD Competitive Pricing DemonstrationCPD Cost Per DischargeCPDA Current Premium Due AmountCPDAH CPDA Hospital InsuranceCPE Certified Public ExpendituresCPE Contractor Performance EvaluationCPEP Contractor Performance Evaluation Program (or Profile)CPFA Cost Plus Fee AwardCPFF Cost Plus Fixed FeeCPHA Commission on Professional Hospital ActivitiesCPI Consumer Price IndexCPI Coverage Period Indicator


Acronym TermCPI-‐PD Consumer Price Index for Prescription Drugs and Medical SuppliesCPI-‐U Consumer Price Index for Urban AreasCPIC Certification Package for Internal ControlsCPIF Cost Plus Incentive FeeCPM Claims Processing ManualCPM Clinical Performance MeasureCPM Contractor Performance Management (Module)CPM Critical Path MethodCPM Current Payment MonthCPM/EIS Contractor Performance Management / Enterprise Information SystemCPMD Continuous Passive Motion DeviceCPO Care Plan OversightCPO Chief of Purchasing OfficeCPPC Cost Plus Percentage of CostCPQC Claims Processing Quality ControlCPR Comparative Performance ReportCPR Computerized Patient RecordCPR Contractor Performance ReportCPR Cost Performance ReportCPR Customary, Prevailing & Reasonable (Charge)CPRI Computer-‐based Patient Record InstituteCPRS Contractor Performance Reporting SystemCPS Center for Policy StudiesCPS Classified Position SystemCPS Critical Payment SystemCPSC Consumer Products Safety CommissionCPSR Contractor Purchasing (or Procurement) System ReviewCPT Claims Processing TimelinessCPT Common Procedural Terminology


Acronym TermCPT Cost Per TreatmentCPT Current Procedural TerminologyCPT-‐4 Current Procedural Terminology, Version 4CPU Central Processing UnitCPV Cost Per VisitCQAS Carrier Quality Assurance System (now Part B QAS)CQI Continuous Quality ImprovementCQMR Carrier Quarterly Medical ReviewCR Change RequestCR Continuing ResolutionCR Cost ReportCR Cross ReferenceCRAG Contractor Risk Assessment GuideCRAH Change Request Approval HistoryCRAM Cross Region Access MethodCRB Change Review BoardCRC Capital Related CostsCRC Career Resource CenterCRC Cyclic Redundancy CheckCRCC Compensation Related Customary ChargesCRD Chronic Renal Disease (aka: ESRD (preferred))CREP Cost Report Evaluation ProgramCRESUS Cost Report Evaluation System subsystemCRF Change Request FormCRG Carrier Representative GroupCRI Client Record IndexCRI Controlled Rate of IncreaseCRIPA Civil Rights of Institutionalized Persons ActCRLE Cost Reimbursement Level of Effort


Acronym TermCROWD Contractor Reporting of Operational & Workload DataCRP Common Rules ProcessorCRP Consolidated Review ProgramCRS Congressional Reporting SystemCRS Congressional Research ServiceCRSL Cost Report Settlement LogCRTS Cuff Records Tracking SystemCRVR Catastrophic Repeal Validation ReviewCRVS California Relative Value StudyCRWH Change Request Work HistoryCS Claims ServicesCS Covered ServicesCS Abbreviation for Customer ServiceCSA Computer Security Act of 1987CSA Cross Service AgreementCSAMS Customer Service Assessment & Management SystemCSAP Center for Substance Abuse PreventionCSAT Computer Security Awareness TrainingCSC Customer Service CenterCSCC Customer Service Call Center (nee SPOC, now CSC Customer Service Center)CSD Customer Service DeskCSF Critical Success FactorCSI Computer Security InstituteCSIRC Computer Security Incident Response CapabilityCSMI Corporate Storage Management InitiativeCSMM Customer Support for Medicare ModernizationCSO Community Service OfficesCSO Customer Service OrderCSOT Customer Service Outstation Team (also OCST)


Acronym TermCSP Certified Systems ProfessionalCSP Customer Service PlanCSP Customer Service ProgramCSR Core Security RequirementsCSR Customer Service RecordCSR Customer Service RepresentativeCSR Customer Service RequestCSR Abbreviation for Customer Service RepresentativeCSRA Civil Service Reform Act of 1978CSRS Civil Service Retirement SystemCSSP Computer Systems Security PlanCSSR Communications System Segment ReplacementCSSR Cost Schedule Status ReportCST Consumer Service TeamCSTE Council of State & Territorial EpidemiologistsCSTP Carrier System Testing Project (or Program)CTC Certified Transplant CenterCTMP Contractor Task Management PlanCTR Contingency Plan ReportCTS Clear To SendCTS Contracts Tracking SystemCUI Customer User InterfaceCVA Current View AreaCVE Common Vulnerabilities & ExposuresCVF Current Value of FundsCWF Common Working File (see NCHS)CWF/MSP Common Working File / Medicare Secondary PayerCWFA Common Working File Part ACWFB Common Working File Part B


Acronym TermCWFDOCO Common Working File Documentation FileCWFHPEP Common Working File Host Performance Evaluation ProgramCWFINFOBASE Common Working File Information DatabaseCWFM Common Working File MaintenanceCWFM/IV&V Common Working File Maintenance / Independent Verification & ValidationCWFMC Common Working File Maintenance ContractorCWFMQA CWF Medicare Quality Assurance SystemCWFQAS Common Working File Quality Assurance SystemCWRS Contractor Workload Reporting SystemCWS Compressed Work ScheduleCWS Contractor Workload SystemCY Calendar YearCY Critical YearD&F Determinations & FindingsDA Data AcquisitionDA Data AdministrationDA Data AdministratorDA Data AnalysisDA Data ArchitectureDA Direct AccessDA Dynamic AllocationDA&A Drug Addiction & AlcoholismDAB Departmental Appeals BoardDAC Discretionary Access ControlDACA Days After Contract AwardDAD Data Access Diagram (aka: DSD)DAE Data EntityDAF Discretionary Adjustment FactorDAMA Data Administration Management Association


Acronym TermDAP Data Administration PlanDAP DMERC Advisory PanelDARC Delete Automatic Renewal ClauseDARO Days After Receipt of OrderDAS Distributed Application ServicesDASD Direct Access Storage Device (also Global DASD)DASM Data Administration Standards ManualDASMB (HHS) Deputy Assistant Secretary for Management & BudgetDAT Decision Analysis TeamDAT Digital Audio TapeDATAMED Medicaid Quality Control SystemDAWN Drug Abuse Warning NetworkDB Direct BillingDBA Data Base AdministratorDBA Database AdministrationDBA Doing Business AsDBC Drug Benefit CalculatorDBDB Direct Billing Data BaseDBE Data Base EnvironmentDBF Data Base File (also DB/F)DBI Direct Billing IntegrationDBIS Direct Billing Integration SystemDBM Database ManagementDBMS Database Management SystemDBPC Direct Billing Premium CollectionDBPS Drug Bill ProcessorsDBRP DB Rules ProcessorsDBS Direct Billing SystemDC Data Communications


Acronym TermDC Data ControlsDC Deck Checks (also D/C)DC Diagnostic CodeDC DischargeDCAA Defense Contract Audit AgencyDCB Data Control BlockDCC Debt Collection CenterDCCA Data Computer Corporation of AmericaDCD Data Carrier DirectDCF Dually Certified FacilityDCG Diagnostic Cost Group (Demonstration)DCIA Debt Collection Improvement Act of 1966DCIS Debt Collection & Improvement ActDCIS Department Contract Information SystemDCN Document Control NumberDCO Directed Change OrderDCO Directed Charge OrderDCP Data Conversion PlanDCP Department of Carrier ProceduresDCS Debt Collection SystemDD Data DictionaryDD day (i.e., mmddyyyy)DD Developmental DisabilitiesDD/DBA Designation of Data / Database AdministrationDDDL Data Dictionary Definition LanguageDDE Direct Data EntryDDE Dynamic Data ExchangeDDI Data Distribution InitiativeDDL Data Description Language


Acronym TermDDP Direct Dealing ProviderDDP Distributed Data ProcessingDDPS Drug Data Processing SystemDDR Discharge During ReferralDDS Data Dictionary SystemDDS Disability Determination ServiceDDS Distributed Database SystemDEA Delegated Examining AuthorityDEA Drug Enforcement Administration (or Agency)DEAR Department of Energy Acquisition RegulationsDEBCO Debit & Benefit Conversion Operation (MBR)DEC Dual Entitlement CodeDECC Dental Content CommitteeDED Data Element DictionaryDEERS Defense Enrollment Eligibility Reporting System (DOD, CHAMPUS)DEFRA Deficit Reduction Act of 1984DEIS Draft Environmental Impact StatementDEL DeliveryDEMOST Dual Entitlement Maintenance Operation SystemDEP DeputyDEPO Division of Enrollment and Payment OperationsDEPPM Data Exchange & Participating Physician MonitoringDES Data Encryption StandardDES Dollar Equivalency System (FTE hrs. worked x $ paid to employee)DESI Drug Efficacy Study & Implementation ProgramDESY Data Extract Software SystemDF/DSS Data Facility/Data Set Service (Utility Software)DFD Data Flow DiagramDFLSD Death File Limiting State Death (SSA DUMAS National Death Repository)


Acronym TermDFP Data Facility ProductDFWA DrugFree Workplace Act of 1988DHHS Department of Health & Human ServicesDHHSAA DHHS Audit AgencyDHWHIM Daily Health Insurance Master Health Insurance MergeDI Disability InsuranceDIA Defense Intelligence AgencyDIB Data Integrity BoardDIB Disability Insurance BeneficiaryDICOM Digital Imaging and Communications in MedicineDIDO Duplication In, Duplication OutDII Defense Information InfrastructureDIMES Departmental Information Management Exchange SystemDIP Dual InLine PackageDIRT Distributed Index of Rejected TransactionsDIS Disabled (beneficiary)DISA Data Interchange Standards AssociationDISA Direct Inward System AccessDISC Departmental Independent Study CenterDIU Defense Intelligence UniversityDJ Department of Justice (DOJ)DL Data LanguageDLL Dynamic Linked LibrariesDLRO Designated Lead Regional OfficeDM Data ManagerDM Data ModelDM&S (DVA) Department of Medicine & SurgeryDMCL Data Base Management Control LanguageDMD Data Model Diagram


Acronym TermDME Distributed Management EnvironmentDME Durable Medical EquipmentDMEFS Durable Medical Equipment Fee ScheduleDMEPOS Durable Medical Equipment Prosthetic, Orthotics & SuppliesDMERC Durable Medical Equipment Regional CarrierDML Data Management LanguageDML Data Manipulation LanguageDMP Data Match ProjectDMS Data Mass StorageDMS Disk Management SystemDMS/OS DASD Management SystemDMSS Data Management SubSystem CapabilitiesDNA Data Normalization AnalysisDNC Data Network ContractorDNMNTR Denominator SystemDO Data OwnerDO District OfficeDOA Department of AgricultureDOB Date of BirthDOC Days of CareDOC Department of CommerceDOD Date of DeathDOD Department of Defense (DoD)DOD Department of DefenseDODCI Department of Defense Computer InstituteDOE Date of EntitlementDOE Department of EnergyDOEH Date of Entitlement to Hospital Insurance (Medicare Part A)DOES Date of Entitlement to Supplementary Medical Insurance (Medicare Part B)


Acronym TermDOG Day One GroupDOI Department of InteriorDOIAC District Office Intermediary Action CasesDOIAC District Office/Intermediary Aged Cases (OBSOLETE)DOJ Department of JusticeDOL Department of LaborDOLA Delegation of Leasing AuthorityDOLBA Date of Last Billing ActionDOM Developmental Office MinicomputerDOME (Society of Health Systems) Directors of Management EngineeringDOORS Dynamic Object Oriented Requirements SystemDOS Date of ServiceDOST Date of Suspension or TerminationDOT Department of TransportationDOTH Date of Termination of Hospital InsuranceDOTS Date of Termination of Supplementary Medical InsuranceDP Data ProcessingDP Disability PensionDP Distinct PartDPA Delegation of Procurement AuthorityDPD Deferred Payment DateDPF Distinct Part FacilityDPM Deputy Program ManagerDPNA Denial of Payment New AdmissionsDPP Disproportionate Patient PercentageDQC Data Quality CommitteeDQSC Data Quality Steering CommitteeDR Desk ReviewDRA Data Release Agreement


Acronym TermDRA Deficit Reduction Act of 1984DRA Disaster Recovery AssessmentDRAFT Dictionary/Repository Access Facility & Tools SystemDRAIN Desk Review Artificial Intelligence NetworkDRAM Dynamic Random Access MemoryDRG Diagnostic Related Group (patients with similar illness)DRI Drug Rebate InitiativeDRP Disaster Recovery PlanDRS Data Review SystemDRUG Data Release Users GuideDS Data SetDSAF Decision Support Access FacilityDSCN Data Service Centers & NetworkDSD Data Structure Diagram (aka: DAD)DSD Detailed Systems DesignDSH Disproportionate Share HospitalDSM Diagnostic & Statistical ManualDSM-‐IV Diagnostic & Statistical Manual of Mental Disorders, 4th EditionDSMD Discount Schedule & Marketing DataDSMO Designated Standards Maintenance OrganizationsDSMS Development & Support Management SystemDSN Data Set NameDSN W/W Defense Switched Network WorldwideDSP Design Specification PackageDSP Disproportionate Share PaymentsDSR Data Set ReadyDSR Design ManagerDSS Decision Support SystemDSS Department of Social Services


Acronym TermDSTU Draft Standard for Trial UseDTC Design to CostDTE Data Terminal EquipmentDUA Data Use AgreementDUCS Daily Update Control System (HDDUCS)DUDEX Daily Update Data Exchange SystemDUMAS Daily Update Master Accounting System (MBR)DUNS Data Universal Numbering SystemDUO Daily Update OperationDUR Drug Utilization ReviewDVA Department of Veterans Affairs (nee VA)DVAAP Disabled Veterans Affirmative Action ProgramDVR Data Validation ReviewDWA Disabled Working AgedDWARF Data Warehouse Access & Retrieval FacilityDWB Disabled Widow's BenefitsDWI Data Warehouse InitiativeDWI Disabled & Working Individual (see QDWI)DWOH Days Work On HandDX DiagnosisDXGROUP Diagnosis GroupE-‐PSA Electronic Public Service AnnouncementE/M Evaluation & ManagementEA Emergency AssistanceEA Exception AnalystEAB Enumeration at Birth (SSA)EAC Estimate at CompletionEAC Estimated Acquisition CostEAC Executive Advisory Committee


Acronym TermEACH Essential Access Community HospitalEAJA Equal Access to Justice ActEAL Evaluation Assurance LevelEAQC Equal Access Quality CommitteeEAR Early Alert ReportEB ESRD BeneEBCDIC Extended BinaryCoded Decimal Interchange CodeEBNE Eligible But Not EnrolledEBRI Employee Benefit Research InstituteEC Enrollment ControlEC Evaluation CriterionEC Event CycleECB Electronic Code BookECD Executive Development CouncilECF Extended Care FacilityECFMG Educational Commission for Foreign Medical GraduatesECI Employment Cost IndexECKD Extended Count Key DataECM Electronic Counter MeasuresECP External CounterpulsationECP Electronic Claims Processing SystemECP Engineering Change ProposalECR Electronic Cost ReportECRD Early Complaint Resolution ProcessECRS Electronic Correspondence Referral SystemECS Electronic Certification SystemECS Extended Care ServicesECTI Electronic Claims Transaction InitiativeED Electronic Commerce


Acronym TermED Emergency DepartmentEDB Enrollment Database (CMS Medicare beneficiary entitlement record)EDB Enterprise DatabaseEDBCCB EDB Change Control BoardEDBCRP EDB Common Rules ProcessorEDBFPS EDB Five Percent SampleEDBO EDB OnlineEDBOTP EDB OnLine Transaction ProcessingEDBP Enrollment Database PRISM (Staff)EDBS Enrollment & Direct Billing SystemEDBTP EDB Transaction ProcessorsEDBUPT EDB Online Update FacilityEDBW EDB WorkbenchEDEES ESRD Data Entry & Editing SystemEDF Execution Diagnostic FacilityEDG Emergency Department GroupEDG Enterprise Database GroupEDI Electronic Data InterchangeEDIFWG Electronic Data Exchange Federal Work GroupEDIPAC Electronic Data Interchange / Payment & CollectionEDOH Executive Director, Office of HearingsEDP Electronic Data ProcessingEDPO EDB PrintoutEDTA European Dialysis & Transplantation AssociationEDW Electronic Data WarehouseEEG ElectroencephalographEEVS Enrollment Eligibility and Verification SystemEF Exposure FactorEFC Exclusions From Coverage


Acronym TermEFT Electronic Funds TransferEFTS Electronic File Transfer System (GHP large volume transfer to HDC)EFTS Electronic Funds Transfer SystemEGHP Employer Group Health PlanEH Emergency HospitalEHNAC Electronic Healthcare Network Accreditation CommissionEHS Abbreviation for Environmental Health & SafetyEIA Electronic Industries AssociationEIA 232-‐C EIA electrical interface standard 232CEIB Employer Insured BeneficiaryEIN Employee Identification Number (aka SUEI)EIN Employer Identification NumberEIS Enterprise Information SystemEIS Environmental Impact StatementEIS Executive Information SystemsEISA Extended Industry Standard ArchitectureEJR Expedited Judicial ReviewEKMS Electronic Key Management SystemELAN Extended Local Area NetworkELF Extremely Low FrequencyEM Enrollment ModuleEMATS Electronic Memo Acceptance Tracking System (TSO to NCC)EMB Eligible Medicare BeneficiaryEMBER Edit for Multiple Bene Entitlement RecordsEMC Electronic Media ClaimEMCP Electronic Media Claims ProcessingEMCSES Electronic Media Claims Standard Enforcement SoftwareEMEVS Electronic Medicaid Eligibility Verification SystemEMI/EMC Electromagnetic Interference/Electromagnetic Compatibility


