Acronym Glossary

Health IT: A to Z

A  B  C  D  E  F  G  H  M  Q  R  S  T  V  W  X

5010 – latest version of HIPAA's transaction standards (ASC X12 version 005010)
AAC – Actual Acquisition Cost; the net cost of a drug paid by a pharmacy
AAPC – Adjusted Average Per Capita Cost; the amount of funding a Medicare managed care plan receives from CMS to cover its costs
ACF – Administration for Children and Families
ACO – Accountable Care Organization
ADA – 1. American Dental Association 2. Americans with Disabilities Act
ADL – Activities of Daily Living; activities performed by individuals without assistance
AHLAT – Armed Forces Health Longitudinal Technology Application; DoD's electronic health record system
AHRQ – Agency for Healthcare Research and Quality
ANSI – American National Standards Institute
APC – Ambulatory Payment Classification
APD – Advance Planning Document
APG – Ambulatory Patient Groups
APHSA – American Public Human Services Association
ARRA – American Recovery & Reinvestment Act of 2009
ASC X 12 – Official Designation of the US National Standards Body for the Development and Maintenance of Electronic Data
ASCII – American Standard Code for Information Interchange
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BAA – Business Associate Agreement
BENDEX – Beneficiary and Earnings Data Exchange
BI – Business Intelligence
BPM – Business Process Model
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CAP – Cost Allocation Plan
CAQH – Council for Affordable Quality Healthcare
CBA – Cost Benefit Analysis
CCF – Computer-Based Training
CCHIT – Certification Commission for Healthcare Information Technology
CCI – Correct Coding Initiative; a large set of Procedure Code edits adopted by Medicaid
CCIIO – Center for Consumer Information and Insurance Oversight
CDC – Centers for Disease Control
CDCP – Centers for Disease Control and Prevention
CDM – Conceptual Data Model; Canonical Data Model
CESA – Cooperative Education Service Agency
CFR – Code of Federal Regulations
CHIP – Children's Health Insurance Program
CHIPRA – Children's Health Insurance Program Reauthorization Act of 2009
CLIA – Clinical Laboratory Improvement Act of 1988
CM – Clinical Management
CMCS – Center for Medicaid, CHIP, and Survey and Certification
CMHC – Community Mental Health Centers
CMI – Case Mix Indicator
CMMI – Capability Maturity Model Integration
CMS – Centers for Medicare & Medicaid Services
COB – Coordination of Benefits
COBA – Coordination of Benefits Agreement
COLA – Cost of Living Adjustment
CORE – Committee on Operating Rules for Information Exchange
COS – Category of Service
COTS – Commercial Off-the-Shelf Software
CPHA – Community of Professional and Hospital Activities
CPT – Current Procedural Terminology
CRF – Community Resident Facility
CRN – Claim Reference Number
CRNP – Certified Registered Nurse Practitioner
CSR – Customer Service Representative
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DAW – Dispense as Written by a Physician
DBMS – An integrated comprehensive database management system
DCN – Document Control Number
DDI – Design, Development, and Implementation
DEA – Drug Enforcement Agency
DEERS – Defense Eligibility and Enrollment Reporting System
DESI – Drug Efficacy Study Implementation
DGB – Data Governance Board
DHS – 1. Department of Human Services; 2. US Department of Homeland Security
DHHS – US Department of Health and Human Services
DME – Durable Medical Equipment
DRG – Diagnosis Related Group
DSD – Detailed System Design
DSH – Disproportionate Share Hospital
DSMO – Designated Standards Maintenance Organization
DSS – Decision Support System
DUR – Drug Utilization Review
DW – Data Warehouse
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EA – Enterprise Architecture
EAC – Estimated Acquisition Cost for Drugs
EDH Interchange – Economic and Human Development
EDI – Electronic Data Interchange
EFT – Electronic Fund Transfer
EHR – Electronic Health Record
EITA – Exchange Information Technology Architecture
EMC – Electronic Media Claims, same as ECS
EMR – Electronic Medical Record
EOMB – Explanation Of Medical Benefits; Explanation of Medicare Benefits
EOP – Explanation of Payments
ePHI – Electronic Protected Health Information
