Acronym Glossary

Health IT: A to Z

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

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5010 – latest version of HIPAA's transaction standards (ASC X12 version 005010)
 
A
 
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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B
 
BAA – Business Associate Agreement
 
BENDEX – Beneficiary and Earnings Data Exchange
 
BI – Business Intelligence
 
BPM – Business Process Model
 
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C
 
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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D
 
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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E
 
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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F
 
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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G
 
GAMC – General Assistance Medical Care
 
GPRA – Government Performance Results Act
 
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H
 
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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I
 
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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J
 
JAD – Joint Application Design
 
JAR – Joint Application Requirements
 
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L
 
LDM – Logical Data Model
 
LTC – Long-Term Care
 
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M
 
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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N
 
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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O
 
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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P
 
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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Q
 
QA – Quality Assurance
 
QC – Quality Control
 
QDWIs – Qualified Disabled and Working Individuals
 
QM – Quality Management
 
QMB – Qualified Medicare Beneficiary
 
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R
 
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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S
 
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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T
 
TANF – Temporary Assistance for Needy Families
 
TPA – Trading Partner Agreement (an agreement between HIPAA trading partners)
 
TPL – Third-Party Liability
 
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V
 
VA – US Department of Veterans Affairs
 
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W
 
WEDI – Workgroup for Electronic Data Interchange
 
WIC – Women, Infants and Children (federal program to ensure proper nutrition)
 
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X
 
X12 – ANSI Committee responsible for Electronic Data Interchange standards
 
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