18.6 2015
A&AS Advisory & Assistance Service
A&G Acquisitions & Grants
A&G Administrative & General
A&R Audit & Reimbursement
A-PT ActionPhase Topic
A/P Accounts Payable
A/R Applicant and/or Recipient
A109 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 Accountants
A76 OMB Circular "Policies for Acquiring Commercial or Industrial Products or Services
AA Associate Administrator
AAA Agricultural Adjustment Administration
AAA American Automobile Association
AABB American Association of Blood Banks
AABH Association for Ambulatory Behavioral Healthcare
AACN American Association of Colleges of Nursing
AACR American Association for Cancer Research
AADA Abbreviated Antibiotic Drug Application
AAF Aplastic Anemia Foundation
AAFES Army & Air Force Exchange Services
AAFP American Academy of Family Physicians
AAGEG Administrative Analysis Grade Evaluation Guide
AAHA American Association of Homes for the Aging
AAHP American Association of Health Plans
AAHSA American Association of Homes & Services for the Aging
AAI Applications Alarms Infrastructure (GTE/MTS)
AAKP American Association of Kidney Patients
AAMC Association of American Medical Colleges
AAO American Academy of Ophthalmology
AAP American Academy of Pediatrics
AAPC American Association of Professional Coders
AAPCC Adjusted Average Per Capita Cost
AAPD American Academy of Pediatric Dentistry
AAPHR American Association of Physicians for Human Rights
AAPP Affirmative Action Program Planning
AARG Average Annual Rate of Growth
AARP American Association of Retired Persons
AARR Approval, Adjustment & Reject Response
AB (BC/BSA's) Administrative Bulletin
ABA American Banking Association
ABA American Bar Association
ABD Aged, Blind & Disabled
ABEND Abnormal Ending
ABENDAID ABEND Analysis Software
ABG Arterial Blood Gases
ABH Association of Behavioral Healthcare
ABN Advanced Beneficiary Notice
ABR American Board of Radiology
ABS Annual Beneficiary Summary
AC Actual Charge
AC Allowable Cost
ACA Amputee Coalition of America
ACC American College of Cardiology
ACC Automated Change Control
ACCT Action Plan by Electronic Claims Transaction Institute
ACD Audit Clearance Document
ACD Automatic Cancellation Date
ACE (Carrier) Automated Claims Examination
ACEI Angiotensin Converting Enzyme Inhibitors
ACEP American College of Emergency Physicians
ACERS Annual Contractor Evaluation Reporting System
ACF Administration for Children & Families
ACGIH American Conference of Government Industrial Hygienists
ACH Automated Clearing House
ACHE American College of Healthcare Executives
ACIP PHS Immunization Practice Advisory Committee
ACL Access Control Lists
ACLI American Council of Life Insurance
ACLU American Civil Liberties Union
ACM Association of Computing Machinery
ACMP Audit/Civil Monetary Penalties
ACMS Advanced Cost Management Systems
ACO Administrative Contracting Officer
ACOG American College of Obstetricians & Gynecologists
ACP American College of Physicians
ACPS Advanced Claims Processing System
ACPV Average Cost per Visit
ACR Adjusted Community (Contract) Rate
ACR American College of Radiology
ACRG Annual Compound Rate of Growth
ACRP Adjusted Community Rate Proposal
ACRS Accelerated Cost Recovery System
ACS Accredited Standards Committee
ACS American Cancer Society
ACS American College of Surgeons
ACS Automated Cartridge System
ACSC Ambulatory Care Sensitive Conditions
ACSI American Customer Satisfaction Index
ACSS Advisory Council on Social Security
ACT Access Control Table
ACTG AIDS Clinical Trials Group
ACTS Automated Case Tracking System
ACU Automatic Calling Unit
ACV Arithmetic Coefficient of Variation
ACYF Administration on Children, Youth & Families
AD Admitting Diagnosis
ADA American Dental Association
ADA American Dietetic Association
ADA Americans with Disabilities Act of 1990
ADAD After Date of Award Document
ADAMHA Alcohol, Drug Abuse & Mental Health Administration
ADAP AIDS Drug Assistance Program
ADAPSO Association of Data Processing Services Organization
ADARS Automated DASD Archival Restoration System
ADC Adult Day Care
ADG Ambulatory Diagnostic Group
ADG-HOSDOM Ambulatory Diagnostic Group Hospital Dominant
ADHA American Dental & Hygienists Association
ADJ Adjusted Claim
ADL Activities of Daily Living
ADMC Advance Determination of Medicare Coverage
ADMS Administrative Message
ADMS Alcohol, Drug Abuse & Mental Health Services
ADOBI Advanced DOB Information (System) (SSA)
ADP (Medicaid) Alternative Disposition Plan
ADP Advance Planning Document
ADP Automated Data Processing
ADR Alternative Dispute Resolution (EEO)
ADR Automated Date Review
ADR Automated Desk Review
ADS Alternative Delivery System
ADS Amount, Duration & Scope
ADS Automated Data System
ADS Automated Development System
ADSB Application Development System Batch
ADSO Application Development System Online
ADT Admission/Discharge Transfer
ADWOH Average Day's Work On Hand
AE Administrative Enhancement
AEP Appropriateness Evaluation Period
AEP Annual Coordinated Election Period