Acronym TermEMIA Educators Mutual Insurance AssociationEMSS Emergency Medical Service SystemEMT Emergency Medical TechnicianEMTALA Emergency Medical Treatment and Active Labor ActENDOP End of Month OperationENIAC Electronic Numerical Integrator and ComputerENOA Elimination of Notice of Admission (also EONA)ENQ Enquiry Control CharacterENROLL EnrollmentENS Electronic Network ServicesENTMRG Prior Entitlement Merge (HDENTMRG)ENTRAP ENrollment TRAnsaction ProcessorsEO Executive OrderEOB Explanation of BenefitsEOC Episode of CareEOIS Enrollment Online Inquiry System (use EDBOIS)EOM End of MonthEOMB Executive Office of Management & BudgetEOMB Explanation of Medical BenefitsEONA Elimination of Notice of Admission (also ENOA)EOP Executive Office of the PresidentEOQ Economic Order QuantityEOS Economies of ScaleEOT End of TransmissionEOY End of YearEP Enrollment PeriodEP STUDIES Electrophysiological StudiesEPA Environmental Protection AgencyEPAAR EPA Acquisition Regulations


Acronym TermEPC Emergency Protection CoordinatorsEPESE Established Populations for Epidemic Logic Studies for the ElderlyEPICS Eligibility Programs Integrated Computer SystemEPM Electronic Post MarkEPOC External Point of ContactEPSDT Early & Periodic Screening, Diagnosis & Treatment Program (or Services)ER EntityRelationshipERA Electronic Remittance AdviceERD EntityRelationship DiagramERIC ERISA Industry CommitteeERISA Employee Retirement Income Security Act of 1974ERISA Employee Retirement Income Security Act of 1974 (ERISA)ERMA Edit & Reformat Maintenance Operation (HMERMA)ERMA Edit & Reject Monthly Accumulation Report SystemERN Electronic Remittance NoticeERNIE EDB Enrollment Retrieval New Interactive Edit SystemERP Enterprise Resource PlanningERQ Engineering RequirementsERS Experimental Reimbursement SystemERV EntityRelationship VerificationES Emergency ServiceESA Enterprise System ArchitectureESA Exceptional Service AwardESA Extended Structure ArchitectureESA Extended Systems ArchitectureESP External Services ProvidersESQ Entitlement Status QueryESRD EndStage Renal DiseaseESRD End Stage Renal Disease


Acronym TermESRD PMMIS ESRD Program Management & Medical Information SystemESRDBF EndStage Renal Disease Beneficiary FileESS Estimating System SurveyESTS Enrollment Statistical Tabulation SystemET Expenditure TargetETB End of BlockETC Estimate to CompleteETL Extraction Transformation & LoadingETM Extended Terminal MultiplexerETV Estimated Test VolumeEVAN Electronic Verification of Alleged NumberEVPN Enhanced Virtual Private NetworkEVS Eligibility Verification SystemEVS Enumeration Verification SystemEWU Equivalent Work UnitEXA EExtended ArchitectureF&A Fraud & AbuseF&D Findings & DeterminationFA Field AuditFA Fiscal AgentFA Functional AreaFAA Federal Aviation AdministrationFAC Federal Acquisition CircularFAC Freestanding Ambulatory CareFAC Freestanding Ambulatory CenterFACA Federal Advisory Committee ActFACCT Foundation for AccountabilityFACP Final Administrative Cost ProposalFACS Final Administration Cost System


Acronym TermFACS Financial Accounting SystemFACTS Federal agency Centralized Trial Balance SystemFADPUG Federal ADP Users GroupFAFD Federal Assistance Financing DivisionFAH Federation of American HospitalsFAHS Federation of American Health SystemsFAIR Fund for Assuring an Independent RetirementFAQ Frequently Asked QuestionFAR Federal Acquisition Regulations (48 CFR, Ch. 1)FAR Federal Acquisition RegulationFARA Federal Acquisition Regulation Automated SystemFARC Federal Archives Records CenterFARS Financial Assistance Reporting SystemFASA Federal Acquisition Streamlining Act of 1994FASA Federated Ambulatory Surgery AssociationFASAB Federal Accounting Standards Advisory BoardFASB Federal Accounting Standards Board (or Bureau)FASC Freestanding Ambulatory Surgery CenterFASEB Federation of American Societies for Experimental BiologyFAT First Article TestingFBI Federal Bureau of InvestigationFBR Federal Benefit RateFC Final ClaimFC Folder ControlFCA Farm Credit AdministrationFCA Functional Configuration AuditFCC Federal Communications CommissionFCCA Federal Claims Collection Act of 1966 (31USC3711 & 4CFR)FCCA Federal Computer Crime Act of 1984


Acronym TermFCCBC Federal Coordinating Committee on Breast CancerFCD First Claims DevelopmentFCM First Credit MonthFCT File Control TableFCW Freedom of Choice WaiverFDA Food & Drug AdministrationFDA Food and Drug AdministrationFDG FluorodeoxyglucoseFDIC Federal Deposit Insurance CorporationFDO Formula Driven OverpaymentFDOEH First Date of Entitlement to Hospital Insurance (Part A)FDOES First Date of Entitlement to Supplementary Medical Insurance (Part B)FEC Federal Election CommissionFEC Freestanding Emergency CenterFED-‐STD Federal StandardFEDSIM Federal Computer Performance Evaluation & Simulation CenterFEDSIM Federal Systems Integration ManagementFEDSTRIP Federal Standard Requisitioning & Issue ProceduresFEDWIRE Federal Wire Transmission SystemFEHBP Federal Employee Health Benefits ProgramFEMA Federal Emergency Management AgencyFEPCA Federal Employees Pay Comparability Act of 1990FERAS Front-‐End Risk Adjustment SystemFERC Federal Energy Regulatory CommissionFERCCA Federal Erroneous Retirement Coverage Corrections Act of 2000FF Facility FileFFB Federal Financing BankFFMIA Federal Financial Management Improvement Act of 1996FFP Federal Financial Participation


Acronym TermFFP Federal Fixed Price (contract)FFRDC FederallyFunded Research & Development CentersFFS Fee for ServiceFFUND Fixed Income Index Investment FundFFWG Federal Finance Functional WorkgroupFFY Federal Fiscal YearFGSTF Federal Government Service Task Force (Congressional caucus)FHA Federal Highway AdministrationFHA Federal Housing AdministrationFHIBA Federal Health Insurance Benefits AccountsFHP Family Health PlanFI Fiscal IntermediaryFICA Federal Insurance Contributions ActFICARR Fiscal Intermediary/CarrierFID Fraud Investigation DatabaseFIFO First In/First OutFIG Fiscal Intermediary GroupFILS Federal Information Locator SystemFIM Facer Identification MarkFIPO Freedom of Information & Privacy OfficeFIPR Federal Information Processing ResourcesFIPS Federal Information Processing StandardsFIPSPUB FIPS PublicationFIQAS Fiscal Intermediary Quality Assurance SystemFIRMPOC Federal Information Resources Management Policy CouncilFIRMR Federal Information Resources Management RegulationsFIRS Federal Information Relay ServiceFIRS Federal Information Reporting SystemFIRS Financial Information Reporting System


Acronym TermFIS Forms Information SystemFISCAM Federal Information System Controls Audit ManualFISS Fiscal Intermediary Standard (or Shared) SystemFITA Federal Information Technical ArchitectureFLC Federal Liason CommitteeFLM Future Logical ModelFLRA Federal Labor Relations AuthorityFLSA Fair Labor Standards ActFM Financial ManagementFM Frequency ModulationFM-‐TAG Financial Management Technical Advisory GroupFMA Federal Managers AssociationFMAP Federal Medical Assistance PaymentsFMAP Federal Medical Assistance PercentageFMC Facility Management Contract (Contractor)FMC Federal Maritime CommissionFMC Foundation for Medical CareFMCS Federal Mediation & Conciliation ServiceFMFIA Federal Managers' Financial Integrity Act of 1992FMFIA Federal Managers Financial Integrity ActFMIS Field Management Information SystemFMM Financial Management ManualFMR Focused Medical ReviewFMS Federal Monitoring SurveyFMS Federal Monitoring SystemFMS Financial Management Service (Treasury Dept.)FMS Financial Management SystemFMSNET Financial Management System NetworkFMSS Financial Management System Software


Acronym TermFMV Fair Market ValueFNMA Federal National Mortgage AssociationFNS Food & Nutrition Service (DOA)FO Field OperationsFO Financial OperationsFOB Freight On BoardFOC Full Operating CapacityFOI Freedom of informationFOIA Freedom of Information Act of 1966, etc.FOIA Freedom of Information ActFOP Financial Operating PlanFORTRAN Formula TranslationFOSC Freestanding Outpatient Surgery CenterFOSE Federal Office Systems ExpositionFOSE Field Office Systems Enhancement (Claims Modernization Project)FP Fixed PriceFPAF Fixed Price Award FeeFPC Fiscal Policy CommitteeFPDC Federal Procurement Data CenterFPDS Federal Procurement Data SystemFPEFA Fixed Price with Economic Price AdjustmentFPI Fixed Price IncentiveFPIST Fixed Price with Successive TargetsFPL Federal Poverty LevelFPLE Fixed Price Level of EffortFPMS Federal Productivity Measurement SystemFPMS Forms & Printing Management SystemFPOC Fixed Price Options ClauseFPR Final Project Report


Acronym TermFPR Fixed Price Redeterminable (contract)FPRA Forward Pricing Rate AdjustmentFPS Five Percent SampleFPSC Federal Product & Services CodesFQA Functional Quality AssuranceFQHC Federally Qualified Health CenterFQHC Federally Qualified Health CentersFQI Federal Quality InstituteFR Federal RegisterFR Final RuleFR (F/R) Formal ReviewFRA Federal Railway AdministrationFRCS Federal Reserve Communication System (Treasury Dept.)FRD Functional Requirements DocumentFRO Field Regional OfficeFRS Federal Reserve SystemFS Final SettlementFS Financial StatementFS Fixed StandardFSA Family Services AdministrationFSA Family Support AdministrationFSA Federal Service AreaFSA Flexible Savings AccountFSCM Federal Supply Code for Manufacturers (OBSOLETE now called CAGE)FSE Federal Software ExchangeFSIIS Field Staff Information & Instruction SeriesFSIL First State Issuing LicenseFSP Federal Specific PortionFSPML First State Professional Medical License


Acronym TermFSS Florida Shared SystemFSY Fee Screen YearFT FrontEnd EditFT Full TimeFTAPE Foreign Tape SystemFTC Federal Trade CommissionFTCA Federal Tort Compensation Act of 1988FTI Federal Tax InformationFTP File Transfer ProtocolFTR Failed Transaction ReportFU FollowupFULS Federal Upper Limits (of Medicaid drug pricing) SystemFUSA Families USAFUTA Federal Unemployment Tax ActFWA Fraud, Waste & AbuseFWS (U.S.) Fish & Wildlife ServiceFWS Federal Wage SystemFY Fiscal YearFY/CY Fiscal Year/Calendar YearFYE Fiscal Year End or EndingFYTD Fiscal Year To DateG&A General & Administrative (costs)G-‐CPR Government ComputerBased Payment Related ProjectGAAP Generally Accepted Accounting PrinciplesGAAS Generally Accepted Auditing StandardsGAB Grant Appeals BoardGAF Geographic Adjustment FactorGAGAS Generally Accepted Government Auditing StandardsGAM General Administration Manual


Acronym TermGAMSS General American Medicare Standard SystemGAO (U.S.) General Accounting OfficeGAO Government Accounting OfficeGAS Government Auditing StandardsGASB Government Auditing Standards BoardGB Global BudgetGBL Government Bill of LadingGCB Geographic Code BookGCIA Government Commercial Industrial Activity (also CIA)GCIP General Defense Intelligence ProgramGCPI Geographic Cost of Practice IndexGDC Government Data CenterGDG Generation Data GroupGDP Gross Domestic ProductGEB General Enrollment BeneficiariesGED General Graphics EditorGEP General Enrollment PeriodGFE Government Furnished EquipmentGFI Government Furnished InformationGFI Government Furnished ItemsGFM Government Furnished MaterialsGFP Government Furnished PropertyGFR Government Furnished ResourcesGFUND Government Securities Investment Fund (GSIF)GHP Group Health PlanGHPPS Group Health Plan Payment SystemGHPS Group Health Processing SystemGI Geographic IndexGIC General Inpatient Care


Acronym TermGIS Geographic Information SystemsGIS Gentran Integration SuiteGL General LedgerGMATS Grants Management & Tracking SystemGMIS Grants Management Information SystemGMRA Government Management & Reform Act of 1994GNMA Government National Mortgage AdministrationGNP Gross National ProductGOALS Government Online Accounting Link SystemGOCO Government Owned, Contractor Operated activityGOSIP Government Open Systems Interconnection ProfileGOTS GovernmentOffTheShelfGP Generalized Claims Systems ProceduresGPCI Government Practice Cost IndexGPCI Government Purpose License RightsGPI Group Practice IndicatorGPNPI Group Practice National Provider IndicatorGPO Government Printing OfficeGPO Government Project OfficerGPO Group Purchasing OrganizationGPP Group Practice PlanGPP Group Premium PayorGPPP Group Practice Prepayment PlanGPRA Government Performance & Results Act of 1993GPS Generic Performance StandardsGQS Generic Quality ScreensGRC General Research CorporationGRECC Geriatric Research, Education & Clinical CenterGRH GrammRudmanHollings Act


Acronym TermGROUCH GHP Report Output User Communications HelpGRS General Records ScheduleGS General ScheduleGSA General Services AdministrationGSAR General Services Acquisition RegulationGSBCA General Services Administration Board of Contract AppealsGSD General Systems DesignGSS General Support SystemGT Growth TargetGTL Government Task Leader (contracts)GTM Government Task MonitorGTR Government Transportation RequestGTR Guaranteed Test RegionGWAC Government Wide Acquisition ContractHA HI Reinstating OperationHAA Hispanic Agenda for ActionHAASC Hospital Affiliated Ambulatory Surgical CenterHART HCFA Accounting Records Tracking SystemHAS Hospital Annual SurveyHAS Health Savings AccountHASEALP HA Search Alpha Program (Beneficiary Alpha Match/Reinstate Operation)HAVEN Home Assessment Validation & Entry SystemHBP HospitalBased PhysicianHBP Hospital Based PhysicianHC Hardcopy ClaimsHC HI Control OperationsHCA Hospital Corporation of AmericaHCBWP Home & Community Based Waiver ProgramHCC Health Care Compare


Acronym TermHCC Hierarchical Coexisting ConditionHCC Hierarchical Condition CategoryHCCA Health Care Commuting AreaHCFA Health Care Financing Administration (renamed CMS effective July 1, 2001)HCG Health Care GroupHCH Health Care for the HomelessHCIRC Health Care Information Resource CenterHCIS HCFA Customer Information SystemHCIS Health Care Information SystemHCLEACON HC Report SSI Leads Activity OperationHCM Hardware Configuration ManagementHCPC HCFA Common Procedure CodeHCPCS Healthcare Common Procedure Coding SystemHCPP Health Care Prepayment PlanHCQII Health Care Quality Improvement InitiativeHCQIP Health Care Quality Improvement ProgramHCR Health Care ReformHCRIS Healthcare Provider (or Hospice) (or Hospital) Cost Report Information SystemHCRS (Maintain) HCRIS ProcessHCTP Health Consumer Training ProgramHD Handicapped/Disabled (do not use Handicapped, use IWD or PWD)HD Health Insurance Daily OperationsHDBUTE Health Insurance Database Update ProgramHDDUCS Health Insurance Daily Update Control SystemHDENTMRG Health Insurance Daily Prior Entitlement MergeHDHIDAD HD Health Insurance Daily Actions Dispersion SystemHDHIDUP HD Health Insurance Daily Update ProgramHDHISS HD Health Insurance Segmented Sort SystemHDI Health Data Institute


Acronym TermHDID HI Daily Identification (also see BOIS)HDLC HighLevel Data Link ControlHDMEDMRG HD Medicaid Merge ProgramHDMUPS HI Daily Master Update Processing SystemHDPRENT HD Prior Entitlement ProgramHDRIM Health Insurance Retrieve Inactive Master SystemHDSEX HD Sorted Exceptions ProgramHDSQRD HD Monthly Sequential Read ProgramHDSS Hospital Data Support SystemHE HI Enrollment OperationsHECHICN HE Health Insurance Enrollment Cards OperationHEDIS Healthplan Employer Data Information SetsHEDIS Health Plan Employer Data and Information SetHEO Hispanic Employee OrganizationHEP Hispanic Employment ProgramHEPA High Efficiency Particulate AttractionHEZ Health Economic ZoneHF HI Database Specifications FormatHFMA Healthcare Financial Management AssociationHG HI General DocumentationHH Hold HarmlessHH Home HealthHHA Home Health AgencyHHABN Home Health Advanced Beneficiary NoticeHHC Home Health CareHHCOV Home Health CoverageHHI Home Health IntermediaryHHL Home Health LineHHPPS Home Health Prospective Payment System