EPSDT – Early and Periodic Screening, Diagnosis, and Treatment
EQRO – External Quality Review Organization, same as PRO
ERP – Estate Recovery Program (Medicaid is able to collect against the estate of deceased recipients 55 or older when assistance was issued)
ESB – Enterprise Service Bus
ETL – Extract, Transform, and Load
EVS – Eligibility Verification System
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FA – Fiscal Agent
FEPS – Federal Exchange Program Systems
FFE – Federally-Facilitated Exchange
FFP – Federal Financial Participation
FHA – Federal Health Architecture
FI – Fiscal Intermediary
FMAC – Federal Maximum Allowable Cost
FMAP – Federal Medical Assistance Percentage
FPL – Federal Poverty Level
FPW – Family Planning Waiver
FQHC – Federally Qualified Health Center
FWA – Fraud, Waste, and Abuse
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GAMC – General Assistance Medical Care
GPRA – Government Performance Results Act
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HCBS – Home and Community Based Service
HCBW – Home and Community Based Waiver
HCPCS – Healthcare Common Procedure Coding System
HDX – Healthcare Data Exchange
HEDIS – Health Information Employer Data and Information Set
HHS – Department of Health and Human Services
HIE – Health Information Exchange
HIMSS – Health Information and Management Systems Society
HIPP – Health Insurance Premium Payment
HIPAA – Health Insurance Portability and Accountability Act of 1996
HISPC – Health Information Security and Privacy Collaboration
HIT – Health Information Technology
HITECH – Healthcare Information Technology for Economic & Clinical Health Act
HITSP – Healthcare Information Technology Standards Panel
HIX – Health Insurance Exchange
HL7 – Health Level 7 (Global authority in standards for interoperability of HIT)
HMO – Health Maintenance Organization
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IAPD – Implementation Advance Planning Document
IBP – Industry Best Practices
ICD-10 – Intl. Statistical Classification of Disease and Related Health Problems 10th Rev.
IC-MR – Intermediate Care Facility for the Mentally Retarded
ICN – Internal Control Number (used to uniquely identify MMIS health care claims)
IDIQ – Indefinite Delivery/Indefinite Quantity
IE & E - Integrated Eligibility and Enrollment (a mandate of PPACA law of 2009)
IEEE – Institute of Electrical and Electronics Engineers
IES – Integrated Eligibility System
IHS – Indian Health Service
IMD – Institute for Mental Disease
ISO – International Organization for Standardization
ISP – Individual Service Plan
ITB – Intent to Bid
ITIL – Information Technology Infrastructure Library
IV&V – Independent Verification and Validation
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JAD – Joint Application Design
JAR – Joint Application Requirements
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LDM – Logical Data Model
LTC – Long-Term Care
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MARS – Management and Administrative Reporting Subsystem
MBES – Medicaid Budget and Expenditure System
MESC – Medicaid Enterprise Systems Conference (replaced MMIS Conference in 2012)
MCH – Maternal and Child Health
MCO – Managed Care Organization
MECT – Medicaid Enterprise Certification Toolkit
MEQC – Medicaid Eligibility Quality Control
MFCU – Medicaid Fraud Control Unit
MITA – Medicaid Information Technology Architecture
MMA – Medicare Modernization Act
MMIS – Medicaid Management Information System
MOTS – Modified Off-the-Shelf
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NAMPI – National Association for Medicaid Program Integrity (replaces NASO, National Association of SURS Officials)
NASCIO – National Association of State Chief Information Officers
NCPCP – National Council for Prescription Drug Programs
NDC – National Drug Code
NHIS – National Health Information Systems
NIEM – National Information Exchange Model
NIST – National Institute of Standards and Technology
NMEH – National Medicaid EDI HIPAA Workgroup
NPDP – National Practitioner Data Bank
NPI – National Provider Identifier
NPI Enumerator – CMS contractor responsible for assisting health care providers in applying for their NPIs and updating their information in NPPES