AEP Annual Enrollment Period
AERO Automatic Earnings Recomputation Operation (MBR)
AF Administrative Function
AFA Alternative Form of Annuity
AFCEA Armed Forces Communications & Electronics Association
AFDC Aid to Families with Dependant Children (Title IV of the SS Act)
AFDS Alternative Financing & Delivery System
AFEHCT American Federation of Electronic Health Care Transactions
AFEHCT Association for Electronic Health Care Transactions
AFFIRM Association of Federal Information Resources Management
AFHHA American Federation of Home Health Agencies
AFIPS American Federation of Information Resources Societies
AFN Accumulation File Number
AFPS Accounting for Pay System
AFSCME American Federation of State, County & Municipal Employees
AG Affiliated Group
AGA Association of Government Accounts
AGNS AT&T Global Network Services
AGPAM American Guild of Patient Account Managers
AHA American Heart Association
AHA American Hospital Association
AHCA American Health Care Association
AHES Average Hourly Earnings
AHFSA Association of Health Facility Survey Agencies
AHIMA American Health Information Management Association
AHP Accountable Health Partnership
AHP Accountable Health Plan
AHP Alternative Health Plan
AHP Average Historical Payment
AHPA American Health Planning Association
AHPB Adjusted Historical Payment Basis
AHRQ Agency for Healthcare Research & Quality
AHRQ Agency for Healthcare Research and Quality
AHSEA Adjusted Hourly Salary Equivalency Amount
AHSS Adhoc Sampling Survey
AI Audit Intermediary
AIC Amount In Controversy
AICC Anti-Inhibitor Coagulant Complex
AICPA American Institute of Certified Public Accountants
AICR Alternative Internal Control Review
AID Agency for Informational Development
AID Agency for International Development
AIF Applications Interface Facility
AIIM Association for Information & Image Management (trade association)
AIM Automated Insertion Machine
AIMS Audit Information Management System
AINS Advanced Information Network System
AKF American Kidney Fund
ALBN Amount of Last Billing Notice
ALC Active License Counter
ALC Active Location Counter
ALC Alternate Level of Care
ALE Annual Loss Expectancy
ALFA Assisted Living Federation of America
ALJ Administrative Law Judge
ALNF Auto Liability NoFault
ALOS Average Length of Stay
ALS Advanced Life Support
ALS Advanced Logistics System
ALSO Automatic Lump Sum Operation (MBR)
ALT Average Length of Treatment
AM Adjustment Module
AM Amplitude Modulation
AMA American Medical Association
AMASDS Asset Management & Automated Software Distribution System
AMCP Academy of Managed Care Pharmacy
AMCRA American Medical Care & Review Association
AMCS Automated Medical Coding System
AMHPS Association of Minority Health Professional Schools
AMI acute myocardial infarction (heart attack)
AMIA American Medical Informatics Association
AMIS American Management Information System
AML Arithmetic Mean of the Logarithm
AMOC Automated Manual Ordering Cycle
AMP Average Manufacturer's Price
AMR Acquisition Management Review
AMRA American Medical Records Association
AMS Activities Management System
AMW Average Monthly Wage
AN Account Number (also A/N)
ANA Administration for Native Americans
ANA American Nurses Association
ANCHR Access to the NCH Repository (online query to 5% sample)
ANCI American National Standards Institute
ANDA Abbreviated New Drug Applications
ANNA American Nephrology Nurses Association
ANSCII American National Standard Code for Information Interchange
ANSI American National Standards Institute
ANSI X12 837 American National Standards Institute Health Data Committee X12 file format 837
AO Accreditation Organization
AOA Administration on Aging
AOA American Optometric Association
AOA American Osteopathic Association
AOLS All Other Local Screens
AONE American Organization of Nurse Executives
AOPA American Orthotic & Prosthetic Association
AOR After Outliers Removed
AOR Application Owning Region
AP Award Processing
APA American Pharmaceutical Association
APA American Psychiatric Association
APACHE Acute Physiology & Chronic Health Evaluation
APC Ambulatory Payment Class
APC Average Per Capita
APC Average Projected Costs
APCSS Automated Production Control & Scheduling System (at HDC)
APD Advanced Planning Documents
APDA Accretion Premium Due Amount
APDSR Average Per Diem State Rate
APF Authorized Program Facility
APG Ambulatory Patient Group
APG Ambulatory Payment Group
APHA American Public Health Association
APHP Acute Partial Hospitalization Program
APHP Applied as Hospital Insurance Premiums
APHSA American Public Human Services Association
API Application Programming Interface
APM Admission Pattern Monitoring
APM Audit Priority Matrix
APMA American Podiatric Medical Association
APME Advisory Panel on Medicare Education
APO Awards Processing Operation
APP Application Portability Profile
APPC Advanced ProgramtoProgram Communication
APPS (GHP) Automated Plan Payment System
APR Acquisition Procurement Request