Acronym TermHHQI Home Health Quality InitiativeHHQIS Home Health Quality Indicator SystemHHRG Home Health Resource GroupHHS (Department of) Health & Human Services (also DHHS)HHS Home Health ServicesHHS Department of Health and Human ServicesHHSAR Health & Human Services Acquisition Regulation (48 CFR, Ch.3)HHSSA Home Health Services & Staffing AssociationHI Health Insurance (Medicare)HIAA Health Insurance Association of AmericaHIAM Health Insurance Alpha MicrofilmHIB Health Insurance Benefits (Medicare)HIB Hospital Insurance Benefits (Part A)HIBRR Health Insurance Benefits Rights & ResponsibilitiesHIC Health Information CenterHIC Health Insurance ClaimHIC Health Insurance CompanyHIC Home Intensive CareHIC Health Insurance Claim number used by CMSHICAN Health Insurance Claim Account Number (Medicare Number)HICDA Hospital International Classification of Diseases AdaptedHICN Health Insurance Claim Number (Medicare Number)HICR Health Insurance Correction RequestHIDA Health Insurance Distributor's AssociationHIDAD HI Daily Actions Dispersion SystemHIDUP HI Duplicate Payments SystemsHIFA Health Insurance Flexibility and AccountabilityHIICAP Health Insurance Information, Counseling & Assistance ProgramHIIM Health Insurance Inquiries Manual


Acronym TermHIM Health Insurance ManualHIMA Health Industry Manufacturers AssociationHIMA Health Insurance MasterHIMBEX Health Insurance Master Billing Exception ProcessHIMF Health Insurance Master FileHIMICS (OHPS) Management Information Control SystemHIMR HI Master RecordHIMSS (AHA's) Healthcare Information & Management Systems SocietyHIN Health Industry NumberHIN Health Insurance NetworksHIN HI Number (see HICN)HINN HospitalIssued Notice of NoncoverageHIO Health Insurance OrganizationHIP Health Insurance PamphletHIP Health Insurance PlanHIPAA Health Insurance Portability & Accountability Act of 1996HIPDB Healthcare Integrity & Protection Data BankHIPO Hierarchical Input Processing & OutputHIPPS Health Insurance Prospective Payment SystemHIPPS Health Insurance Prospective Payment System, a CMS payment code systemHIQA Health Insurance Query A (Part A inquiry data)HIQR Health Insurance Online Query ResponseHIRAM Health Insurance Reinstating Alphabetic MasterHIRD HI Reduction Data (30 QC field on MBR)HIRO Health Insurance Regional OfficeHIRTF Health Insurance Reform Task ForceHIS Health Information Systems (3M Inc.)HIS Health Interview SurveyHIS Indian Health Service


Acronym TermHISAC Health Insurance Screening & CrossReferencing (HMHISAC)HISB Health Informatics Standards BoardHISB Healthcare Informatics Standards BoardHISDG HCFA Information Systems Development GuideHISKEW Health Insurance Skeleton Eligibility WriteoffHISM Handbook of Information Security ManagementHISPP Healthcare Informatics Standards Planning PanelHISS Health Insurance Segmented Sort System (HDHISS)HISTM Health Insurance System Test ModuleHIUM Health Insurance Utilization Master (or Microfilm)HIURPS Health Insurance Utilization Records Processing SystemHJ HI Direct Billing Operations (SOBER)HJCOIN Health Insurance Central Office InquiriesHL7 Health Level SevenHLM HCFA Logical ModelHLQ High Level QualifierHM HI Maintenance OperationsHMA Higher Monitoring AuthorityHMB Hospital Market BasketHME Home Medical EquipmentHMERMA HM Edit & Reformat Maintenance OperationHMHISAC HM Health Insurance Screening & CrossReferencing OperationHMNCI HM NCI ProgramHMO Health Maintenance OrganizationHMO/CMP HMO Competitive Medical PlanHMODR CMS Medicare Outpatient Data ReviewHMPSA Health Manpower Shortage AreaHMQ HI/MBR QueryHMS Housekeeping Monitoring System


Acronym TermHMSA Health Manpower Shortage AreasHMUPHMO HI Master Update HMOHMWHIM Health Insurance Master Weekly Health Insurance MergeHO Hearing OfficerHOL HCFA OnLineHOP Hospital Orientation ProgramHOS Health Outcomes SurveyHOST Healthcare Open Systems & TrialsHP HI Payment Records OperationsHPA Health Policy AgendaHPAC HI Premium Amount Collectable (MBR / BCM)HPB Historical Payment BasisHPBSS HCFA Part B Standard SystemHPEP Host Performance Evaluation Program\HPG Homogeneous Patient GroupsHPMS Health Plan Management SystemHPPC Health Plan Purchasing CooperativeHPSA Health Professional (or Personnel) Shortage AreaHQ HI Query OperationsHR Human ResourcesHRA Health Reimbursement AccountHRCI Human Resources Certification InstituteHRET (AHAs) Hospital Research & Educational TrustHRG Health Research GroupHRGA High Rate Geographical AreaHRSA Health Resources & Services Administration (formerly HRA, formerly PHS)HRSA Health Resources and Services AdministrationHS HI Updating Provider Files OperationsHSA Health Service Area


Acronym TermHSA Health Services AdministrationHSA Health Systems AgenciesHSA Historical SPAC AmountHSC (Army) Health Services CommandHSI Health Systems InternationalHSP Hospital Specific PortionHSR Hospital Specific RateHSRA Health Resources & Services AdministrationHTML Hypertext Markup LanguageHTR HowToReadHTTPS Hypertext Transfer Protocol SecureHUD (Department of ) Housing & Urban DevelopmentHUQA (Part A inquiry data)HURA Health Underserved Rural AreaHWI Hospital Wage IndexHYBC Hypothetical Base Year CalculationsI-‐CASE Integrated Computer Aided Software EngineeringIA Information AccessIA Information AssuranceIA Inter/IntraAgency AgreementIAC Industry Advisory CouncilIAC InterAgency CommitteeIACS Individuals Authorized Access to CMS Computer ServicesIADL Instrumental Activities of Daily LivingIAG Interagency Advisory GroupIAM Innovative Access MethodIAPD Implementation Advance Planning DocumentIAR Inventory & Assessment ReportIBD Initial Billing Date


Acronym TermIBIS Industrial Base Information SystemIBN Incorrect Bill NoticeIBNR Incurred But Not ReportedIBPO Initial Bill Processing OptionIBPR Intermediary Benefit Payment ReportIBPR Intermediary Benefits Payment ReportIBR Intermediary Benefit PaymentIC Individual ConsiderationIC Initial Claims OperationsIC Integrated CircuitIC Internal ControlsICA Information Control AreaICA Information, Counseling & AssistanceICA Insurance Counseling Assistance (Program)ICA Internal Control AreaICAM Integrated Computer Aided ManufacturingICB Information Collection BudgetICB Inner Company Billing (Code)ICC Interstate Commerce CommissionICCB Infrastructure Change Control BoardICCP Individual Community Care PlanICCSHE Interagency Committee on Computer Support of Handicapped EmployeesICD Implantable Cardioverter DefibrillatorICD Interface Control DocumentICD International Classification of DiseasesICD-‐9-‐CM International Classification of Diseases 9th Edition Clinical ModificationICDA International Classification of Diseases Adapted for the U.S.ICEP Initial Coverage Election PeriodICF Intermediate Care Facility


Acronym TermICF/MR Intermediate Care Facility for Mental RetardationICFS/MR Intermediate care facilities for the mentally retardedICMA Individual Case Management AssociationICMS Information Center Management System (Cullinet)ICN Inhouse Claim NumberICN Inquiry Control NumberICN Intercontractor NoticesICN Intermediary Control NumberICN Internal Control NumberICN Inventory Control NumberICP Internal Control ProgramICPR Informal Dispute ResolutionICQ Internal Control QuestionnaireICR Image Copy RecognitionICR Incomplete Claims RejectICR Information Collection RequirementICR Intelligent Character RecognitionICR Internal Control ReviewICR Investigative Claims ReportICST Institute for Computer Sciences & TechnologyICSTP Intermediary/Carrier System Testing ProjectID Identification (Number)ID Identifying DataID Implementation DateIDB Information Data BaseIDD Integrated Data DictionaryIDE Investigational Device ExemptionsIDEF Integrated Data Engineering FacilityIDIQ Indefinite Delivery / Indefinite Quantity


Acronym TermIDIQ Indefinite Duration, Indefinite QuantityIDMS Information Data Management SystemIDMS Integrated Database Management SystemIDMS/R Integrated Database Management System/RelationalIDRC Improved Data Recording CapabilityIDS Integrated Delivery SystemIDS Intrusion Detection Software (or System)IDTF Independent Diagnostic Testing FacilityIE Industrial EngineeringIEC International Electrotechnical Task ForceIEF Information Engineering FacilityIEP Initial Enrollment PeriodIEQ Initial Enrollment QuestionnaireIER Interim Expenditure ReportIER Intermediary Expenditure ReportIETF Internet Engineering Task ForceIEVS Income & Eligibility Verification SystemIFB Invitation for BidsIFC Interim Final Rule with CommentIFQ Invitation for QuoteIG Implementation GuideIG Inspector GeneralIGA Interim Geographic AdjustmentIGAA Inspector General Act Amendments of 1988IGCE Independent Government Cost EstimateIGLAS Integrated General Ledger Accounting SystemIHPP Intergovernmental Health Policy ProjectIHS Indian Health ServiceIIA Information Industry Association


Acronym TermIIA Institute of Internal AuditorsIIB Impact & Implementation BargainingIIC Inflation Index ChargeIIHI Individually Identifiable Health InformationIJST Internal Job Stream Action (MBR)IL Intermediary LetterILDJ Interactive Language Dependent JobIM Information MemorandumIM Intermediary ManualIMA Individual Medical AccountIMC International Medical CenterIMCAS Intervening Medical Care Analysis SystemIMD Institution for Mental DiseaseIME Indirect Medical EducationIMF Individual Master File (ICR)IMI Infant Mortality InitiativeIMI Interim Manual InstructionsIMN Internal Machine NumberIMP Implementation PhaseIMPACC Immediate Payment Critical Case Process (MBR)IMPACT Integrated (or Improved) Management of Personnel Administration thru Computer TechnologyIMRP Instruction Manual for Renal ProvidersINFOMAN Information ManagementINFOSEC Information (System) SecurityINRA Immigration Nursing Relief Act of 1989INS Immigration & Naturalization ServiceINS SAVE Immigration & Naturalization Service's Systematic Alien Verification for EntitlementsIOC Inspection of CareIOF Input Output Facility


Acronym TermIOF Interactive Output FacilityIOL Intraocular LensIOM Institute of MedicineIOR Individual Operating ReportIORM Intermetrics Oversight & Risk ManagementIOU (CWF) Identify Ownership UtilityIP/SNF Inpatient SNFIPA Independent Practice AssociationIPA Individual Practice AssociationIPAC Immunization Practice Advisory CommitteeIPAP Interagency Placement Assistance ProgramIPC Information Processing CenterIPL Independent Physiological LabIPL Initial Program LoadIPMG Investment Planning & Management GroupIPO Initial Program OfferingIPOA InterPlan Operating AgreementIPP Individual Practice PlanIPP Individual Program PlanIPP Integrated Planning ProcessIPP Integrated Project PlanningIPPB Intermittent Positive Pressure BreathingIPR Independent Professional ReviewIPRP Interim Payment Review ProgramIPS Institutional Provider of ServiceIPS Interim Payment SystemIQC Integrated Quality Control (System)IQC Internal Quality ControlIQUE Inplant Quality Evaluation


Acronym TermIR Incident ReportIR Information RequirementIR&D Independent Research & DevelopmentIRA Initial Review AnalysisIRAC Information Resources Administration CouncilsIRB Institutional Review BoardIRB Intern & Resident to Bed (ratio)IRC Informal Resolution ConferenceIRC Information Resource CenterIRC Inpatient Respite CareIRC Internal Revenue CodeIRCA Immigration Reform & Control Act of 1986IRD Intercomponent Review DraftIRD Internal Research & DevelopmentIRDS Information Resource Depository SystemIRDS Information Resource Dictionary SystemIRE Independent Review EntityIRF Inpatient Rehabilitation FacilityIRIS Interim & Resident Information SystemIRIS Interns & Residents Information SystemIRM Information Resources ManagementIRMP Information Resource Management Program (or Plan)IRMS Information Resource Management ServiceIRP Incentive Reward ProgramIRP Insurance Reimbursement ProgramIRP Interim Review PackageIRR Implementation Readiness ReviewIRS Identical, Related & Similar (drugs)IRSAP Internal Revenue Service Acquisition Procedure


Acronym TermIRU Initial Review UnitIS Information Sharing (QC)IS Information SystemIS/T Information Systems/TechnologyISA In Service AreaISA Internet Security AssessmentISBN International Standard Book NumberISC Information Strategy Council (senior management team)ISC Intersystem CommunicationISCLT International Society for Clinical Laboratory TechnologyISES Information System Empowerment StrategyISFUG Integrated Software Federal Users GroupISM Information Systems ManagementISO Interconnection System Operation (OSI Model)ISO International Standards OrganizationISR Intelligence, Surveillance & ReconnaissanceISSO Information Systems Security OfficerISSP Information Systems Security PlanISTP Intermediary System Testing ProgramISW Information Systems Workgroup (also ISWG)IT Information TechnologyIT Integration TeamIT-‐IRB Information Technology Investment Review BoardITA Information Technology ArchitectureITA International Trade AssociationITAG Information Technology Architecture GroupITAR International Trafficking Acquisition RegulationsITC Information Technology CouncilITC International Trade Commission


Acronym TermITMRA Information Technology Management Reform Act of 1996ITPIL Initial Three Percent Investigation ListITS Information Technology SystemsITS Inspection Tracking SystemITV InterAgency Transfer VoucherIU International UnitIUC Incurred But Unreported Claims ReserveIV&V Independent Validation & VerificationIVR Interactive Voice ResponseIWD Individuals With DisabilitiesJAD Joint Applications Design (or Development)JAMA Journal of the American Medical AssociationJAS Job Accounting SystemJAS Joint Agreement StatementJCA Jewish Council for AgingJCAHCO Joint Commission on Accreditation of Health Care OrganizationsJCAHO Joint Commission for Accreditation of Health OrganizationsJCHACO Joint Commission on Accreditation of Health Care Organizations (JCHACO)JCL Job Control LanguageJCP Joint Committee on PrintingJCS Joint Chiefs of StaffJES Job Entry SubsystemJES2 Job Entry System MVS/XAJFMIP Joint Financial Management Improvement ProgramJOA Joint Operating AgreementJOFOC Justification for Other than Full & Open CompetitionJRC Job Rehabilitation ContactJRC Joint Review CommitteeJTR Joint Travel Regulation


Acronym TermJUA Joint Underwriting AssociationJURIS Justice Retrieval & Inquiry SystemJURIS RRB Jurisdiction Change OperationJV Journal VoucherKAL Key asset ListKBIT KnowledgeBased Intelligence TrackingKBMS Knowledge Base Management SystemKBSA KnowledgeBased Software AssistantKD Knocked DownKE Knowledge EngineeringKFL Key Facilities ListKIDS KnowledgeBased Integrated Design SystemKIP Key Intelligence PositionKIQ Key Intelligence QuestionKMC Key Management CenterKMID Key Material Identification NumberKRA Key Result AreasL-‐H Labor HourLAC Library Advisory CommitteeLAE Limitation on Administrative ExpensesLAF Ledger Account File (code)LAG Local Application GroupLAG Logical Application GroupLAN Local Area NetworkLAP Last Action ProcessedLARPA Locality Adjusted Reduced Prevailing AmountLARPA Locality Area Reduced Prevailing AllowanceLBRS LockBox Bank Remittance System (DB)LCC Lesser Cost or Charges


Acronym TermLCC Life Cycle CostLCD Local Coverage DeterminationLCDM Life Cycle Development MethodologyLCER Limiting Charge Exception ReportLCL Lowest Charge LevelsLCP Letter Charge ProposalLDAP Lightweight Directory Access ProtocolLDBM Local Database ManagerLDD Logical Database DesignLDDI LDD ImplementedLDM Logical Data ModelLDO Legally Defined OverpaymentLEACON Report SSI Leads Activity Operation (HCLEACON)LEIE List of Excluded Individuals & EntitiesLEP Late Enrollment PenaltyLET Liaison Education TeamLGHP Large GHPLIA Litigation Information ActionLIHEA Low Income Home Energy AssistanceLIL Limitation of LiabilityLIS Low-‐Income SubsidyLISP List ProcessorLM Line ManagerLMRP Local Medical Review PolicyLOB Line of BusinessLOC Letter of CreditLOC Level of CareLOC Lines of CodeLOE Level of Effect


