Here are some definitions for acronyms that may be helpful:
http://bcbsmi.net/providers/help/faqs/medicare-advantage/provider-toolkit/acronym-list.html
| Acronym | Definition | |
|---|---|---|
| ABN | Advance beneficiary notice | |
| AIM | American Imaging Management | |
| ASF | Ambulatory surgical facilities | |
| BCN | Blue Care Network | |
| BCBSM | Blue Cross Blue Shield of Michigan | |
| BHC | BlueHealthConnection® | |
| CAH | Critical access hospital | |
| CCN | CMS certification number | |
| CDTCLFS | Current dental terminologyClinical Laboratory Fee Schedule | |
| CMS | Centers for Medicare and Medicaid Services | |
| COB | Coordination of benefits | |
| CORF | Comprehensive outpatient rehabilitation facilities | |
| CPT | Current procedural terminology | |
| DENIS | Dial-in eligibility network and information system | |
| DME | Durable medical equipment | |
| DMEPOS | Durable medical equipment, prosthetics, orthotics and supplies | |
| DRG | Diagnosis related group | |
| EDI | Electronic data interchange | |
| ESRD | End stage renal disease | |
| FERA | Fraud Enforcement and Recovery Act of 2009 | |
| GHP | Group health plan | |
| HAR | Healthy Advantage Rewards | |
| HCPCS | Healthcare Common Procedure Coding System | |
| HEB | Health e-Blue℠ | |
| HEDIS | Health plan employer data and information set | |
| HHA | Home health agency | |
| HHPPS | Home health prospective payment system | |
| HHS | U.S. Department of Health and Human Services | |
| HIC | Health insurance claim | |
| HIPAA | Health Insurance Portabilityand Accountability Act of 1996 | |
| HIT | Home infusion therapy | |
| HPSA | Health professional shortage areas | |
| ICD-9 | An abbreviated reference to the American Medical Association’s guide to diagnosis codes, the International Classification of Disease, ninth edition | |
| IRE | Independent review entity | |
| JVHL | Joint Venture Hospital Laboratories | |
| LCD | Local coverage determination | |
| LICS | Low income cost-sharing subsidy | |
| LIS | Low income subsidy | |
| LTAC | Long-term acute care | |
| LTACH | Long-term acute care hospital | |
| MA | Medicare Advantage | |
| MHHA | Michigan Home Health Association | |
| MLN | Medicare Learning Network | |
| MMA | Medicare Prescription Drug, Improvement, and Modernization Act of 2003 | |
| MOA | Michigan Osteopathic Association | |
| MPFS | Medicare Physician Fee Schedule | |
| MSMS | Micihgan State Medical Society | |
| MSPERS | Michigan Public School Employees Retirement System | |
| NCDNLA | National coverage determination
National Limitation Amount-CMS calculates a national payment rate based on the median of these local fee schedule amounts. This median payment rate is referred to as the National Limitation Amount |
|
| NOMNC | Notice of Medicare non-coverage form | |
| NPI | National provider identifier | |
| OCR | Optical character recognition | |
| OPPS | Outpatient prospective payment system | |
| OSCAR | Online survey certification and reporting number | |
| PACE | Program of all-inclusive care for the elderly | |
| PPACA | Patient Protection and Affordable Care Act | |
| P&O | Prosthetic and orthotics | |
| Part A | Hospital insurance provided by Medicare | |
| Part B | Medical insurance provided by Medicare | |
| Part D | Prescription drug insurance provided by Medicare | |
| PBM | Pharmacy benefit manager | |
| PDP | Prescription drug plan | |
| PDR | Physician’s Desk Reference | |
| PFFS | Private fee-for-service plan | |
| PHI | Protected health information | |
| PIN | provider identification number | |
| POA | Present on admission (indicator) | |
| PPO | Preferred provider organization | |
| PPR | Prospective payment review | |
| PPS | Prospective payment system | |
| PQRI | Physician Quality Reporting Initiative | |
| PRM | Provider Reimbursement Manual | |
| PSA | Physician scarcity areas | |
| QIC | Qualified independent contractor | |
| QIO | Quality improvement organization | |
| RA | Remittance advice | |
| RAP | Request for anticipated payment | |
| RHC | Rural health clinic | |
| SCHIP | State Children’s Health Insurance Program | |
| SNF | Skilled nursing facility | |
| SOM | State of Michigan | |
| SSI | Supplemental security income | |
| UAW Retiree Medical Trust | United Auto Workers |
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