APR Agency Procurement Request
APR Average Payment Rate
APR - DRG all payer refined - diagnosis related groups
APS Acquisition Planning Schedule
APS Acute Physiology Score
APS Adjudication Payment System
APS Annual Person Summary System
APS Application Productivity System
APSA American Political Science Association
APT Automated Production Turnover
APTD Aid to the Permanently & Totally Disabled
APWA American Public Welfare Association (changed to APHSA)
AQI Audit Quality Initiative
AQL Acceptable Quality Level
AQRP Audit Quality Review Program
AR Accounts Receivable
AR Alpha Representation
ARA Assistant Regional Administrator
ARA Associate Regional Administrator
ARC AIDS Related Complex
ARC American Red Cross
ARC Association for Retarded Citizens
ARCS Accounts Receivable & Collection System
ARF Actuarial Reduction Factor Program (MBR)
ARF Area Resource File
ARIMA Arithmetic Moving Average
ARK Arkansas Part B System
ARMIS Ad Hoc Reports Management Information System
ARMS Adhoc Reports Management System
ARMS Automated Resource Management System
ARO Annualized Rate of Occurence
ARP Admission Review Program
ARS Active Record Status
ARS Advanced Record System (GSA)
ARS Advanced Retrieval System
ARS Age/Race/Sex
ARS Agricultural Research Service
ARS Altanthus Response System
ARSTOP ARS Telephone Communications Operating Procedures
ARTEMIS (mainframe project management software testing tool)
ARTS Automated Reporting & Tracking System
ARU Audio Response Unit
ARU Automated Response Unit (Phone system with automated routing)
AS Administrative Simplification
AS Advanced System (AJS)
AS American Samoa
AS Application System
ASAP Automated Standard Application for Payments
ASAP American Society of Automation in Pharmacy
ASBCA Armed Services Board of Contract Appeals
ASBCA Armed Services Board of Contract/State Assessments
ASC Accredited Standards Committee (ANSI)
ASC Ambulatory Surgical/Surgery Center
ASCA Administrative Simplification Compliance Act
ASCII American Standard Code for Information Interchange (see ANSCII)
ASCM Application Software Configuration Management
ASCO American Society of Clinical Oncology
ASCP American Society of Consultant Pharmacists
ASCPT American Society of Clinical Pharmacology & Therapeutics
ASCT American Society of Cytotechnology
ASCW Audit Selection Criteria Worksheet
ASER/SA Annual State Evaluation Report/State Assessments
ASF Automatic System Facility
ASH Assistant Secretary for Health
ASHP American Society of Hospital Pharmacists
ASHP American Society of Health Systems Pharmacists
ASHRM American Society of Healthcare Risk Management
ASI Alert Screen Initiative
ASIC Application Specific Integrated Circuit
ASIM American Society of Internal Medicine
ASIS Association Society of Industrial Security
ASM Annuity & Survivors Master (OPM file)
ASMB Assistant Secretary for Management & Budget
ASMH Assembler H Software
ASMT American Society for Medical Technologists
ASO Administrative Services Only
ASO Application Services Organization
ASP Acquisition Strategy Plan
ASPA American Society of Public Administrators
ASPE Assistant Secretary for Planning & Evaluation
ASPEN Automated Survey Processing Environment
ASPER Assistant Secretary for Personnel
ASTER Automated System for Transaction Exception Resolution
ASTHO Association of State & Territorial Health Offices
ASTM American Society for Testing & Materials
ASTME31 ASTM Committee 31
ASTS American Society of Transplant Surgeons
ATARS Audits Tracking & Reporting System
ATB All Trunks Busy
ATBCB Architectural & Transportation Barriers Compliance Board
ATLA Association of Trial Lawyers of America
ATM Aschronous Transfer Mode
ATP Advanced Technology Projects (GTE)
ATRA American Therapeutic Recreation Association
ATSDR Agency for Toxic Substances & Disease Registry (EPA)
AUF Automatic Update Facility
AUSA Assistant United States Attorney
AUSCT Autologous Stem Cell Transplantation
AUSU Assistant U S Attorney
AUTO3480 HDC LMS Robotic Processing software
AVERT AntiVirus Emergency Response Team (McAfee)
AVGS Ambulatory Visit Groups
AVP Assistant Vice President
AVT Automated Voice Technology
AWAS Automated Work Administration System
AWP Actual Wholesale Price
AWP Average Wholesale Price (Drugs)
AWP Average Wholesale Price
AZT Azidothymidine (AIDS drug therapy)
B&P Bid & Proposal
BA Basic Agreement
BA Budget Administration
BA Budget Authority
BA Business Associate
BAAADS Budget Apportionment Allotment Allowance & Database System
BAC Beneficiary Advisory Committee
BAC Billing Action Code
BACOM Beneficiary Annotation & Communication Operation
BAR Beneficiary Adjustment Report
BARS Bid Analysis & Reporting System
BATF Bureau of Alcohol, Tobacco & Firearms
BBA Balanced Budget Act of 1997
BBA Balanced Budget Act
BBRA Balanced Budget Refinement Act of 1999 (PL 106113)
BC/BS Blue Cross/Blue Shield
BCA Board of Contract Appeals
BCB Beneficiary Confidentiality Board
BCBSA Blue Cross/Blue Shield Association
BCC Billing Cycle Code
BCC Block Check Character