Acronym TermLOE Level of EffortLOI Letter of IntentLOINC™ Logical Observation Identifiers, Names and Codes ™LOS Length of StayLP Legislative ProjectsLPC Locality (or Locally) Prevailing ChargeLQC Local Quality ControlLRD Lifetime Reserve DaysLRF Logical Record FacilityLRI Laboratory Roll InLRO Lead Regional OfficeLRS Labor Relations StaffLSA Local Systems AdministratorLSC Life Safety CodeLSI Large Scale IntegrationLSR Limited Service Rural (Hospital)LSR Local Shared ResourceLSS Litigation Support SystemLSU Last Summary UpdateLT Location TypeLTC Long Term CareLTCF Long Term Care FacilityLTCIAC Long Term Care Insurance Advisory CouncilLTCM Long Term Care ManagementLTCP Long Term Care ProgramLTCU Long Term Care UnitLTD Live Test DemonstrationLTE Less Than Effective (drug)LTP Lifetime Psychiatric Days


Acronym TermLU Logical Unit (data connection)LUMI Last Update Month IndicatorLUPA Low Utilization Payment AdjustmentLVAD Left Ventricular Assist DeviceLVE Low Volume ExemptionLVRS Lung Volume Reduction SurgeryLW Living WithM&M Medicare & MedicaidM+C Medicare + ChoiceM+C NSF Medicare + Choice National Standard FormatM+CO Medicare + Choice OrganizationMA Major ActionMA Medicaid AgencyMA Medical AssistanceMA Medicare Advantage (formerly Medicare+Choice)MA BSF Medicare Advantage Benefit Stabilization FundMA-‐PD Medicare Advantage Prescription Drug PlansMAA Medical Assistance AgencyMAA Memorandum of Advance AgreementMAABD Medical Assistance to Aged, Blind & DisabledMAAC Maximum Allowable Actual ChargeMAAR Mandatory Annual Audit RequirementMAC Major Ambulatory CategoryMAC Maximum Allowable Cost (or Charge)MAC Medicare Appeals CouncilMACE Medicare Alternate Claim Entry SystemMADC Major Ambulatory Diagnostic CategoriesMADCAP Manual Adjustments Credits & Awards Program (MBR)MADRS Medicare Automated Data Retrieval System


Acronym TermMADS Mass Adjusted SystemMADS Medicare Actuarial Data SystemMAF Medical Assistance FacilityMAFDUDE MBR Master File Duplication Detection OperationMAFDUP Abbreviated MBR File in MAFDUDE OperationMAH Most Accessible HospitalMAISARC Major Automated Information Systems Acquisition Review CommitteeMAN Medicare Automated NetworkMANRLINE Menu-‐driven Access to 100% Near-‐Line Claims Files System (NCH)MANRLITE Access to MANERLINEMAO Medical Assistance OnlyMAO Medicare Advantage OrganizationMAP Manufacturing Automated ProtocolMAP Maturity Actions Program (MBR)MAP Medical Assistance PaymentsMAP Medical Assistance ProgramMAPC Maximum Allowable Prevailing ChargeMAPD Medicare Advantage Prescription DrugMAPSA Medicare A Provider Services AssistantsMARI Medicare Administrative Reform InitiativesMARK Mechanized Assignment & Record Keeping (System)MARS Management & Administrative Reporting SystemMARS Management Administration Reporting SubsystemMARS Medicare Accounts Receivable SystemMARX Medicare Advantage and Prescription Drug SystemMAS Medicare Appeals SystemMAS (GSA) Multiple Award SystemMAT Master Account TitleMAU Memorandum of Advance Understanding


Acronym TermMAU Multistation Access UnitMAX Medicaid Analytic ExtractMB Market BasketMBA Monthly Benefit Amount (SSA)MBAS Medicare Benefit Accounting SystemMBCIS Medicare Compliance Issues SystemMBCS Medicare Budget & Cost SystemMBCSP Medicare Beneficiary Customer Service ProgramMBD Medicare Beneficiary DatabaseMBD Medicaid Beneficiary DatabaseMBDA Minority Business Development AgencyMBE Medicaid Budget & ExpendituresMBES Medicaid Budget & Expenditures SystemMBHCW (Medicare or Medicaid) Home & Community Based Services Waivers SystemMBI Minimum Background InvestigationMBN Medicare Benefit NoticeMBO Management by ObjectivesMBPRP Monthly Bill & Payment Records Processing SystemMBR Master Beneficiary Record (SSA)MBSCAN Maximum Direct Record Scans (searches)MBSPAS State Plan Amendments SystemMC Maintenance ContractorMCA Management Control AreaMCA Maternity Center AssociationMCAB Medicare Contractor Administrative BudgetMCAC Medical Coverage Advisory CommitteeMCBFMR BESS Focused Medical ReviewMCBS Medicare Current Beneficiary SurveyMCCA Medicare Catastrophic Coverage Act of 1988 (PL 100360)


Acronym TermMCCB Medicare Change Control BoardMCCOY Managed Care Online Information System (GHP)MCCRA Medicare Catastrophic Coverage Repeal Act of 1989 (PL 101234)MCD Medicare Coverage DatabaseMCD Medicare Coverage DocumentsMCDATA MedicareMedicaid Common Data InitiativeMCDC Medicare Contractor Data CenterMCE Medicare Code EditorMCE(S) Medical Care Evaluation (Studies)MCF Master Control FileMCH Maternal & Child Health ServicesMCI Medicare Claims InquiryMCIGLAS Medicare Contractor Integrated General Ledger Accounting SystemMCM Medicare Carrier ManualMCO Managed Care OperationMCO Managed Care OrganizationMCOB Medicare Contractor Oversight BoardMCP Management Control PlanMCP Monthly Capitation PaymentMCPI Medical Care Component of the Consumer Price IndexMCPI Medicare Contractor Productivity ImprovementMCPS Medicare (Part A) Claims Processing System (Veritus)MCR Management Control ReviewMCS Mandatory Claim Submission SystemMCS MultiCarrier SystemMCSC Medicare Customer Service CenterMCSID Medicare Contractor Systems Information DatabaseMCSS Medicare Contractor Standard SystemMCSSMR Medicare Contractor Standard Systems Medical Review


Acronym TermMCWRS Medicare Contractor Workload Reporting (System)MCWS Medicare Contractor Workload SystemMD Medical DirectorMDAS Medicaid Override Application SystemMDC Major Diagnosis CategoryMDC Medicare Data CenterMDCN Medicare Data Communications NetworkMDH Medicare Dependent HospitalMDRI Medicaid Drug Rebate InitiativeMDS Medicare Decision SupportMDS Minimum Data SetMDS Mortality Data SystemMDSRH Medicare Dependent Small Rural HospitalMDSS Medicare Decision Support SystemMDTA Manpower Development & Training ActMDW Modernized Development WorksheetME Medical EffectivenessME Medical EnduranceMEASURES Medicare/Medicaid Automated Survey Reporting SystemMECA Medicare Expanded Choice Act of 1987MECCA Medicare Catastrophic Coverage Act of 1988 (also MCCA)MECT Multiple Electroconvulsive TherapyMED Medicare Enrollment Data (System)MED Medicare Exclusion DatabaseMED-‐ED Medical EducationMEDAL Medicare/Medicaid Eligibility Data LinkageMEDB Manage the EDB SystemMEDB Medicare Part BMEDIBAPS Medicare Budget Allocation Process System


Acronym TermMEDICAID Medical Aid (State administered health insurance program)MEDIGAP Medicare Gap (Medicare complementary insurance program)MEDIRS Medicaid Eligibility Determination & Information Retrieval SystemMEDMRG Medicaid Merge Program (HDMEDMRG)MEDPAC Medicare Payment Advisory CommissionMEDPAR Medicare Provider Analysis & ReviewMEDPARD Medicare Participating Physician/Supplier DirectoryMEDSTAT Medicaid Statistical Information (Reporting) System (now MSIS)MEDTEP Medical Treatment Effectiveness ProgramMEF Master Earnings File (SSA)MEI Medical Economic IndexMEI Medicare Economic IndexMEQC Medicaid Eligibility Quality Control (System)MES Medicare Entitlement SystemMET Medicaid Eligibility TerminalMEWA Medicare & Multiple Employer Welfare AssociationsMEWA Multiple Employer Welfare ArrangementMFAIC Medicare Fraud & Abuse Information CoordinatorMFCU Medicaid Fraud Control UnitMFIS Medicare Fraud Information SpecialistMFS Medicare Fee ScheduleMFSDB Medicare Fee Schedule DatabaseMFSR Medicare Focused Medical Review Status ReportMGA Medicaid Grant AwardsMGCRB Medical Geographical Classification Review BoardMGCRB Medicare Geographic Classification Review BoardMHB Maximum Hospital BenefitMHCRS Maintain HCRIS ProcessMHOS Medicare Health Outcomes Survey


Acronym TermMHS Medical History SampleMI Manual IssuanceMI Medical Insurance (Part B or SMI)MIA Mark Interface ApplicationMIB Medical Information BureauMIB Medical Insurance BureauMICH Maternal, Infant & Child HealthMICO Midwestern Consortium (Chicago & Kansas City HIROs)MIDES (Intermediary) Medicare Internal Data Entry SystemMIG Medicare Insured GroupMIH Maternal & Infant Health InitiativeMIIR Management Information Integrated RepositoryMIM Medicare Intermediary ManualMIMS Medicare Information Management SystemMIP Medicare Integrity ProgramMIR Medicare Information RequestMIRPS Miscellaneous Information Reference PostEntitlement System (SSA MBR)MIS Major Information SystemsMIS Management Information SystemMIS Manual Issuance SystemMISCOR Miscellaneous MBR Correction OperationMISF Management Information System FacilityMLS MultiLevel SecurityMLT Multiple Logical TaskingMM Media ManagementMM Month or Minutes (i.e., mmddyyyy)MMA Medicare Modernization Act (of 1999)MMACS Medicare/Medicaid Automated Certification SystemMMAP (AARP) Medicare/Medicaid Assistance Program


Acronym TermMMCITS Medicaid Managed Care Information Tracking SystemMMCQI Medicare Managed Care Quality ImprovementMMCS Medicare Managed Care SystemMMDDCCYY Month-‐Month/Day-‐Day/Century-‐Century/Year-‐Year (i.e., 02/26/2001) (also MMDDYYYY)MMDDYY MonthMonth/DayDay/YearYearMMIS Medicaid Management Information SystemMMORP Medicare Management & Open Review ProgramMMP Mixed Model Plan (GPP/IPP combination)MMPS Medicare Mortality Predictor SystemMMR Monthly Membership ReportMMS (U.S.) Minerals Management ServiceMMS Manpower Management SystemMMS Metropolitan Medicare SystemMMWR Morbidity & Mortality Weekly ReportMN Medical NecessityMN Medically NeedyMNIL Medically Needy Income LevelsMO Management OfficeMO Multiply OccurringMOC Management Oversight CouncilMODEM ModulatorDemodulatorMOE Method of EvaluationMOL Maximum Order LimitationMOLI Mirtel OnLine Inquiry System (HCFA access to RRB Database)MOPD Maintenance Operations Protocol Loader DaemonMOR Medicaid Overpayment ReportMOSS Mandatory Offsite Storage SystemMOU Memorandum of UnderstandingMOUT Maximum Output


Acronym TermMP Master ProcessorMPA Master Pending AccretionMPARTS Mistaken Payment Recovery Tracking SystemMPC Medical Patterns of CareMPCC Medicare Premium Collection CenterMPCS Medicare Premium Collection SystemMPD Medicare Provider DatabaseMPDB Medicare Prescription Drug BeneficiariesMPF Master Provider FileMPFS Medicare Physician Fee ScheduleMPFSDB Medicare Physician Fee Schedule Data BaseMPI Medicare Provider InventoryMPIER Medicare Physician Identification & Eligibility Registry (or Record)MPIES Medicare Physician Identification & Eligibility SystemMPLS Multiprotocol Label SwitchingMPP Massive Parallel ProcessingMPR (carrier) Master Procedure RecordMPR Mathematical Policy ResearchMPRS Medical Policy Retrieval SystemMPS Market Penetration SurveyMQA Medicare Quality Assurance (CWF data validation)MQAG Medicare Quality Advisory GroupMQC Medicaid Quality ControlMQFE Medicare Qualified Federal EmploymentMQGE Medicare Qualified Government EmployeeMQIS Medicare Quality Indicator SystemMQM Medicare Quality MonitorMQSA Mammography Quality Standards Act of 1992MR Management Review


Acronym TermMR Master RecordMR Medical ReviewMR Mortality RatioMR/DD Mentally Retarded / Developmentally DisabledMR/UR Medical Review / Utilization ReviewMRA Minimum Retirement AgeMRAR Medical Review Annual ReportMRB Medical Review BoardMRCRA Medicare Regulatory & Contractor Reform Act of 2001MRI Medical Records InstituteMRO Multiple Region OptionMRO MultiRegion OperationMRP Material Requirements PlanningMRP Maximum Reimbursement PointMRRS Medicaid Retrospective Reimbursement SystemMRS-‐1 Medical Review System Version 1 (aka: Part B Medical Review Savings Reporting System)MRT Medical Review TeamMRTAG Mortality Review Technical Advisory GroupMS/R MultiState/Regional (Contractor)MSA Major Service AreaMSA Medical Savings AccountsMSA Medical Statistical AreaMSA Metropolitan Statistical Area (for PPS)MSA Monthly Statement of AccountsMSA Medicare Savings AccountMSAT Medicaid Strategic Analysis TeamMSC Medicare Status CodeMSC Message Switching Centers (SSA ARS/SSADARS)MSHIP Medicare Supplemental Health Insurance Programs


Acronym TermMSIS Medicaid Statistical Information System (formerly MedStat)MSIS Medicaid Statistical Information SystemMSN Medicare Summary NoticeMSOM Modernized Systems Operations Manual (SSA)MSP Manager Software ProductsMSP Medicare Secondary PayorMSP Message Security ProtocolMSPFQA Medicare Secondary Payer Functional Quality Assurance (Steering Committee)MSPLS Medicare Secondary Payer Litigation SupportMSPPAY Medicare Secondary Payor Payment ModuleMSPQA Medicare Secondary Payer Quality AssuranceMSR MidSession ReviewMSS Medical Social SevicesMSS Medicare Statistical SystemMSSC Medicare Systems / State & County (Reimbursement)MTAG Medicare Technical Advisory GroupMTD Month to DateMTEA Medical Treatment Effectiveness AgendaMTI Medicare Telephone InquiryMTM Methods Time MeasurementMTMC Military Traffic Management CommandMTMP Medication Therapy Management ProgramMTOP Multiple Type of ProviderMTS Medicare Target ScenarioMTSO Medical Transcription Service OrganizationMTUS Miles/Times/Units/ServiceMUA Medically Undeserved AreaMUDD Maximum Direct OutputMUDS Medicare Utilization Data System


Acronym TermMUP Master Update ProcessorMUPPET Medicare UPdate Processors for Enrollment Transactions (nee NEWDUP)MUPS (HI) Maintenance Update Processing SystemMUR Minimum Utilization RateMVPS Medicare Volume Performance StandardMVS/ESA MVS/Enterprise System ArchitectureMWRS Medicare Workload Report SystemN&R Needs & RequirementsNAAP National Association of Activity ProfessionalsNAATP National Association of Addiction Treatment ProvidersNAAV National Average Actuarial ValueNABP National Association of Boards of PharmacyNAC National Association of CountiesNACDS National Association of Chain Drug StoresNACHA National Automated Clearing House AssociationNACHC National Association of Community Health CentersNACHRI National Association of Children's Hospitals & Related InstitutionsNACI National Agency Check & InquiryNACRH National Advisory Committee on Rural HealthNADSA National Adult Day Services AssociationNAEYC National Association of Education for Young ChildrenNAF NonAppropriated FundNAHC National Association for Home CareNAHDO National Association of Health Data OrganizationsNAHFE National Association of Hispanic Federal ExecutivesNAIC National Association of Insurance CommissionersNAIT National Alliance for Infusion TherapyNAM National Association of ManufacturersNAMDRC National Association for Medical Directors of Respiratory Care


Acronym TermNAMES National Association of Medical Equipment SuppliersNAMI National Alliance for the Mentally IllNAP National Advisory CouncilNAPA National Academy of Public AdministrationNAPH National Association of Public HospitalsNAPHS National Association of Psychiatric Health SystemsNARA National Archives & Records AdministrationNARA National Association of Rehabilitation AgenciesNARD National Association of Retail DruggistsNARF National Association of Rehabilitation FacilitiesNARFE National Association of Retired Federal EmployeesNAS National Academy of SciencesNASA National Aeronautic & Space AdministrationNASBO National Association of State Budget OfficersNASIRE National Association of State Information Resource ExecutivesNASIS National Association of State Information SystemsNASLTCOP National Association of Long Term Care Ombudsman ProgramNASMD National Association of State Medicaid DirectorsNASOP National Association of State Ombudsman ProgramsNAUGH Network Administrator's Users GroupNAV (Carrier) Name & Address VerificationNAWRS National Association for Welfare Research & StatisticsNBME National Board of Medical ExaminersNBS National Bureau of StandardsNC Network CouncilNCA National Coverage AnalysisNCAI National Coalition for Adult ImmunizationNCAL National Coalition for Assisted LivingNCC Network Coordinating Counsel