NPP – Notices of Privacy Practices
NPPES – National Provider and Plan Enumeration System
NwHIN – Nationwide Health Information Network
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OASIS – Outcome and Assessment Information Set
OBRA – Omnibus Budget Reconciliation Act
OIS – Office of Information Services (of CMS)
OLAP – Online Analytical Processing
ONC – Office of the National Coordinator for Health Information Technology
OPPPS – Outpatient Prospective Payment System
OSCAR – Online Survey Certification and Reporting
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P4P – Pay for Performance
PA – Prior Authorization
PACE – Pharmaceutical Assistance Contract for the Elderly
PAM – Payment Accuracy Measurement
PAPD – Planning Advance Planning Document
PARIS – Public Assistance Reporting Information System
PASARR – Pre-Admission Screening and Resident Review
PBM – Pharmacy Benefit Management/Manager
PCCM – Primary Care Case Manager
PCP – Primary Care Physician/Provider
PCPCM – Primary Care Physician Case Manager
PCS – Procedure Coding System
PDA – Personal Digital Assistant
PE – Presumptive Eligibility
PECOS – Provider Enrollment Chain and Ownership System
PERM – Payment Error Reduction and Measurement
PHDSC – Public Health Data Standards Consortium
PHI – Protected Health Information
PHIN – Public Health Information Network of the Centers for Disease Control and Prevention (CDC)
PHP – Prepaid Health Plan
PHR – Personal Health Record
PIP – Periodic Interim Payment
PKI – Public Key Infrastructure
PMBOK – Project Management Body of Knowledge
PMI – Project Management Institute
PMO – Project Management Office
PMP – Project Management Professional
PPACA – Patient Protection and Affordable Care Act, 2009
PPO – Preferred Provider Organization
PSTG – Private Sector Technology Group
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QA – Quality Assurance
QC – Quality Control
QDWIs – Qualified Disabled and Working Individuals
QM – Quality Management
QMB – Qualified Medicare Beneficiary
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RAC – Recovery Audit Contractor
RAMS – Requirements Analysis Management System
REC – Regional Extension Center
RHIO – Regional Health Information Organization
REOMB – Recipient Explanation of Medical Benefits
ROSI – Reconciliation of State Invoice
RUG – Resource Utilization Group
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SACWIS – Statewide Automated Child Welfare Information System
SAMHSA – Substance Abuse and Mental Health Services Administration
SBE – State-based Exchange
SCHIP – State Children's Health Insurance Program (currently named CHIP)
SDLC – Software Development Life Cycle
SEI – Software Engineering Institute
SDO – Standards Development Organization
SDW – Shared Data Warehouse
SDX – State Data Exchange
SLA – Service Level Agreement
SMHP – State Medicaid Health Information Technology (HIT) Plan
SME – Subject Matter Expert
SMM – State Medicaid Manual
SNAP – Supplemental Nutrition Assistance Program
SNF – Skilled Nursing Facility
SNIP – Strategic National Implementation Process
SOA – Service-Oriented Architecture
SOBRA – Sixth Omnibus Budget Reconciliation Act
SOLQ – State Online Query to Social Security Administration
SOW – Scope of Work
SQL – Structured Query Language
SS-A – State Self-Assessment (a component of MITA)
SSA – Social Security Administration
SSOP – Second Surgical Opinion Program
S-TAG – State Systems Technical Advisory Group
SURS – Surveillance Utilization Review Subsystem
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TANF – Temporary Assistance for Needy Families
TPA – Trading Partner Agreement (an agreement between HIPAA trading partners)
TPL – Third-Party Liability
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VA – US Department of Veterans Affairs
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WEDI – Workgroup for Electronic Data Interchange
WIC – Women, Infants and Children (federal program to ensure proper nutrition)
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X12 – ANSI Committee responsible for Electronic Data Interchange standards
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