BCCE Baltimore Computer Conference & Exposition
BCCP Business Continuity & Contingency Plan
BCD Binary Coded Decimal
BCF Benefit Correction Form
BCN Batch Clearance Notice
BCSS Batch Completion Status Summary
BD Budget Distribution
BDAM Basic Data Access Method
BDF Bulk Data Facility
BDOD Beneficiary Date of Death
BDP Beneficiary Database Prototype
BDPC Breakthrough Drug Pricing Committee
BDPP Beneficiary Database Prototype Project
BDTS Batched Data Transmission System
BEA Budget Expense Account
BEA Bureau of Economic Affairs
BEA Bureau of Economic Analysis
BEA Business Enterprise Area
BEAM Brain Electrical Activity Mapping
BEAU Budget Expense Account Unit
BEER Beneficiary Earnings Exchange Record
BEI Budget Estimating Initiative
BENDEX Beneficiary & Earnings Data Exchange System
BENDEX Beneficiary Data Exchange
BERT (EDB) Beneficiary Enrollment Retrieval System
BESS 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 Service
BF Beneficiary File
BGN Beneficiary Given Name
BHO Behavioral Health Organization
BHS Business Health Services
BI Background Investigation
BI Benefits Integrity
BI Buy In
BIA Business Impact Analysis
BIC Beneficiary Identification Code
BICEQN BIC Equate Number
BIEC BuyIn Eligibility Code
BIER Billing Information Exchange Record
BIF Beneficiary Insurance File
BIF Benefit Information Form
BIMF Beneficiary Inactive Master File
BIPA Benefits, Improvements & Protection Act of 2000
BISC Benefit Integrity support Center
BISYNC Binary Synchronous Communication (IBM data communications protocol)
BIT Beneficiary Inquiries Taskforce
BITF Beneficiary Implementation Task Force
BITS Beneficiary Information Tracking System
BITS Beneficiary Inquiry Tracking System
BITSMIS BITS Management Information System
BIW Beneficiary Inquiries Workgroup
BL Black Lung
BLASER Black Lung Automated Search & Edit Routine
BLM Bureau of Land Management
BLP Bypass Label Processing
BLS Basic Life Support
BLS Bureau of Labor Statistics (DOL)
BLS Bureau of Labor Statistics
BLUC Bottom Line Unit Cost
BLUES Blue Cross/Blue Shield associations
BMA BioMedical Applications
BMACS Part B Medicare Automated Claims Systems
BMCHRD Bureau of Maternal & Child Health & Resources Development
BOA Basic Ordering Agreement
BOAN Beneficiary's Own Account Number (SSN)
BOCMIS Beneficiary Overpayment Control & Management Information System
BOD Bid Opening Date
BOIS Beneficiary Online Inquiry System (HI/SMI online in HCFA)
BOM Bill of Materials
BOMA Building Owners & Managers Association
BOME Bureau of Medical Examiners
BOR Before Outliers Removed
BOSS Best on Open Systems Solutions
BOSSN Beneficiary's Own SSN
BP Benefit Period
BP Best Price
BP Business Partner
BPA Blanket Purchase Arrangement (or Agreement)
BPC Base Period Charge
BPO Bargain Purchase Option
BPR Budget & Performance Requirements
BPR Business Process Reengineering
BPS Budget Preparation System
BPST Bill Processing System Test
BQAS Part B Quality Assurance System
BR Budget Request
BRA Business Resumption Assessment
BRC Base Rate Calculation
BRDPI Biomedical Research & Development Price Index
BRDS Bill Review Documentation Summary form
BRI Basic Rate Interface
BRI Benefit Rate Increase
BRRR Bills Received & Returned Report
BRS Bibliographic Retrieval Service
BRT Business Roundtable
BSA Business Software Alliance
BSC Binary Synchronous Communication
BSF Benefit Stabilization Fund
BSP Business Systems Planning
BSR (Part B) Bill Summary Records
BSRS Benefit Savings Reporting System
BSS Beneficiary Satisfaction Survey
BSS Benefit Summary Statistics
BTW Bill Type Weight
BUCS Budget Under Control System
BUR Billing Update Record
BUTE Beneficiary Database Update Transaction System (HDBUTE)
BVR Budget Variance Report
BVS Bureau of Vital Statistics
BY Budget Year
C&P Compensation & Pension (DVA)
C/BR Cost/Benefit Ratio
C/BR Cost/Burden Reduction
C/O Center or Office
C/S Client/Server
C/SPS Cost/Scheduling Performance System
C:D Connect:Direct
C2IW CAFM II Implementation Workgroup
CA Certification Authority
CA Change Administration
CA Claims Analyst
CA Competitive Advocate
CAAS Certificate for Advisory & Assistance Services
CAAS Contracted Advisory & Assistance Services
CABBS Carrier Bulletin Board System
CABG coronary artery bypass graft
CABLE Combined A/B Local Eligibility
CABS Carrier Access Billing System
CABS Contractor Administrative Budget & Cost Reporting System
CABWF Combined A/B Working File (also see CWF)
CAC Carrier Advisory Committee
CAC Categorical Assistance Code
CAC Contractor Advisory Committee
CACO Corporate Administrative Contracting Officer
CAFM Contractor Administrative, Budget & Financial Management
CAGE Contractor & Government Entity Code (formerly FSCM)
CAH Critical Access Hospital
CAHHS California Association of Hospitals & Health Systems
CAHP Consumer Assessment of Health Plan
CAHPS Consumer Assessments of Health Plans Survey
CAHSA California Association of Home Services for the Aged
CALPERS California Public Employees Retirement System