Acronym TermNCCAP National Certification Council for Activity ProfessionalsNCCLS National Council of Clinical Laboratory ServicesNCCNHR National Citizen's Coalition for Nursing Home ReformNCCR National Colorectal Cancer RoundtableNCD National Coverage DeterminationNCGME National Council on Graduate Medical EducationNCH National Claims HistoryNCH National Clinical HistoryNCHA National Clearing House AssociationNCHBPL National Claims History Beneficiary Program LiabilityNCHDB National Claims History DatabaseNCHICA North Carolina Healthcare Information and Communications AllianceNCHLS National Council on Health Laboratory ServicesNCHPR National Claims History Processing ReportsNCHQA National Claims History Quality AssuranceNCHS National Center for Health StatisticsNCHS National Center for Health Statistics (or Studies)NCHS National Claims History System (CWF)NCHSR National Center for Health Services & ResearchNCHSTS National Claims History Statistical Tabulation SystemNCHSUM National Claims History SummaryNCI National Cancer InstituteNCIP National Inventory Control PointNCITS National Committee for Information Technical StandardsNCMA National Contract Management AssociationNCNHR National Coalition on Nursing Home ReformNCOA National Change of Address (SSA & USPS)NCOA National Council on the AgingNCOCIC National Coordination Office for Computing, Information & Communications


Acronym TermNCP National Coverage PolicyNCPDP National Council of Prescription Drug ProgramsNCPDP National Council for Prescription Drug ProgramsNCPSSM National Committee to Preserve Social Security & MedicareNCQA National Committee for Quality AssuranceNCQHC National Committee for Quality Health CareNCR National Cash Register Corp.NCS National Communications SystemNCSA National Computer Security AssociationNCSB Neurological, Cognitive, Sensory & Behavorial (Variables)NCSC National Computer Security CenterNCSC National Council of Senior CitizensNCSI National Capitol Systems Inc.NCSL National Conference of State LegislaturesNCTL National Computer & Telecommunications LaboratoryNCVHS (PHS) National Center for Vital & Health StatisticsNCVHS National Center for Vital and Health StatisticsNDAA National Defense Authorization Act of 1991NDC National Drug CodeNDEP National Diabetes Education ProgramNDG Network Design GroupNDI National Death IndexNDM Network Data MoverNDMS National Disaster Medical SystemNDPS National Drug Pricing SystemNDR National Death Repository (SSA)NDRR National Data Reporting Requirements (System)NDS Netware Directory ServicesNEA National Endowment for the Arts


Acronym TermNEARLINE NCH Nearline update and maintenance SystemNECMA New England County Metropolitan AreaNEHA New England Health AssemblyNEIC National Electronic Information ClearinghouseNEJM New England Journal of MedicineNEPA National Environmental Policy ActNEPSC Northeast Program Service Center, SSANESRD NonEnd Stage Renal DiseaseNETT National Emphysema Treatment TrialNF Nursing FacilityNFA Net Fixed AssetsNFC National Finance CenterNFID National Foundation for Infectious DiseasesNFPA National Fire Protection AssociationNGA National Governor's AssociationNGFR NonGovernment Furnished ResourcesNGFSFHP National Guaranty Fund for SelfFunded Health PlansNH Nursing HomeNHA Nursing Home AdministratorNHAC National Health Advisory CommitteeNHB National Health BoardNHC Nursing Home CertifiableNHCAA National Health Care Anti-‐Fraud AssociationNHCAA National Health Care AntiFraud AssociationNHCMQ Nursing Home Case Mix & Quality DemonstrationNHDAC National Health Data Advisory CouncilNHE Nation's Health ExpendituresNHE National Health ExpenditureNHELP National Health Law Program


Acronym TermNHI National Health InsuranceNHI Nursing Home InformationNHII National Health Information InfrastructureNHIS National Health Interview SurveyNHO National Hospice OrganizationNHSC National Health Service CorpsNHTSA National Highway & Transportation Safety AdministrationNIA National Institute on AgingNIAID National Institute of Allergies & Infectious DiseasesNIAMSD National Institute of Arthritis & Musculoskeletal & Skin DiseasesNIAP National Information Assurance PartnershipNICOA National Indian Council on AgingNIDA National Institute on Drug AbuseNIDDKD National Institute of Diabetes, Digestive & Kidney DiseasesNIDR National Institute of Dental ResearchNIE Net Impact EstimateNIF National Insurance FileNIF Not In FileNIH National Institutes of HealthNII National Information InfrastructureNIMA National Imagery & Mapping AgencyNIMBE Not Including Medicare Benefits ExhaustedNIMH National Institute of Mental HealthNIMMS National Integrated Medicaid Management SystemNINDS National Institute of Neurological Disorders & StrokeNIOSH National Institute for Occupational Safety & HealthNIP National Improvement ProjectNIPC National Infrastructure Protection Center, FBINIRA National Industrial Recovery Act (New Deal)


Acronym TermNISC (OPM) National Independent Study CenterNIST National Institute of Standards & TechnologyNIT National Internal Telecommunications (MTS)NIT Network Information & TechnologyNKF National Kidney FoundationNLA National Limitation AmountNLM National Library of MedicineNLN National League of NursingNLRB National Labor Relations BoardNMAO NonMedical Assistance Only (Cash/Deemed Cash)NMC National Maintenance ContractorNME National Medical EnterprisesNMEP National Medicare Education ProgramNMES National Medical Expenditure SurveyNMES Neuromuscular Electrical StimulationNMFA National Medicare Fraud AlertNMFAI National Medicaid Fraud & Abuse InstituteNMS Network Monitoring System (MTS)NMUD National Medicare Utilization DatabaseNNWP Noncontact Normothermic Wound TherapyNOA Nature of ActionNOA Notice of AdmissionNOA Notice of AwardNOAA National Oceanographic & Atmospheric AdministrationNOBA Notice of Budget ApprovalNOC Network Operation CenterNOC Not Otherwise ClassifiedNOCHD Notice of Correction Hearing DecisionNOCO Northeastern Consortium (Boston, New York & Philadelphia HIROs)


Acronym TermNODMAR Notice of Discharge & Medicare Appeal RightsNOEU National Obscenity Enforcement UnitNOF Not On FileNOI Notice of IntentNOMCI Notice of Medigap Claim InformationNOOH Notice of Opportunity for HearingNOPA National Office Products AssociationNOPA Northwest Organ Procurement AgencyNOPR Notice of Program ReimbursementNORA National Operational Research AgendaNORQS Number of Temporary ProceduresNOS National Operating Services (GTE)NOSIP Network Operations System Implementation ProjectNOU Notice of UtilizationNP Nurse PractitionerNP/PA Nurse Practitioners / Physician AssistantsNPA Network Performance AnalyzerNPA National PACE AssociationNPC NetPost CertifiedNPDB National Practitioner Data BankNPF National Provider FileNPI National Provider IdentifierNPII NPI InitiativeNPIP Non Periodic Interim PaymentNPP Narrative Project PlanNPP National Privacy PanelNPR National Performance ReviewNPRG National Partnership for Reinventing GovernmentNPRM National Provider Reimbursement Manual


Acronym TermNPRM Notice of Proposed Rule MakingNPRM Notice of Proposed RulemakingNPS National Provider SystemNQF National Quality ForumNQLC National Quality Leadership ConferenceNQMP National Quality Management ProgramNRA National Recovery AdministrationNRA National Rifle AssociationNRAA National Renal Administrators AssociationNRC National Research CouncilNRC Nuclear Regulatory CommissionNRHA National Rural Health AssociationNRM Notice of Rule MakingNRODC Northwest Regional Organ Donation CenterNRP Network Resource Planning (tool)NRU Nurse Review UnitNSA National Security AgencyNSA National Standardized AmountNSA Network Security AssessmentNSC National Security CouncilNSC National Supplier ClearinghouseNSCLC National Senior Citizens Law CenterNSDD National Security Decision DirectiveNSEF National Standard Electronic (Media) FormatNSEMC National Standard Electronic Media ClaimsNSF National Science FoundationNSF National Standard FormatNSF NonStandard FormatNSF Not Sufficient Funds


Acronym TermNSN National Stock NumberNSNA No Stock Number AssignedNSR NonShared ResourceNSS National Systems SupportNSTISSI National Security Telecommunications & Information Systems Security InstituteNT New TechnologyNTAG National Technical Advisory GroupNTE Not to ExceedNTEU National Treasury Employees UnionNTH NonTransplant HospitalNTI National Technical InformationNTIA National Telecommunications & Information AdministrationNTIOLS New Technology IntraOcular LensesNTIS National Technical Information Service (NBS, DOC)NTRS National Therapeutic Recreation SocietyNTSB National Transportation Safety BoardNUBC National Uniform Billing Committee (AHA)NUCC National Uniform Claim Committee (AMA)NUL National Urban LeagueNVA NonVeterans AdministrationNVAC National Vaccine Advisory CommitteeNVP National Vaccine ProgramNWI National Wage IndexO&M Operations & MaintenanceO&M Organization & ManagementO/H OverheadOA Office AutomationOA Office of the Administrator, CMSOAA Old Age Assistance


Acronym TermOAA Older Americans ActOAC OASIS Automation CoordinatorOACT Office of the ActuaryOASB Old Age & Survivors BenefitsOASDHI Old Age, Survivors, Disability & Health InsuranceOASDI Old Age, Survivors & Disability InsuranceOASH Office of the Assistant Secretary for HealthOASI Old Age & Survivors InsuranceOASIS Outcome & Assessment Information SetOATS Operation Assignments Tracking SystemOBQI Outcome Based Quality ImprovementOBQIM Outcome Based Quality Improvement ManagementOBQM Outcome Based Quality MonitoringOBRA Omnibus Budget Reconciliation ActOBRA Omnibus Budget Reconciliation Act of 1981/1987/1989/1990OCD OIG Clearance DocumentOCD Operational Capability DemonstrationOCE Outpatient Code Editor (System)OCESAA Omnibus Consolidated & Emergency Supplemental Appropriations Act for FY 1999OCFAA Office of Civil Fraud & Administrative AdjudicationOCHAMPUS Office of Civilian Health & Medical Program of the Uniformed ServicesOCI Organizational Conflict of InterestOCR Office of Civil RightsOCR Optical Character RecognitionOCR Office for Civil RightsOCSE Office of Child Support EnforcementOCST Outstation Customer Service Team (also CSOT)ODA Occupancy Depreciation & AmortizationODIE Online Data Input & Edit (Subsystem) (OSCAR frontend system)


Acronym TermODL Outpatient Diagnostic LaboratoryODSN Organization Development Services NetworkOEC OASIS Educational CoordinatorOEM Original Equipment ManufacturerOEO Occupant Emergency OrganizationOEP Open Enrollment PeriodOEPI Open enrollment period for institutionalized individualsOEPNEW Open Enrollment Period for Newly Eligible IndividualsOES Occupational Employment SurveyOF Optional FormOFA (FSA) Office of Family AssistanceOFB Outpatient FeedbackOFCCP Office of Federal Contract Compliance ProgramsOFPP Office of Federal Procurement PolicyOGC (HHS) Office of the General CouncilOGE Office of Government EthicsOHCDS Organized Health Care Delivery SystemOHDS Office of Human Development ServicesOHTA (PHS) Office of Health Technology AssessmentOI Office of InspectionsOI Office of Investigations, OIGOIA Office of Intergovernmental AffairsOIC Opportunity to Improve CareOICS Office of Internal Customer Support, CMSOIFO Office of Investigations Field OfficeOIG Office of the Inspector GeneralOIRA Office of Information & Regulatory AffairsOIS Office of Information Services, CMSOIS Office of Information Systems


Acronym TermOJT OnTheJob TrainingOL Office of Legislation, CMSOLAP OnLine Analytic ProcessingOLM Online MappingOLMR Office of Labor Management RelationsOLQ Online QueryOLTC Other Long Term CareOLTP OnLine Transaction ProcessingOMB (HHS) Office of Management & BudgetOMB Office of Management and the BudgetOMCH Office of Maternal & Child HealthOMESP Omnibus Medicare Enrollment System ProcessorOMM Office of Medicaid Management, MBOMP Operational Management PlanOMR Office of Medical ReviewOMR Optical Mark ReadingOMRA Other Medicare Required AssessmentOMS Oversight and Management SystemOOP Object Oriented ProgrammingOOSA Out of Service Area (use OSA)OP Organization PurposeOP OutpatientOP OverpaymentOPA Organ Procurement AgencyOPAC Online Payment & Accounting Collection (System) (Treasury)OPD OutPatient DepartmentOPDIV OPerating DIVisionOPI Office of Primary InterestOPI Other Processing Information


Acronym TermOPIC Overseas Private Investment CorporationOPL Operation Policy LetterOPM Office of Personnel Management (formerly CSC)OPM Office of Personnel ManagementOPO Organ Procurement OrganizationOPPS Outpatient Prospective Payment SystemOPR Office of Public Relations, CMSOPS Output Performance StandardsOPSA Office of Professional & Scientific AffairsOPTN Organ Procurement & Transplantation NetworkOQ Office of QualificationOQC Operations Quality CouncilORA (see OBRA)ORBTUP Orbit Update (MBR)ORDI Office of Research, Development, and Information, CMSORF Outpatient Rehabilitation FacilityORHP (HRSA) Office of Rural Health PolicyORR Office of Refugee ResettlementORSI Office of Retirement & Survivors InsuranceORT Operation Restore TrustORTIS Operation Restore Trust Information SystemORUS Operations Resources Utilization SystemOS Office of the SecretaryOS Organization StructureOS/ES Office of the Secretary / Executive SecretariatOSA Out of Service Area (also OOSA)OSC Office of Standards & CertificationOSC Office Systems CoordinatorOSCAR Office of Standards & Certification Automated Retrieval System


Acronym TermOSCAR Online Survey Certification & Reporting (System)OSDIT Office of Software Development & Information TechnologyOSE Office Systems EquipmentOSE Open Software EvaluationOSE Open Systems EnvironmentOSERS Office of Special Education Rehabilitation ServicesOSH ACT Occupational Safety & Health ActOSHA Occupational Safety & Health AdministrationOSI Open System InterconnectionOSI/SAS Optimum System Incorporated/Shared Arkansas SystemOSP Outpatient Speech PathologyOSPATS OnSite Surveyor Performance Assessment & Training SurveyOSTP Office of Science & Technology PolicyOTA (Congressional) Office of Technology AssessmentOTA Office of Technical AssistanceOTC OneTimeCostOTC Over the CounterOTIS Office of Telecommunications & Information SystemsOTIS Online Telecommunications Information SystemOTP OneTime PaymentOTR Off theRecordOTR On theRecordOTS OneTime SourceOWCP Office of Worker's Compensation ProgramsOWL Older Women's LeagueOWTDS Office of Washington Training & Development ServicesP ProcessP&E Parenteral & EnteralP&T Pharmaceutical and Therapeutic


Acronym TermP/B Provider / BeneficiaryP/N Part NumberPA Privacy Act of 1974PA Project AssessmentPAC Patient Assessment Computerized (System)PAC Personal Access CodePAC Political Action CommitteePAC PreAdmission CertificationPAC Premium Amount CollectiblePAC Products of Ambulatory CarePAC Professional & Administrative CareersPAC Professional, Administrative, ClericalPAC Project Account CodePACE Pharmaceutical Assistance ProgramPACE Planning, Assigning, Controlling & Evaluating SystemPACE Professional & Administrative Career ExaminationPACE Program for All Inclusive Care for the ElderlyPACEMKR Pacemaker SystemPACO Principal Administrative Contracting OfficerPACS Patient Care & ServicesPAG Policy Advisory GroupPAHP Prepaid Ambulatory Health PlanPAL Patient Accounting Language (IBM software)PAL Provider Audit ListPAM Priority Audit MemorandumPAM Project Administration ManualPANAPT (APCSS Automated Production Turnover software)PANVALET (APCSS source code management software)PAO Procurement Assistance Office


Acronym TermPAO Property Accountable OfficerPARD Provider Audit & Reimbursement DepartmentPARL Physician/Supplier Assignment Rate ListPART A Medicare Hospital InsurancePART B Medicare Supplementary Medical InsurancePAS PreAward SurveyPAS Premium Accrual StopPAS Professional Activity StudyPAS Public Appearances Staff, OPAPASARR Preadmission Screening & Annual Resident ReviewPASS Policy Access Support SystemPASS Procurement Automatic Source SystemPAT Planning Action TeamPATCO Professional, Administrative, Technical, Clerical OtherPATHVU Path ViewPAYERID Payer Identification (national provider identifier initiative)PBA Part B AdvisoryPBA Pharmacy Benefit AdministratorPBC Premium Billing CodePBGC Pension Benefit Guaranty Corp.PBIS PerformanceBased Incentive SystemPBMS Pharmacy Benefit ManagersPBO Payment Bill OptionPBP Plan Benefit PackagePBP Provider Based PhysicianPBR Process Bill RegisterPBX Private Branch ExchangePC Partnership CouncilPC Procurement Cycle


Acronym TermPC Professional ComponentPC Project CoordinatorPCA Physical Configuration AuditPCA Physicians Comparability AllowancePCA Principle Certification AuthorityPCA Progressive Corrective ActionPCA Private Collection AgencyPCAM Punch Card Accounting MachinesPCAS Patient Care AlgorithmPCC Per Capita Cost (System)PCCM Primary Care Case ManagementPCCMP Primary Care Case Management ProviderPCD Premium Conversion DatePCDB Provider/Contractor Data BasePCE Personal Care ExpendituresPCH Primary Care HospitalPCIE President's Council on Integrity & EfficiencyPCMI President's Council on Management ImprovementPCO Procurement Contracting OfficerPCP Primary Care Physician (or Provider)PCPR Provider Claims Processing RequirementsPCR Private Consumer RatePCR Procurement Center RepresentativePCR Prospective Composite RatePCRP Per Capita Rate PaymentPCRS (Carrier) Performance Control Reporting SystemPCS Permanent Change of StationPCS Position Classification StandardPCT Project Coordination Team