CALSO (Death Termination System (SSA))
CAMP Carrier Accountability Monitoring Project
CAMS Customer Account Management System
CAN Claim Account Number
CAN Common Accounting (or Account) Number
CANDA Computer Assisted New Drug Applications
CAP Change Acceleration Process
CAP Corrective Action Plan
CAP community acquired pneumonia
CAP-REL Capital Related
CAPI Computer Assisted Personal Interviewing (software)
CAPS Capitated Ambulatory Plan
CAPS Claims Automated Processing System (SSA MBR)
CAR Corrective Action Review
CAR Cost Accounting Report
CARE Center for Analytical Review & Education
CARES Contractors Analysis & Reporting System
CARF Commission on Accreditation of Rehabilitation Facilities
CARRPR Carrier Payment Record
CAS Cost Accounting Standards
CASB Cost Accounting Standards Board
CASE Committee on Academic Science & Engineering Report
CASE Computer Aided (or Assisted) Software Engineering
CASE Computer Assisted Systems Engineering
CASF Carrier Alphabetic State File
CASL Competition Advocate Shopping List
CASO (HI) Combine & Sort Operation
CASPER Certification and Survey Provider Enhanced Reporting
CASPRO Clinical Area Support PRO
CASR Contractor Audit & Settlement Report (System)
CAST Carrier Alpha State Microfilm/Microfiche System
CAST Carrier Alpha State Tape
CAST Contractor Assessment Security Tool
CASU Cooperative Administrative Support Program
CAT Computerized Axial Tomography
CAWR Combined Annual Wage Reporting
CB Consolidated Billing
CB Cost Benefit
CBA Cost/Benefit Analysis
CBC Cipher Block Chaining
CBC Center for Beneficiary Choices
CBI Confidential Business Information
CBO Congressional Budget Office
CBR CASE Based Reasoning
CBR Cost Based Reimbursement
CBS Current Beneficiary Survey (by OACT)
CBSR Cost Benefit Savings Report
CBSS Customer Billing Services System
CBT Computer Based Training
CC Ceiling Cost
CC Claims Control
CC Complication or Comorbidity
CC Condition Code
CC Configuration Control
CCA Catastrophic Coverage Act
CCA Child Care Association
CCB Change Control Board
CCC Change Control Coordination
CCC Civilian Conservation Corps
CCC Comprehensive Care Center
CCDR Contract Cost Data Report
CCDRS Contract Cost Data Reporting System
CCHCC Coordinating Center for Home & Community Care
CCI Correct Coding Initiative
CCIP Chronic Care Improvement Programs
CCITT Consultative Committee on International Telephone & Telegraph
CCLR Claims Collection Litigation Report
CCM Common Cap Module
CCN Carrier Control Number
CCN Claim Control Number
CCN Correspondence Control Number
CCO Claims Collection Officer
CCP Change Control Planning
CCP Comprehensive Care Provider
CCP Coordinated Care Plans
CCP Comprehensive Compliance Program
CCPR Coordinated Comprehensive Provider Review
CCR Cost to Charge Ratio
CCR Coverage Compliance Reviews
CCRC Continuing Care Retirement Community
CCRC Continuum of Care Residential Center
CCS Community Care Setting
CCS Contract Control System
CCU (Carrier) Cost Containment Unit
CCUITT Consultive Committee on International Telegraphy & Telephony
CD Civil Defense
CD-RISC Clinically Detailed Risk Information System for Costs
CDB (Carrier) Correspondence Database System
CDC Center for Disease Control
CDC Corporate Data Center
CDE Core Data Element
CDF Children's Defense Fund
CDI Catastrophic Drug Insurance (Trust Fund)
CDM (Hospital) Charge Description Master (Files)
CDOC Covered Days of Care
CDP Computerized Decision Procedures
CDR Continuing Disability Review
CDR Critical Design Review
CDRG Children's Diagnosis Related Groups
CDRL Contract Data Requirements List
CDRTS COMDISCO Disaster Recovery Services
CDS Central Distribution System
CDS Chain Directory System
CDT Current Dental Terminology
CDW Collision Damage Waiver
CDWOH Calendar Days Work on Hand
CE Covered Entity
CEA Cost Effectiveness Analysis
CEA Council of Economic Advisors
CEB Contractor Efficiency Benchmark
CEB Cost Efficiency Benchmark
CEBMA Computer & Business Equipment Manufacturers Association
CED Committee for Employees with Disabilities
CELIP Claim Expansion & Line Item Processing
CEMS CostEffectiveness Measurement System
CER Capital Expenditure Review
CER Combined Exchange Record (from the MBR) (nee URIC)
CER Comprehensive Evaluation Report
CER Cost Estimating Relationship
CERT Comprehensive Error Rate Testing
CES Cost Estimating System
CES Credential Evaluation Service
CF Case Folder Control System
CF Conversion Factor
CFB Cipher Feedback
CFE Contractor Furnished Equipment
CFO Chief Financial Officer
CFOA Chief Financial Officer's Act of 1990
CFPP Contracting for Prepaid Plans
CFR Code of Federal Regulations
CFSR Contract Funds Status Report
CGMP Current Good Manufacturing Practice
CHA Catholic Health Association
CHA County Health Authorities
CHAFF Change of Address System (MBR)
CHAIN Chain Provider Director System
CHAMPUS Civilian Health & Medical Programs of the Uniformed Services (Now TRI-CARE)
CHAMPVA Civilian Health & Medical Program of the Veterans Administration
CHAP Child Health Assurance Program
CHAP Community Health Accreditation Program
CHAPS Consumer Assessment of Health Plans Survey
CHBI Commission on Health Benefits & Integration
CHC Community Health Center
CHC Comprehensive Health Center
CHC Continuous Home Care
CHCC Center for Hospital & Community Care
CHCL Center for Health Care Law
CHDR Center for Health Dispute Resolution
CHDS (National) Charge Distribution System
CHER Center of Health Economics Research (aka HERI)
CHF Congestive Heart Failure
CHHA Certified Home Health Agency
CHHC Continuous Home Health Care
CHI Catastrophic Health Insurance
CHICN HI Enrollment Cards Operation (HECHICN)
CHICO Combined Health Insurance & Checkwriting Operations
CHIM Center for Healthcare Information Management
CHIME College of Healthcare Information Management Executives
CHIP Catastrophic Health Care Program
CHIP Child Health Insurance Program
CHMSA Critical Health Manpower Shortage Area
CHN Community Health Network
CHO Community Health Organization
CHOW Change of Ownership
CI Catastrophic Indicator
CI Configuration Identification
CI Configuration Item
CI Control Interval
CIA Commercial Industrial Activity (also GCIA)
CIADV Carrier/Intermediary Advance Notice
CICA Competition in Contracting Act (1984)
CICG Critical Infrastructure Coordination Group
CICO Commercial Industrial Control Officer
CICS Customer Information Control System (replaces SSADARS)
CID Commercial Item Description
CIEP Contractor Inspection & Evaluation Program
CIM Corporate Information Management
CIM Coverage Issues Manual
CIMS Case Investigation Management System
CIN Common Identification Number
CIO Chief Information Officer
CIP Claims In Process
CIP Competitive Incentive Program
CIP Continuous Improvement Process Program
CIP Customer Initiated Payments
CIPS (FRC) Center Information Processing System
CISC Complex Instruction Set Computing
CISTR Correspondence Image Storage, Transmission & Retrieval
CITIC Consolidated Information Technology Infrastructure Contract
CKD Count Key Data
CKM Constructive Key Management
CLAIM Community Leaders Assisting the ICA (Insurance Counseling Assistance) in Missouri
CLCCP Comprehensive Limiting Charge Compliance Program
CLFS Clinical Laboratory Fee Schedule
CLIA Clinical Laboratory Improvement Act (of 1965) (Amendments 1988)
CLIA Clinical Laboratory Interstate Act (or Amendments)
CLM Current Logical Model
CLMA Clinical Laboratory Management Association
CLOE (Carrier) Claims Only Entry System
CLT Certified Lab Technician
CLUW Coalition of Labor Union Women
CM Complexity Metrics
CM Configuration Management
CM Configuration Manual
CMA Contract Management Action
CMA Current Month Accrual
CMD Carrier Medical Director
CMD Contractor Medical Directors
CMFMRA Consolidated Master File of Military Retirees & Annuitants
CMG Case Mix Group
CMG Computer Measurement Group
CMG Contractor Management Group
CMHC Community Mental Health Center (or Clinic)
CMHS Continuous Medical (or Medicare) History Sample (or Study)
CMI Case Mix Index
CMIS Communications Management Information System
CMM Capability Maturity Model
CMN Certified Medical Necessity
CMP Capacity Management Program
CMP Career Management Program
CMP Change Management Process
CMP Civil Monetary Penalty
CMP Competitive Medical Plan (under TEFRA)
CMP Comprehensive Medical Plan
CMP Configuration Management Plan
CMP Competitive Medical Plan
CMP-EIS CMP Executive Information System
CMPL Civil Monetary Penalty Law
CMPL Civil Monetary Penalty Liability
CMPTS Civil Monitory Penalty Tracking System
CMR Comprehensive Medical Review
CMRI California Medical Review, Inc.
CMS Centers for Medicare and Medicaid Services (HCFA prior to July 1, 2001)
CMS Centers for Medicare & Medicaid Services
CMSA Consolidated Metropolitan Statistical Area
CMSS Council of Medical Specialty Societies
CMTI Customized Claims System Identifier
CN Claim Number (also C/N)
CNACO Community Nursing & Ambulatory Care Organization
CNBC Congress of National Black Churches
CNH Community Nursing Home
CNPB Clean NonPIP Bills
CNV Conversion Phase
CO Central Office
CO Change Order
CO Coinsurance
CO Contract Officer
CO Control Officer
COA Change of Address
COB Close of Business
COB Coordination of Benefits
COB Coordination of Benefit
COBA Coordination of Benefits Agreement
COBC Coordination of Benefits Contractor
COBRA Consolidated Omnibus Budget Reconciliation Act (of 1985)
COC Certificate of Competency
COCA Clearinghouse on Computer Accommodation
COF Carrier Option File
COFFE Council of Former Federal Employees
COG Continuity of Government
COGME Council On Graduate Medical Education
COI Certificate of Indebtedness
COI Change of Intermediaries
COM Centralized Office Minicomputer
COM Computer Output Microfilm
COM Current Operating Month
COMPAS COMDISCO Plan Automation System
COMSEC Communication Security
CON Certificate of Need
CONOPS Concept of Operations
CONUS Continual U.S. (48 Contiguous states & DC, aka: CONTERMINOUS U.S.)