Acronym TermPCYA Presidential Classroom for Young AmericansPD Physical DatabasePD Position DescriptionPD Premium DeductedPD Process DescriptionPD Program DevelopmentPDA Premium Due AmountPDBO Public Disability Benefit OffsetPDD Physical Database DesignPDD Preliminary Design DocumentPDD Presidential Decision DirectivePDD63 Presidential Decision Directive #63PDE Prescription Drug EventPDED (same as PDD directly above)PDF Program Development FacilityPDFS Prescription Drug Front-‐End SystemPDLO Printing & Distribution Liaison OfficerPDM Parallel Development ManagerPDM Personalized Documentation ManagerPDM Program Decision MemorandumPDMA Prescription Drug Marketing Act of 1988PDOTH Prior Date of Termination of Hospital InsurancePDP Program Decision PackagePDP Prescription Drug PlanPDP Private Prescription Drug PlanPDR Physician's Desk ReferencePDS Partitioned Data SetPDS Peer (Review Organization) Data SystemPDSC Phased-‐Down State Contribution


Acronym TermPDT Physical Design TeamPDV Program Data VectorPE Performance EvaluationPE Post EntitlementPE Program EvaluationPEB Performance Evaluation Board (contracts)PEBES (SSA) Personal Earnings & Benefit Estimate StatementPEBS Personal Earnings & Benefit StatementPEBTAG Provider Electronic Billing Technical Advisory GroupPEC Performance Engineering Corp. (SAIC subcontractor)PECOS Provider Enrollment, Chain & Ownership SystemPED Project Engineering DevelopmentPEI Postentitlement Internet (MBR Query)PEL (OSHA) Permissible Exposure LimitsPENVAL Post Entitlement Notices Validations (SSA)PEO Program Executive OfficerPEP Partial Episode PaymentPEP Partnerships in Education ProgramPEP Performance Evaluation ProgramPEP Proposal Evaluation PlanPEPP Payment Error Prevention ProgramPEPPER Post Entitlement Premium Payment & Enrollment Program (SSA)PERT Program Evaluation & Review TechniquePERVU Practice Expense Relative Value UnitsPESO Post Entitlement Scheduling Operation (SSA)PESO Post Entitlement System Operation (SSA)PET Positron Emission TomographyPET Provider Education & TrainingPET Provider Evaluation & Training


Acronym TermPETS Problem & Enhancement Tracking System (GHP)PETT Position Emission Transverse TomographyPEW PRO Efficiency WorkgroupPFCRA Program Fraud Civil Remedies ActPFF Physician Fee FreezePFFS Private FeeForService PlanPFFS Private Fee-‐For-‐Service PlanPH Partial HospitalizationPHCE Personal Health Care ExpendituresPHCP Prepaid Health Care PlanPHDDS PRO Hospital Discharge Data SetPHEC PostHospital Extended CarePHHH PostHospital Home HealthPHI Personal Health InformationPHI Premium Hospital InsurancePHI Protected Health InformationPHIC Partnership for Health Insurance CounselingPHIP Pharmacist's Incentive ProgramPHOS Post Hospital Outcome StudyPHP Partial Hospitalization ProgramPHP Prepaid Health PlanPHPO Prepaid Health Plan OptionPHPO Private Health Plan OptionPHR Professional in Human ResourcesPHRMA Pharmaceutical Manufacturers and Researchers of AmericaPHTP Priority Health Training ProgramsPHUS Payment History Update SystemPHY/SUP Physician/SupplierPI Penalty Indicator


Acronym TermPI Performance IndicatorPI Productivity InvestmentPI Program IntegrityPI Project InitiationPIA Primary Insured Amount (MBR)PIC Policy Information Center (DHHS)PIC PRO Intermediary CarrierPIC Program Information CoordinatorPICC Peripherally-‐inserted central catheterPICS Plan Information Control SystemPICS Program Information Control SystemPID Payer Identification SystemPID Program Inspections Division, OIGPID Project Idea DocumentPIDS People or Individual with Disabilities (aka POIWD)PIE Post Implementation EvaluationPIG Program Integrity Group, OFM, CMSPIHP Prepaid Inpatient Health PlanPIIS Program Instructions Issuance SystemPIM Personal Information ManagerPIMR Program Integrity Management ReportingPIN Personal Identification NumberPIN Physician Identification NumberPIN PreInvitation NoticePIN Primary Insured Number (MBR)PIN Provider Identification NumberPINQ Premium InquiryPIP Performance Improvement PlanPIP Periodic Interim Payment


Acronym TermPIP Physician Incentive PlanPIP Productivity Improvement ProgramPIP Projects in ProgressPIPC Public Information Program CircularPIPDCG Principal Inpatient Diagnostic Cost GroupPIR Periodic Interim ReimbursementPIR Post Implementation ReviewPIT Process Improvement Team (ALJ)PITS PRO Information Tracking SystemPJS Personal Job SchedulerPL Performance LevelPL Proposed LegislationPL Public LawPL99-‐474 Computer Fraud & Abuse Act of 1986PLAN Plain Language Action NetworkPLAN Protection for Long Term Assistance NeedsPLANNET Plan NetworkPLT Production Lead TimePM post meridiemPM Procedure ManualPM Program ManagementPM Program MemorandaPM Project ManagerPM-‐PET Program ManagementProvider Education & TrainingPM/PM Per Member/Per MonthPMA PreMarket ApprovalPMA Prior Month AccrualPMBOK Project Management Body of KnowledgePMC Patient Management Categories


Acronym TermPMCS Program Management Control SystemPMCS Project Management Collection SystemPME Partial Month Eligible (Medicaid)PME Prior Month EndingPMI Project Management InstitutePMIS Program Management Information SystemPMIS PSRO Management Information SystemPMMIS Program Management & Medical Information SystemPMO Project Management OfficePMO Property Management OfficerPMP Preventive Maintenance ProgramPMP Project Management PlanPMRS Performance Management & Recognition SystemPMRS Performance Management Rating SystemPMS Payment Management SystemPMS Personnel Manual for Supervisors (SSA)PMS Program Management SystemPMS Property Management SystemPMSA (BLSC) Primary Metropolitan Statistical AreaPMTT Programmable Magnetic Tape Terminal (or Transmission)PNM Price Negotiation MemorandumPO Post OfficePO Privacy OfficerPO Procurement OfficePO Project OfficerPO Purchase OrderPOAM Plan of Action & MilestonesPOC Patterns of CarePOC Plan of Care


Acronym TermPOC Plan of CorrectionPOC Point of ContactPOC Principal Operating ComponentPOCI Physician Ownership/Compensation InterestPOE Plan of ExpendituresPOIWD People or Individuals with Disabilities (aka PIDS)POL Physician Office LaboratoriesPOMS Program Operations Manual System (SSA) (formerly Claims Manual CM))POR Print/Utility Owning RegionPOR Provider Overpayment RecoveryPOR Provider Overpayment ReportPORA Principal Official Responsible for AcquisitionPORS Provider Overpayment Recovery SystemPORS Provider Overpayment Reporting SystemPORT Patient Outcome Research Team (or Treatment)PORTS Patient Outcome Research TeamsPOS Place of ServicePOS Point of SalePOS Point of ServicePOS Provider of Service(s) (System)POSIX Portable Operating System Interface ExchangePOT Plan of TreatmentPP Project PlanPP Prospective PaymentPP&A Plan Performance & AssistancePPA Premium Paid AmountPPAC Practicing Provider Advisory CouncilPPAC Prospective Payment Assessment CommissionPPB Planning, Programming, Budgeting


Acronym TermPPC Processing Payment CyclePPG Primary Care Physician GroupsPPI Producer Price IndexPPL Potentially Penalty LiablePPLS Policy Planning Liaison StaffPPM Parts Per MillionPPNA Program Planning & Needs AnalysisPPO Preferred Provider OrganizationPPP Preference Procurement ProgramPPP Production Program ProfilePPR Physician Payment ReformPPR Prospective Payment ReviewPPR IMI Physician Payment Reform Impact Monitoring InitiativePPRC Physician Payment Review CommissionPPRMS Physician Payment Review Monitoring SystemPPRTF Physician Payment Reform Task ForcePPS Prepayment ScreenPPS Primitive Process SpecificationPPS Proposed Price SettingPPS Prospective Payment System (Medicare Part A)PPS Prospective Pricing SystemPPS Prospective Payment SystemPPSMS Printing & Paper Stock Management SystemPPSP Physician's Primary Sponsor PlanPPSSCC President's Private Sector Survey on Cost ControlPPV Pharmaceutical Prime VendorPPWY Productivity Per Work YearPQE Prior Quarter EndingPR Peer Review


Acronym TermPR Program RequirementPR Purchase (or Procurement) RequestPRA Paperwork Reduction Act of 1980PRA Per Resident AmountPRA Percent Reactive AntibodyPRACP Project Review and Coordination PanelPRAF Physician Reviewer Assignment FormatPRB Payment Record BatchPRB Performance Review BoardPRCP Project Review & Coordination PanelPRENT Prior Entitlement Program (HDPRENT)PRES Policy Review & Evaluation StaffPRG Performance Recognition GroupPRI Procurement Request InformationPRICER (PPS pricing software for inpatient stays system)PRISM Project to Redesign Information Systems Management (begun in 1984, ended in 1991 when funding expired)PRM Provider Reimbursement ManualPRMDS Provider Minimum Data SetPRO Peer Review Organization (renamed to QIO)PRO Principal Regional OfficialPRO Professional Review OrganizationPRO/FI Professional Review Organization / Fiscal IntermediaryPROM Protocol for Regional Office MonitoringPROMPTS Peer Review Organization Monitoring Protocol & Tracking SystemPROPAC Prospective Payment Assessment Commission (Task Force)PRP Prospective Reimbursement PlanPRP Provider Reimbursement ProfilePRPD Payment Reform Policy DevelopmentPRRA Paperwork Reduction Reauthorization Act


Acronym TermPRRB Provider Reimbursement Review BoardPRS Payment Reconciliation SystemPRS Parameter Release StudyPRS Prepayment Review SystemPRUCOL Permanently Residing Under Color of LawPRVSF Provider Summary FilePS Physician SequentialPS&E Performance Standards & EvaluationPS&E TAG Performance Standards & Evaluation Technical Advisory GroupPS&RR Provider Statistical & Reimbursement ReportPSA PreSolicitation AnnouncementPSA Problem Statement AnalysisPSA Public Service AnnouncementPSAF Physician/Supplier Action FilePSC Product & Service CodePSC Program Safeguard (or Safety) ContractorPSC Program Service Center (SSA) (formerly Payment Center (PC))PSC Program Support Center (DHHS)PSC Public Service CommissionPSF Provider Specific FilePSGH Policy Standards & Guidelines HandbookPSI Problem Source IdentificationPSL Problem Statement LanguagePSM Physician Summary MasterPSO Physician Security OfficerPSO Provider Sponsored OrganizationPSO Provider-‐Sponsored OrganizationPSOR Physician & Supplier Overpayment ReportPSOR Physician Supplier Overpayment Recovery


Acronym TermPSOR Provider Statistical & Overpayment ReportPSP Provider/Supplier Service PlanPSPRICE Physician Fee Schedule SystemPSR Proposal Submission RequirementsPSR Provider Statistics & Reimbursement Report (aka PS&R)PSR Provider Summary ReportPSRB Performance Standards Review BoardPSRO Performance Standards Review OrganizationPSRO Physician Service Review OrganizationPSRS Provider Statistical & Reimbursement SystemPSS Packet Switch Service (FTS2000)PSS Programed Symbol Set (board)PT Processing TimePT Proficiency TestingPTA Part A (of Medicare)PTA Point of Total AssumptionPTA Prior To AdmissionPTA Percutaneous Transluminal AngioplastyPTAC Premium Target Advisory CommissionPTAG Program Training Advisory GroupPTAMUS Part A Medicare Utilization SystemPTAPTT Part A Processing Times TabulationPTB Part B (of Medicare)PTO (U.S.) Patent &Trademark OfficePTP Performance Test Platform (PRISM)PTP Portable Training PackagePTP Proficiency Testing ProgramPTS Provider Terminal SystemPU/ME/DE Public Use / Medical Effectiveness / Demonstration & Evaluation


Acronym TermPUC Public Utilities CommissionPUDI Prior Unqualifing Disabled Indicator (also RISI)PUF Public Use FilesPUFF Proposed Uses of Federal FundsPUFS Public Use Files SystemPUP Provider Update OperationPUT Payment Update Transaction (MBR)PV Performance ValuePV Present ValuePVA Priority Value AssessmentPVA Project Valuation AssessmentPVB Provider BillsPVC Permanent Virtual CircuitPW Project WorkbenchPW Public WelfarePWBA Pension Welfare & Benefits AdministrationPWD Persons With DisabilitiesPWS Performance Work StandardPWS Payment Withhold SystemPX Post ExchangePY Prior YearPYE Prior Year EndingQ&A Questions & AnswersQA Quality AssessmentQA Quality AssuranceQAE Quality Assurance EvaluatorQAHB (Carrier) Quality Assurance Program HandbookQAI Quality Assessment IndexQALY Quality Adjusted Life Year


Acronym TermQAM Quadrature Amplitude ModulationQAM Quality Assurance MonitoringQAP Quality Assurance ProgramQAR Quality Assurance RepresentativeQAS Quality Assurance StandardsQAS Quality Assurance SystemQATAP Quality Assurance Through Attributes ProgramQBE Query By ExampleQBL Qualified Bidders ListQC Quality ControlQC Quality CouncilQC Quarters of Coverage (SSA)QCEM Quality Control Enforcement MechanismQCM Quality Call MonitoringQCM Quality Care MonitoringQCP Quality Control ProgramQDN Quality Deficiency NoticeQDR Quality Deficiency ReportQDWI Qualified Disabled & Working Individual (aka QWDI)QDWIS Qualified Disabled and Working IndividualsQI Quality IndicatorQIES Quality Improvement Evaluation SystemQIO Quality Improvement OrganizationQIP Quality Improvement ProcessQIP Quality Intervention PlanQIPRO Quality Improvement Professional Research OrganizationQIS Qualifications Information StatementQIS Qualified IndividualsQISMC Quality Improvement System for Managed Care


Acronym TermQIT Quality Improvement TeamQM Quality ManagementQMB Qualified Medicare Beneficiary (OBRA 1989 PL101239,Sect.6013)QMB Qualified Medicare BeneficiariesQMCE Qualified Management Care FacilityQML Qualified Manufacturers ListQMMP Quality Measurement & Management ProjectQMRP Qualified Mental Retardation ProfessionalQMS Quality Measurement SystemQO Qualification OfficerQOC Quarterly Operational CostQPDA Questionable Premium Due AmountQPL Qualified Products ListQR Quarterly RefundQR Quarterly ReportQRO Quality Review OrganizationQRS Quality Review StudiesQSS Quality Systems & SoftwareQST Quality Support TeamQUEST Quality Assurance Expert System TestbedQUEST Quality Evaluation of SettlementQUGS Quality Utilization Generic ScreensQW Quick ReferenceQWDI Qualified Working Disabled Individual (aka QDWI)R&A Repair & Alteration (contract)R&C Reasonable & CustomaryR&D Research & DevelopmentR/C Report of ContactRA Regional Administrator


Acronym TermRA Remittance AdviceRA Risk AssessmentRAAC Risk Adjustment Advisory CommitteeRAB Register Accreditation BoardRAC Reimbursement Advisory CommitteeRACF Resource Access Control Facility (software)RAD Rapid Application DevelopmentRAD Requirements Analysis DocumentRAD Respiratory Assist DeviceRADAR Radio Detection & RangingRADAR RSDI Account Data RecordRADARS (HCFA) Ranking & Data Analysis Reporting SystemRADARS Rapid Data Retrieval SystemRAFO Research & Find OutRAI Resident Assessment InstrumentRAID Redundant Array of Independent DiskRAP Ready Assessment Packages (Y2k)RAP Request for Accelerated PaymentRAP Resource Allocation PlanRAP Request for Anticipated PaymentRAPS Risk Adjustment Processing SystemRAPS Risk Adjustment Processing SystemRAPS Resident Assessment Protocol SystemRAS Risk Adjustment SystemRASC Regional Administrative Support Center, HHSRAT Remote Access TrojanRBAC RoleBased Access ControlRBBS Remote Bulletin Board SystemRBRVS ResourceBased Relative Value Scale


Acronym TermRBRVU ResourceBased Relative Value UseRBS Report of Benefit SavingsRC Reasonable Charge (or Cost)RC Regional CarrierRCA Refugee Cash AssistanceRCAS Reconsideration Control & Appeals SystemRCC Ratio of Cost to ChargesRCCAC Ratio of Charges to Charges Applied to CostsRCCS Revenue Center Code SystemRCE Reasonable Compensation EquivalentRCICS Registry Customer Information Control SystemRCL Report Card Listing (SSA)RCL Routine Cost LimitRCP Reasonable Charge PricingRCP Report of Contractor Performance (ACER replacement)RCSRS Resource Cost Reporting SystemRCT Randomized Clinical TrialsRCT Registered Care TechnologistRCT Religious Compensatory TimeRD&E Research, Demonstration & EvaluationRDBMS Relational DBMSRDEM Regional Office Data Exchange ManagerRDES Regional Data Exchange SystemRDF Renal Dialysis FacilityRDO Resource Definition OnlineRDS The Retiree Drug Subsidy ProgramRDS NUMBER see Plan Sponsor numberRDT&E Research, Development, Test & EvaluationRE (Carrier) Reasonable Expectancies (or Expectations)