COO Chief of Operations
COO Chief Operating Officer
COOP Continuity of Operation Plan
COP Concept of Operations Papers
COP Conditions of Participation
COP Continuation of Pay
COPC Community Oriented Primary Care
COPD Chronic Obstructive Pulmonary Disease
COPES Community Options Program Entry System
CORC Carrier of Record Control
CORF Comprehensive Outpatient Rehabilitation Facility
CORTS Calculation of Overpayment Recovery Timeliness System
COT Chain of Trust
COTF Chain Organization Task Force
COTR Contract Officer's Technical Representative
COWAPS Council on Wage & Price Stability
CP Claims Processing
CP Contractor Profiles
CP/M Control Program for Microprocessors
CPA Cost Plus Award
CPAF Cost Plus Award Fee
CPAP Common Provider Audit Program
CPAP Continuous positive airway pressure
CPAS Claims Processing Assessment System
CPCM Certified Professional Contract Manager
CPD Competitive Pricing Demonstration
CPD Cost Per Discharge
CPDA Current Premium Due Amount
CPDAH CPDA Hospital Insurance
CPE Certified Public Expenditures
CPE Contractor Performance Evaluation
CPEP Contractor Performance Evaluation Program (or Profile)
CPFA Cost Plus Fee Award
CPFF Cost Plus Fixed Fee
CPHA Commission on Professional Hospital Activities
CPI Consumer Price Index
CPI Coverage Period Indicator
CPI-PD Consumer Price Index for Prescription Drugs and Medical Supplies
CPI-U Consumer Price Index for Urban Areas
CPIC Certification Package for Internal Controls
CPIF Cost Plus Incentive Fee
CPM Claims Processing Manual
CPM Clinical Performance Measure
CPM Contractor Performance Management (Module)
CPM Critical Path Method
CPM Current Payment Month
CPM/EIS Contractor Performance Management / Enterprise Information System
CPMD Continuous Passive Motion Device
CPO Care Plan Oversight
CPO Chief of Purchasing Office
CPPC Cost Plus Percentage of Cost
CPQC Claims Processing Quality Control
CPR Comparative Performance Report
CPR Computerized Patient Record
CPR Contractor Performance Report
CPR Cost Performance Report
CPR Customary, Prevailing & Reasonable (Charge)
CPRI Computer-based Patient Record Institute
CPRS Contractor Performance Reporting System
CPS Center for Policy Studies
CPS Classified Position System
CPS Critical Payment System
CPSC Consumer Products Safety Commission
CPSR Contractor Purchasing (or Procurement) System Review
CPT Claims Processing Timeliness
CPT Common Procedural Terminology
CPT Cost Per Treatment
CPT Current Procedural Terminology
CPT-4 Current Procedural Terminology, Version 4
CPU Central Processing Unit
CPV Cost Per Visit
CQAS Carrier Quality Assurance System (now Part B QAS)
CQI Continuous Quality Improvement
CQMR Carrier Quarterly Medical Review
CR Change Request
CR Continuing Resolution
CR Cost Report
CR Cross Reference
CRAG Contractor Risk Assessment Guide
CRAH Change Request Approval History
CRAM Cross Region Access Method
CRB Change Review Board
CRC Capital Related Costs
CRC Career Resource Center
CRC Cyclic Redundancy Check
CRCC Compensation Related Customary Charges
CRD Chronic Renal Disease (aka: ESRD (preferred))
CREP Cost Report Evaluation Program
CRESUS Cost Report Evaluation System subsystem
CRF Change Request Form
CRG Carrier Representative Group
CRI Client Record Index
CRI Controlled Rate of Increase
CRIPA Civil Rights of Institutionalized Persons Act
CRLE Cost Reimbursement Level of Effort
CROWD Contractor Reporting of Operational & Workload Data
CRP Common Rules Processor
CRP Consolidated Review Program
CRS Congressional Reporting System
CRS Congressional Research Service
CRSL Cost Report Settlement Log
CRTS Cuff Records Tracking System
CRVR Catastrophic Repeal Validation Review
CRVS California Relative Value Study
CRWH Change Request Work History
CS Claims Services
CS Covered Services
CS Abbreviation for Customer Service
CSA Computer Security Act of 1987
CSA Cross Service Agreement
CSAMS Customer Service Assessment & Management System
CSAP Center for Substance Abuse Prevention
CSAT Computer Security Awareness Training
CSC Customer Service Center
CSCC Customer Service Call Center (nee SPOC, now CSC Customer Service Center)
CSD Customer Service Desk
CSF Critical Success Factor
CSI Computer Security Institute
CSIRC Computer Security Incident Response Capability
CSMI Corporate Storage Management Initiative
CSMM Customer Support for Medicare Modernization
CSO Community Service Offices
CSO Customer Service Order
CSOT Customer Service Outstation Team (also OCST)
CSP Certified Systems Professional
CSP Customer Service Plan
CSP Customer Service Program
CSR Core Security Requirements
CSR Customer Service Record