Acronym TermREA (U.S.) Rural Electrification AdministrationREACH Regional Education About Choices in HealthREACT Return Check Action (MBR)REBUS Renal Beneficiary & Utilization SystemRECONS (Online) Reconsideration Information SystemRECOUP Recovery of Unpaid Premiums (MBR)REGO Reinventing GovernmentREGTRK Regulations Tracking SystemREINS Reduced Expenditure InitiativesREIT Real Estate Investment TrustREL Recommended Exposure LimitsREM Remark LineREMAS Recovery Management & Accounting SystemREMAS Report on Medicare as Secondary Payor SystemREMIS Renal Management Information SystemREPORE Report Output Retrieval SystemRESDAC Research Data Assistance CenterRETAP Regular Transcript Selection & Attainment Pass (SSA)REVS Recipient Eligibility Verification System (Mass. DPW)REXX Restructured Extended Executor LanguageRFA Regulatory Flexibility Act (5USC 601612)RFA Request for ApplicationsRFA Reason for AssessmentRFC (Treasury) Regional Financial CenterRFC Request for CommentRFC Request for ContractRFI Request for InformationRFP Request for ProposalRFQ Request for Quotation


Acronym TermRGT Requirements Gathering TechniquesRH Rural HospitalRHC Rural Health CenterRHC Rural Health ClaimRHC Rural Health ClinicRHHI Regional Home Health IntermediaryRHHIPEP Regional Home Health Intermediary Performance Evaluation ProgramRHIR Resident Health Insurance RepresentativeRHP Rebundling of Hospital PaymentRI Regional IntermediaryRI Routing IndicatorRIA Regulatory Impact AnalysisRIC Record Identification CodeRIL Regional Informational LetterRIM Retrieve Inactive Master SystemRIMS Reconsideration Information Management SystemRISC Reduced Instruction Set ComputingRISC Regulatory Information Service CenterRISI Renal Insured Status Indicator (also PUDI)RIT Reorganization Implementation TeamRJE Remote Job EntryRM Release ManagementRMA Referral & Monitoring AgencyRMA Refugee Medical AssistanceRMAPS Rocky Mountain Part A Processing SystemRMF Resource Measurement Facility (software)RMFA Restricted Medicare Fraud AlertRMP Resource Management PlanRMRP Regional Medical Review Policy


Acronym TermRMS Record Management SystemRMS Regional Management SystemRMS Requirements Management SystemRMS Retention Management SystemRMT Requirements Management TeamRMU Resource Management UnitRN Recruitment NoticesRN Registered NurseRNHCI Religious NonMedical Health Care InstitutionRNO Race & National OriginRO Regional OfficeRO Abbreviation for Regional Office.ROADV Regional Office Advance Copy NoteROAM ROAR Master (SSA)ROAMS Regional Office Appeals Management SystemROAR Recovery of Overpayments Accounting & Reporting System (SSA)ROAR Regional Office Automating Representatives for Managed Care Operations (ROAR for MCO)ROC Report of Contact (also R/C)ROC Report of ContactROC Resumption of CareROCL Regional Office Contractor LetterROE Report of EligibilityROE Return on EquityROF Regional Office FlagROI Return on InvestmentROM Regional Office ManualROMGRS Regional Office ManagersROPES Regional Office Performance Evaluation SystemROPO Regional Office Project Officer


Acronym TermROSTAR Regional Office System Tracking for Audit ReimbursementROUG Regional Office Users GroupRPA Renal Physicians AssociationRPBC Rejected Provider Bill Control (Process)RPC Remote Procedure CallRPCH Regional Primary Care HospitalRPCH Rural Primary Care HospitalRPD Run Processing DateRPG Report Program GeneratorRPL Reasonable Performance LevelRPL Reemployment Priority ListRPM Revolutions Per MinuteRPO Regional Personnel OfficerRQC Regional Quality CouncilRR Rate ReviewRRB Railroad Retirement BoardRRC Rural Referral CenterRRIA Resource Requirements for Impact AnalysisRRP Reimbursement Review ProgramRS Random SearchRSC Record Status CodeRSC Reimbursement Statistics by State & County SystemRSDHI Retirement, Survivors, Disability, & Health InsuranceRSDI Retirement, Survivors, & Disability InsuranceRSF Renal Services FacilityRSI Retirement & Survivors InsuranceRSVP Retired Senior Volunteer ProjectRT Record TypeRT Recovery Team


Acronym TermRT Respiratory TherapyRTC Reports to CongressRTC Resolution Trust CorporationRTG Return to GovernmentRTI Return to IntermediaryRTN Routing & Transit NumberRTP Request for Technical ProposalRTP Return To Provider (or Plan)RTS Recovery Tracking SystemRTS Request to SendRTS Return (tapes) to StockRUG Resource Utilization GroupRUNT RRB Universal RICRUR Recurring Utilization ReportRV Residual ValueRVS Relative Value Scale (or Schedule)RVU Relative Value UnitRWJF Robert Wood Johnson FoundationRZIP Residence ZIP (Code)S&C Survey and CertificationS&E Staff & EquipmentS&I Supervision & InterpretationS-‐MIME Secure Multipurpose Internet Mail ExtensionsS/HMO Social Health Maintenance OrganizationS/W SoftwareSA Scheduled AllowanceSA Security AdministratorSA Settlement AgreementSA State Agency


Acronym TermSA State AssessmentSA Supplemental AgreementSA Systems AdministratorSA Systems AnalystSA-‐CMM Software Acquisition Capability Maturity ModelSAC Special Action CodeSAC Statistical Analysis ContractorSACP (AHA) Society for Ambulatory Care ProfessionalsSAD Service Area Directory (SSA)SAD Simultaneous Accretion/DeletionSAD Self Administered DrugSADBUS Small And Disadvantaged Business Utilization SpecialistSADMERC Statistical Analysis Durable Medical Equipment Regional CarrierSAEP State Agency Evaluation PlanSAF Standard Analytic FileSAGE-‐204 SAS interface to M204 databasesSAHD Staff Assisted Home DialysisSAI Special Audit InitiativeSAIC Science Applications International Corp. (PRISM software contractor)SALT Suspensions & Life Terminations System (MBR)SAM Software Asset ManagementSAMHSA Supstance Abuse & Mental Health Services AdministrationSAR (microfilm) Storage & Retrieval unitSAR Safeguard Activity ReportSAR Service Area ReportSAS Single Award SchedulesSAS Statement of Auditing StandardsSAS Statistical Analysis SoftwareSAS Statistical Analysis System


Acronym TermSAS/C SAS CompilerSAVE Systematic Alien Verification of EligibilitySB Standards BoardSBA Small Business AdministrationSBC School Based ClinicsSBI Single Scope Background InvestigationSBI State Buy InSBIGPPP State BuyIn Group Practice Prepayment PlanSBIR Small Business Innovation Research (Program)SBR Supplemental Budget RequestSBRS Senior Biomedical Research ServiceSBSA Small Business SetAsideSBU Sensitive But UnclassifiedSBU Strategic Business UnitSC State & CountySC Sub ContractorSCACA Seniors Coalition Against Catastrophic ActSCAR Significant Correspondence Assignment ReportSCC (Service Area) State/County CodeSCC Security Control CenterSCD Service Computation DateSCE Separate Cost EntitySCH Sole Community HospitalSCHIP State Child Health Insurance ProgramSCHIP State Children’s Health Insurance ProgramSCIC Significant Change In ConditionSCIF Sensitive Compartmentalized Information FacilitySCIP Survey & Certification Improvement ProjectSCLM Source Code Librarian Manager


Acronym TermSCM Software Configuration ManagementSCN Strategic Communication NetworkSCOPE Share Cost Options for Private EmployeesSCORE Service Corps of Retired ExecutivesSCP Sole Community ProviderSCSA Significant Change in Status AssessmentSCT Specialty Care TransportSDA Software Design ActivitySDA System Design AlternativesSDB Small &Disadvantaged BusinessSDBU Small &Disadvantaged Business UtilizationSDC Secondary Diagnostic CategorySDD Software Design & DevelopmentSDF Standard Deviation FactorSDLC System Development Life CycleSDM Structured Development (or Design) MethodologySDM/S Systems Development Methodology / StructuredSDO Servicing District Office (SSA)SDO Standards Development OrganizationSDO System Design OverviewSDP Service Delivery PointSDP Single Drug PricerSDPS (PRO) Standard Data Processing SystemSDR System Design ReviewSDX State Data ExchangeSEALP Search Alpha Program (Beneficiary Alpha Match/Reinstate) (HASEALP)SEALP State Agency Evaluation ProgramSEC (U.S.) Securities & Exchange CommissionSEER Surveillance, Epidemiology & End Results (Program)


Acronym TermSEF Separated Employee FileSEF Software Engineering FacilitySEI Software Engineering InstituteSEI-‐CMM Software Engineering Institute Capability Maturity ModelSEIU Software Engineering Institute UnionSELF (HHS) Secretary's Executive Leadership ForumSEMS Security Management SystemSEP Special Enrollment PeriodSEP Special Election PeriodSEPG Software Engineering Process GroupSEPSC Southeastern Program Service Center, SSASER Scientific, Engineering & ResearchSER Summary Earnings RecordSES Standards Enforcement SoftwareSES System External SpecificationsSET Secure Electronic TransactionSET Software Engineering TechnologySEX Sorted Exceptions (HDSEX)SF Standard FormSF-‐36 Medical Outcomes Study 36 Item Short Form Health SurveySFI Statement of Financial InformationSFO Solicitation for Offers (contract)SFRO SanFrancisco Regional OfficeSFTP Secure File Transfer ProtocolSG Surgeon GeneralSGA Substantial Gainful ActivitySGF State Guaranty FundsSGL Standard General LedgerSH Systems Handbook


Acronym TermSHA Secure Hash StandardSHC Select Health CareSHCC State Health Coordinating CouncilSHI Supplemental Health InsuranceSHINE Serving Health Information Needs of EldersSHIP (AFGE) Supplemental Health Insurance PlanSHIP (Medicare) Supplemental Health Insurance ProgramsSHIP Senior Health Insurance ProgramSHIP State Health Insurance Assistance ProgramSHMO Social Health Maintenance OrganizationSHN State Health NotesSHPDA State Health Planning & Development AgencySHRM Society for Human Resource ManagementSHS Society for Health SystemsSHTIP Secure Hyper Text Transfer ProtocolSI Single IntermediarySI System IntegratorSI Systems InventorySIC (DOL, BLS) Standard Industrial ClassificationSIC Special Indicator CodeSIC State Insurance CommissionSICE Social Insurance Claims ExaminerSID (Supplemental) Security Income DataSID Special Income DeductionSIED (Supplemental) Security Income Entitlement DateSIFT Security Income file TypeSIG Special Interest GroupSIGCAT Special Interest Group CDROM Applications & TechnologySIGOMET Special Interest Group on Optical Media in Education & Training


Acronym TermSII Security/Suitability Investigation IndexSIM Society for Information ManagementSIMS Standard Information Management SystemSIN Special Item NumberSIPP Systems Issues, Policies & Procedures (nee HIPP, BIPP)SIR (Carrier) System Improvement RequestSIR System Implementation RoadmapSIRLIB (change control for M204 user language programs software)SIRMON (M204 performance monitoring & operational control tool software)SIRT Security Incident Response TeamSIS Strategic Information StrategySIS System Internal SpecificationsSISC (Supplemental) Security Income Status CodeSISSO Senior Information Systems Security OfficerSLA Service Level AgreementsSLAE State & Local Administration ExpenditureSLAMS Second Level Appeals Management SystemSLE Single Loss ExpectancySLIAG State Legislation Impact Assistance GrantsSLIM Software Life Cycle MaintenanceSLIMB Specified LowIncome Medicare BeneficiarySLIP-‐A Supplemental Low Income Patient AdjustmentSLM Service Level MetricsSLMB (see SLIMB)SLMB Special Low-‐Income BeneficiariesSLMB Specified Low-‐income Medicare BeneficiarySM System ManagerSMART System for MSP Automated Recovery & TrackingSMDA State Medicaid Directors Association


Acronym TermSME Subject Matter ExpertSMF System Measurement FacilitySMF Systems Management FacilitySMG State Medicaid GroupSMI Standardized Medreview InstrumentSMI Supplementary Medical Insurance (Part B of Medicare)SMIB Supplementary Medical Insurance (also Part B)SMIRK SOBER Miscellaneous Input RecordSMIS Safety Management Information SystemSML Solicitation Mailing ListSMM State Medicaid ManualSMP System Modernization ProgramSMP Special Needs PlanSMQC System for Monitoring Quality of CareSMRF State Medicaid Research Files (aka SMURF)SMS Shared Maintenance SystemSMS Storage Management SystemSMS System Managed SoftwareSMS System Managed StorageSMS Systems Management SpecialistSMS/SPS Shared Maintenance System / Shared Processing SystemSMSA Standard Metropolitan Statistical AreaSMURF State Medicaid Uniform Research File (aka SMRF)SNAP Standard National Accounting Program (BC/BS)SNC Skilled Nursing CareSNCRIS Skilled Nursing Cost Reporting Information SystemSNCT Sensory Nerve Conduction ThresholdSNF Skilled Nursing FacilitySNFMDS SNF Minimum Data Set


Acronym TermSNI System Network InterfaceSNIP Strategic National Implementation ProcessSNMA Student National Medical AssociationSNSP Safety Net Surveillance ProjectSO Successful OffererSOB Statement of BenefitsSOB Shortness of breathSOC Start of CareSOC SubObject (Classification) CodeSOCO Southeastern Consortium (Atlanta & Dallas HIROs)SOD Superintendent of DocumentsSOI Statement of IntentSOL SolicitationSOM SOBER Operating Month (DOE 1 or COM +1) (OBSOLETE)SOM State Operations ManualSON Submitting Office NumberSOP Standard Operating ProcedureSOP Status of ProviderSOP Style of PracticeSOR (Carrier) Section Operating ReportSOR System of RecordSORCES Service Office Record Computer Entry System (MTS)SORS Systems of RecordsSORT Seniors Organized to Restore TrustSOU Statement of UnderstandingSOW Scope of WorkSOW Statement of WorkSP Sample PersonsSP Special Project


Acronym TermSP Standard of PerformanceSP Systems PerformanceSPA State Plan AmendmentSPAC SMI Premium Amount Collectable (MBR / BCM)SPACE SMI Premium Accounting, Collection & Enrollment (System)SPACEX SPACE ExceptionsSPAMS Small Purchase Automated Management SystemSPAP State Pharmaceutical Assistance ProgramSPARC Stroke Prevention Awareness Recognition CampaignSPARCS Statewide Planning & Research Cooperative SystemSPAS State Plan Amendment SystemSPAW State Plan Amendment WaiverSPBA Society of Professional Benefit AdministratorsSPC State Program CharacteristicsSPC Supervisory Project CoordinatorSPD Standard Position DescriptionSPD Summary Plan DescriptionSPDATA State Profile Data SystemSPECT Single Photon Emission Computed TomographySPECTRUM State Performance Evaluation & Comprehensive Test of Reimbursement Under MedicaidSPF Sequential Processing FacilitySPH Shared Processing HostSPI Software Process ImprovementSPIDER System to Provide Immediate Data on Eligibility for Reimbursement (now CWF)SPIES Shared Project & Information Exchange SystemSPIN Standard Prescriber IdentificationSPIN Supplier Profile Identification NumberSPMS Storage Products Management SystemSPO Self Protection Organization (CD)


Acronym TermSPO Servicing Personnel OfficeSPOC Single Point of Contact (now CSCC)SPOC Single Point of ContactSPOE Secure Point of EntrySPOE Secure Point of EntrySPOF Single Point of FailureSPP Select Provider ProgramSPP SMI Premium PenaltySPPS State Plan Profile SystemSPR Safeguard Procedures ReportSPR Standard Paper RemittancesSPR Systems Performance ReviewSPRDRS SPR Data Reporting SystemSPRY Setting Priorities for Retirement YearsSPS Schedule of Providers ServicedSPSP State Payment of SMI PenaltySQA Software Quality AssuranceSQIG Supplier Quality Information GroupSQL Structured (or System) Query LanguageSQRD Monthly Sequential Read Program (HDSQRD)SR Service Representative (SSA)SR Service RequestSR Systems RequirementsSRA Significant Regulatory ActionsSRA Systems Research AssociatesSRC Status Report CoordinatorSRD Systems Requirements DefinitionSRD Systems Requirements DesignSRD Systems Requirements Document


Acronym TermSRMC Statistical Report Medicaid ServicesSRMS Statistical Report (HCFA2082) on Medicaid Services SystemSRS Social & Rehabilitation ServiceSS Seconds (i.e., ssmmddyyyy)SS Sequential SearchSS Shared SystemsSS Short StaySS Social SecuritySS Standard SystemsSS1 Selective Signaling (Equipment)SSA Social Security ActSSA Social Security AdministrationSSA State Survey AgencySSA Systems Security AssessmentSSACCS SSA Claims Control SystemSSADO Social Security Administration District OfficeSSAFO Social Security Administration Field OfficeSSARA SSA Reform Act of 1994 (establishes SSA as independent agency)SSB Social Security Board (now SSA)SSC Standard Source CodeSSC Systems Security CoordinatorSSD (GSA) Standard Solicitation DocumentSSDI Social Security Disability InsuranceSSG Staffing Support GroupSSG Standard Systems GroupSSH Short Stay HospitalSSI Supplemental Security IncomeSSIDUP SSI Duplicate PaymentSSIPML Second State Issuing Professional Medical License


Acronym TermSSM Standard System MaintainersSSM Sterling Space MonitorSSMP Systems Security Management ProgramSSN Social Security NumberSSO Social Security Office (also DO)SSO Systems Security OfficerSSOP Second Surgical Opinion ProgramSSP State Supplemental PaymentsSSP System Security PlanSSPM System Security Plan MethodologySSPML Second State Professional Medical LicenseSSR Social Security RulingsSSR Supplemental Security Income RecordSSS Senior Scientist ServiceSSSA Senior Systems Security AdvisorSSSGS Similarly Sized Subscriber GroupsSST Supplemental Systems TestSTAG System Technical Advisory Group (aka STAG)STAPE Short Format State Magnetic Tape File (HIM)STAR (Medicaid) Systems Test for Alternative ReimbursementSTAR Standard Administrative ReportingSTAR System for Tracking Audit & ReimbursementSTD ShortTerm DisabilitySTM Staff Time MeasureSTP Satellite Ticket PrinterSTROBE (Performance Management System application monitoring tool)STS Safety Tracking SystemSTU System Testing UnitSTX Start of Text


Acronym TermSUBC State Uniform Billing CommitteeSUEI Standard Unique Employer Identifier (HCFA0047F) (aka EIN)SUL Standard User LabelSUR Surveillance & Utilization Review (aka S/UR)SURS Surveillance & Utilization Review Subsystem (S/URS)SUT System User TestSVC Supervisor CallSVCS ServicesSVES State Verification & Exchange System (SSA)SVRS Statistically Valid Random SampleSW Step WeightSW-‐CMM Software Development Capability Maturity ModelSW/T Structured WalkthroughSWAT Specialized Work Action TeamSWBI State Welfare BuyIn Enrollment Profile SystemSWICA State Wage Information Collection AgencySYS OCO systems support application system codeT&D Training & DevelopmentT&M Time & MaterialsT1 Title I of the Social Security Act (Grants for OldAge Assistance & 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 DisabledT16 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 (MAA (Medicaid))T2 Title II of the Social Security Act (SS benefits)T2R Title II Redesign (SSA)T4 Title IV of the Social Security Act (AFDC)TA Termination Actions (MBR)


Acronym TermTA Technology AssessmentTAA Time Account Adjustment (Schedule or Report)TAC Technology Advisory CommitteeTAC Type of Activity CodeTACT Total Audit Concept TechniqueTACT Transfer, Automate, Contract Out and/or Terminate ProjectTAG Technical Advisory (or Assistance) GroupTAMRA Technical & Miscellaneous Revenue Act of 1988TANF Temporary Assistance for Needy FamiliesTAP Technical Advisory PanelTAP Terminal Acquisition Project (SSA)TAPEDSN Tape Data Set ProtectionTARS Telephone Action Requests SystemTASC (OWTDS) Training Assistance Services CadreTASC Transportation Administration Service CenterTAVERN Terminations & Attainments Validation & Enforcement of Returned NoticesTB Transaction Branch, DMOS (formerly GPABS or PM)TBA To be AnnouncedTBC Transit Benefit CoordinatorTBD To Be DeterminedTBO Transaction Back OutTBP To Be ProvidedTBP Transit Benefit ProgramTBSR Total Business Systems ReviewTC Technical ComponentTC Technology ComponentTC TelecommunicationsTC Total CostTC Transaction Code


Acronym TermTCAB Technical Computer Advisory BoardTCC Technical Control CenterTCC Temporary Continuation of CoverageTCD Trauma Code DevelopmentTCP Transitional Corridor PaymentsTCS Telephone Customer ServiceTCSDB Test Case Specification DatabaseTD Treasury DepartmentTDC Training & Development CenterTDD Telecommunications Device for the DeafTDEA Triple Data Encryption AlgorithmTDOC Total Days of CareTDP Testing Designated PositionsTDY Temporary Duty TravelTEAM Technology Evaluation & Acquisition MethodsTEC Technical Evaluation CriteriaTEDBA Target Enrollment Database ArchitectureTEDH Third Party Entitlement Date for Hospital InsuranceTEDS Third Party Entitlement Date for Supplementary Medical InsuranceTEFRA Tax Equity & Fiscal Responsibility Act of 1982 (PL97248)TENS Transcutaneous Electrical Nerve StimulationTENS Transcutaneous Electrical (or Electronic) Nerve StimulatorTEP Technical Evaluation PanelTEP Transfer Enrollment PeriodTEP Technical Experts PanelTERMID Terminal IDTFCS Treasury Financial Communications Systems (aka FEDWIRE)TFSS Task Force for Standard SystemsTH Teaching Hospital


Acronym TermTHD Total Hospice DaysTHE Trailblazers Health Enterprises, Inc. (MD component of TX BC/BS)TI Texas InstrumentsTIARA Tactical Intelligence and Related ActivitiesTIM Technical Instruction ManualTIMS Text Information Management SystemTIN Tax Identification NumberTINA Truth In Negotiations ActTIPPS Test of Intermediary Prospective Payment SystemTIS Technical (or Technology) Information ServicesTIS Therapeutic Intervention Scoring (System)TITLE I Grants to States for old age assistance & medical assistance for the agedTITLE II Federal old age, survivors & disability insurance benefits (OASDI)TITLE IV Grants to States for aid & services to needy famlies with children (AFDC)TITLE X Grants to States for aid to the blind (AB)TITLE XIV Grants to States for aid to the permanently & totally disabled (DI)TITLE XIX Grants to States for medical assistance programs (MAA)(Medicaid)TITLE XVI Grants to States for aid to the aged, blind and disabled (ABD) & Supplemental Security Income (SSI)TITLE XVIII Health Insurance (Medicare)TITLE XX State operated home health care entitlement programTITLE XXI State Child Health ProgramsTLC Total Location CounterTLS Transport Layer SecurityTLV Threshold Limit Exposure ValuesTMIS Training Management Information SystemTMJ Temporomandibular JointsTMP Task Management PlanTMR Transmyocardial RevascularizationTMS Tape Management System


Acronym TermTN Transmittal NumberTNHP Teaching Nursing Home ProgramTNIF Transaction NIFTNIF True Not In FileTO Task OrderTO Training OfficeTOB Type of BillTOC Transition Office ContactTOP Trade Opportunities ProgramTOP Transitional Outpatient PaymentTOP Treasury Offset ProgramTOP Triple Option PackageTOP Type of ProviderTOPR Type of Program RecordTOPS Transitional Outpatient Payments SystemTOR Terminal Owning RegionTOS Type of ServiceTP Third PartyTP Transaction ProcessorTPA Third Party AdministratorTPA Tissue Plasminogen ActivatorTPAO Third Party Annotation OperationTPBEST Third Party Billing Extract Statistical TotalsTPBLAST Third Party BuyIn Liability Accretions for Screening & TapingTPCH Third Party Code for Hospital InsuranceTPCS Third Party Code for Supplementary Medical InsuranceTPDB Third Party Data BaseTPEXLAX Third Party Expel Lapsed, Antiquated & XR RecordsTPF Third Party File


Acronym TermTPG Third Party GroupsTPL Third Party LiabilityTPLAB Third Party List Agency BillingTPM Third Party MasterTPN Total parenteral nutritionTPNS Teleprocessing Network SimulatorTPO Treatment, Payment, OperationsTPPAYD Third Party Payment DataTPPC Third Party Premium CollectionTPPG Third Party Private GroupTPQY Third Party Query SystemTPR Third Party RecordTPRP Third Party Rules ProcessorTR (T/R) Team ReviewTRACE Third Party Recovery Audit Coordinated EffortTRACS Teleprocessing Remote Access Control SystemTRADE Training & Development ExchangeTRASOP Tax Reduction Act Stock Ownership PlanTRC Technical Review CommitteeTRC Transaction Reply CodeTRID Telecommunications Routing Indicator DirectoryTRIDE TRID ExtendedTRIM Target Rate Implementation MonitoringTRIM Total Resources Information Management SystemTRM Technical Reference ModelTRO Tax Refund OffsetTROMP Track Recovery of Mistaken PaymentsTROOP True Out-‐of-‐PocketTRPBETA Third Party BuyIn Exceptions for TP Agencies


Acronym TermTRR Transaction Reply ReportTS Technical Strategy (official meaning)TS Tentative SettlementTSC Technical Service CenterTSCOG TSC Operator GuideTSG The Surgeon GeneralTSIPML Third State Issuing Professional LicenseTSO Time Sharing OptionTSO Time Sharing OptionTSO/ISPF TSO Interactive System Productivity FacilityTSP Teleprocessing Services ProgramTSP Terminal Simulator PanelTSR Terminate & Stay ResidentTST Testing PhaseTT Trust Territories (Micronesia, Marshalls, Palau)TTDH Third Party Termination Date for Hospital InsuranceTTDS Third Party Termination Date for Supplementary Medical InsuranceTTSF Test Time Sharing FacilityTTY Text TelephonesTVA Tennessee Valley AuthorityTVA Threat & Vulnerability AssessmentTVIP Testing, Validation & Implementation PlanTVS Test Value SetsTWA Time Weighted AverageTWA Transaction Work AreaTWG Technical Work GroupTWP Trial Work PeriodTWWIA Ticket to Work & Work Incentives Act of 1999U&C Usual and Customary


Acronym TermU/I Unit of IssueUA Unit & AnalysisUAMCDS Uniform Ambulatory Medical Care Data SetUAT User Acceptance TestingUAW United Auto WorkersUB Uniform BillUB-‐92 Uniform Billing form 92UBIT Unrelated Business Income TaxUC Utilization ControlUCAS Uniform Cost Accounting StandardsUCC Uniform Commercial CodeUCC User Communication & Control (System)UCDS Uniform Clinical Data SetUCDSS UCD SystemUCF Universal Control FacilityUCFT Uniform Claim Form TaskforceUCR Uniform Cost ReportUCR Usual, Customary & Reasonable (Charges)UCR/PACE Ususal, Customary & Reasonable / Performance & Cost EfficiencyUCRD Uniform Cost Report DemonstrationUDB Utilization DatabaseUDE User Defined ExitUDR Uniform Desk ReviewUE User EtractUFAS Uniform Federal Accessibility StandardsUGMT Users Group Management TerminalUHCIA Uniform Health Care Information ActUHDDS Uniform Hospital Discharge Data SetUHIN Utah Health Information Network


Acronym TermUHIS Unbundling of Hospital Inpatient ServicesUHP Unbundling of Hospital PaymentUHP United Health PlanUL Underwriters LaboratoryUL User LanguageULP Unfair Labor PracticeUMBI Utilization Management & Benefit IntegrityUMO Utilization Management OrganizationUMPC Union Management Partnership CouncilUMS Universal Measured ServiceUMW United Mine WorkersUNAI Uniform Needs Assessment InstrumentUNCEFACT United Nations Centre for Facilitation of Procedures and Practices for Administration, Commerce, and TransportUNEDIFACT United Nations Rules for Electronic Data Interchange for Administration, Commerce, and TransportUNIBILL Uniform Bill (Intermediary Submitted Files of Processed Medicare Provider Bills)UNICEP Uniform Contractor Evaluation ProgramUNOS United Network for Organ SharingUPD Unilateral Price DeterminationUPIN Unique Physician Identification NumberUPIN Universal Provider Identification NumberUPL (Medicaid) Upper Payment LimitUPN Universal Product NumberUPPS Uninterruptible Premium Power SupplyUPS Uninterruptable Power SupplyUPS United Parcel ServiceUPT User Proposal TeamUR Upon ReceiptUR Utilization ReviewURAC Utilization Review Accreditation Commission


Acronym TermURC (Intermediary) Utilization Review CoordinatorURC Utilization Review CommitteeURF User Request FormURL Uniform Resource LocatorURO Utilization Review OrganizationURQ User RequirementsUS User ServicesUSAID United States Agency for International DevelopmentUSARC United States America Registration CommitteeUSBC Uniform State Bill CommitteeUSC United States CodeUSCA USC AnnotatedUSCM United States Conference of MayorsUSCS United States Code SystemUSDA United States Department of AgricultureUSERID User IdentificationUSGAO United States General Accounting OfficeUSGS United States Geological Survey DepartmentUSHIK U.S. Health Information KnowledgebaseUSIA United States Information AgencyUSP U.S. PharmacopoeiaUSPCC United States Per Capita CostUSPS United States Postal ServiceUSQ Utilization Status QueryUSRDS United States Renal Data SystemUSTF Uniformed Services Treatment FacilityUTL Unable To LocateUTL Utilization Database application system codeV&V Verification & Validation


Acronym TermVA Department of Veterans AffairsVAD Ventricular Assist DeviceVADATS Veterans Administration Data Automatic Transmission SystemVAM Volume Allocation ManagerVAN Value Added NetworkVAR Value Added ResellerVAX Value Added ExchangeVAX Voice Activated ExchangeVBA Visual Basic architectureVC Value CodeVC Voluntary ClosingVCPR Visit Code Comparative Performance ReportVDRE Value Driven ReengineeringVDS Voluntary Data SharingVDSA Voluntary Data Sharing AgreementVECP Value Engineering Change ProposalVERA Voluntary Early Retirement Act of 1993VICP Vaccine Injury Compensation ProgramVICS Virtual Integrated Communications SystemVIP Voucher Insurance PlanVIPS Viable Information Processing SystemsVISION Vital Information System to Improve Outcomes in NephrologyVLSI Very Large Scale IntegrationVMS Viable Medicare SystemsVMS VIPS (Viable Information Processing Systems) Medicare SystemVMS VIPS Medicare SystemVMS Virtual Multiple StorageVMX Voice Message ExchangeVNA Visiting Nurses Association


Acronym TermVOLSER Volume Serial NumberVOS Virtual Operating SystemVPAC Variable Premium Amount CollectableVPN Virtual Private NetworkVPS Volume Performance StandardVPS VTAM Printer Support SystemVRA Veteran's Readjustment AppointmentVRR Validation Readiness ReviewVRU Ventilator Rehabilitation UnitVSAM Virtual Storage Access MethodVSCR Virtual Storage Constraint ReliefVTAM Virtual Total Access MethodVWA View Work AreaWA Working AgedWAC Wholesale Acquisition CostWAEPA Worldwide Assurance for Employees of Public AgenciesWAR Working Aged RecoveryWASC (OPM) Washington DC Area Service CenterWATS Wide Area Telephone ServiceWBS Work Breakdown Structure (or Schedule)WBT WebBased TrainingWC Workers CompensationWCF Working Capital FundWEAL Women's Equity Action LeagueWECO Western Consortium (Denver, San Francisco & Seattle HIROs)WEDI Workgroup on Electronic Data InterchangeWEL Women's Executive LeadershipWEP Windfall Elimination ProvisionWERS Work Experience Reporting System


Acronym TermWFE Weekly FrontEnd Bill & Payment Records Processing SystemWFP Workforce Planning InitiativeWG WorkgroupWHCOA White House Conference on AgingWHCRA Women's Health & Cancer Rights Act of 1998WHIM Weekly Merge File of all HI Processed TransactionsWHIP Write HI Printout (Format Printout Responses) (HDWHIP)WHO World Health OrganizationWI Wage IndexWIC Western Integrity CenterWIC Women, Infant & Children Program, DOAWINDEX Widow (and Widowers) IndexingWIP Work in ProgressWIS Warehouse Inventory SystemWIS WWMCCS Information SystemWITS Washington Interagency Telecommunications SystemWIX Wage Index SystemWKFL Workflow (Customer Inquiry System)WMTI Women's Management Training InitiativeWNPSC Western Program Service Center, SSAWOC Workplan Objective CodeWOCN Wound Ostomy Continence NursesWORKGP Work Group Membership Tracking SystemWPA Whistleblower Protection ActWPA Works Progress AdministrationWPC Washington Publishing CompanyWWMCCS World Wide Military Command & Control SystemWY Workyear (formerly manyear)XA Extended Architecture Operation System (SSA)


Acronym TermXAC Cross Reference Account CodeXCN Executive Control NumberXCOM External Communications SystemXDE Extended Development EnvironmentXDP Extended Data ProcessingXDR Extended Data RepresentationXID Exchange IdentifierXIV Title 14 Grants to States for Aid to the Permanently & Totally DisabledXIX Title 19 Grants to States for Medical Assistance Programs (MAA)XIXED Title 19 Entitlement DateXL Excelerator (CASE tool software)XLD Excelerator DictionaryXMBA Executive Masters in Business AdministrationXMS Cross Memory ServicesXMT TransmitXMTL TransmittalXQA Expanded Quality AssuranceXRAN Cross Reference Account NumberXVI Title 16 Grants to States for Aid to the Aged, Blind or Disabled or Aid & Medical Assistance for theXVIII Title 18 MedicareXX Title 20 State operated home health care entitlement programXXI Title 21 State Child Health ProgramY2K Year 2000YOB Year of BirthYR YearYTD YearToDateYYYY Year (i.e., mmddyyyy)ZBB Zero Base Budgeting (OMB Circular A115)ZD Zero Defects


Acronym TermZI Zonal IndexZIP Zone Improvement Plan (ZIP Codes)ZIP+4 9 digit ZIP Code PlanZO Zero OverpricingZST Zone Standard TimeZULU Greenwich Mean Time