CSR Customer Service Representative
CSR Customer Service Request
CSR Abbreviation for Customer Service Representative
CSRA Civil Service Reform Act of 1978
CSRS Civil Service Retirement System
CSSP Computer Systems Security Plan
CSSR Communications System Segment Replacement
CSSR Cost Schedule Status Report
CST Consumer Service Team
CSTE Council of State & Territorial Epidemiologists
CSTP Carrier System Testing Project (or Program)
CTC Certified Transplant Center
CTMP Contractor Task Management Plan
CTR Contingency Plan Report
CTS Clear To Send
CTS Contracts Tracking System
CUI Customer User Interface
CVA Current View Area
CVE Common Vulnerabilities & Exposures
CVF Current Value of Funds
CWF Common Working File (see NCHS)
CWF/MSP Common Working File / Medicare Secondary Payer
CWFA Common Working File Part A
CWFB Common Working File Part B
CWFDOCO Common Working File Documentation File
CWFHPEP Common Working File Host Performance Evaluation Program
CWFINFOBASE Common Working File Information Database
CWFM Common Working File Maintenance
CWFM/IV&V Common Working File Maintenance / Independent Verification & Validation
CWFMC Common Working File Maintenance Contractor
CWFMQA CWF Medicare Quality Assurance System
CWFQAS Common Working File Quality Assurance System
CWRS Contractor Workload Reporting System
CWS Compressed Work Schedule
CWS Contractor Workload System
CY Calendar Year
CY Critical Year
D&F Determinations & Findings
DA Data Acquisition
DA Data Administration
DA Data Administrator
DA Data Analysis
DA Data Architecture
DA Direct Access
DA Dynamic Allocation
DA&A Drug Addiction & Alcoholism
DAB Departmental Appeals Board
DAC Discretionary Access Control
DACA Days After Contract Award
DAD Data Access Diagram (aka: DSD)
DAE Data Entity
DAF Discretionary Adjustment Factor
DAMA Data Administration Management Association
DAP Data Administration Plan
DAP DMERC Advisory Panel
DARC Delete Automatic Renewal Clause
DARO Days After Receipt of Order
DAS Distributed Application Services
DASD Direct Access Storage Device (also Global DASD)
DASM Data Administration Standards Manual
DASMB (HHS) Deputy Assistant Secretary for Management & Budget
DAT Decision Analysis Team
DAT Digital Audio Tape
DATAMED Medicaid Quality Control System
DAWN Drug Abuse Warning Network
DB Direct Billing
DBA Data Base Administrator
DBA Database Administration
DBA Doing Business As
DBC Drug Benefit Calculator
DBDB Direct Billing Data Base
DBE Data Base Environment
DBF Data Base File (also DB/F)
DBI Direct Billing Integration
DBIS Direct Billing Integration System
DBM Database Management
DBMS Database Management System
DBPC Direct Billing Premium Collection
DBPS Drug Bill Processors
DBRP DB Rules Processors
DBS Direct Billing System
DC Data Communications
DC Data Controls
DC Deck Checks (also D/C)
DC Diagnostic Code
DC Discharge
DCAA Defense Contract Audit Agency
DCB Data Control Block
DCC Debt Collection Center
DCCA Data Computer Corporation of America
DCD Data Carrier Direct
DCF Dually Certified Facility
DCG Diagnostic Cost Group (Demonstration)
DCIA Debt Collection Improvement Act of 1966
DCIS Debt Collection & Improvement Act
DCIS Department Contract Information System
DCN Document Control Number
DCO Directed Change Order
DCO Directed Charge Order
DCP Data Conversion Plan
DCP Department of Carrier Procedures
DCS Debt Collection System
DD Data Dictionary
DD day (i.e., mmddyyyy)
DD Developmental Disabilities
DD/DBA Designation of Data / Database Administration
DDDL Data Dictionary Definition Language
DDE Direct Data Entry
DDE Dynamic Data Exchange
DDI Data Distribution Initiative
DDL Data Description Language
DDP Direct Dealing Provider
DDP Distributed Data Processing
DDPS Drug Data Processing System
DDR Discharge During Referral
DDS Data Dictionary System
DDS Disability Determination Service
DDS Distributed Database System
DEA Delegated Examining Authority
DEA Drug Enforcement Administration (or Agency)
DEAR Department of Energy Acquisition Regulations
DEBCO Debit & Benefit Conversion Operation (MBR)
DEC Dual Entitlement Code
DECC Dental Content Committee
DED Data Element Dictionary
DEERS Defense Enrollment Eligibility Reporting System (DOD, CHAMPUS)
DEFRA Deficit Reduction Act of 1984
DEIS Draft Environmental Impact Statement
DEL Delivery
DEMOST Dual Entitlement Maintenance Operation System
DEP Deputy
DEPO Division of Enrollment and Payment Operations
DEPPM Data Exchange & Participating Physician Monitoring
DES Data Encryption Standard
DES Dollar Equivalency System (FTE hrs. worked x $ paid to employee)
DESI Drug Efficacy Study & Implementation Program
DESY Data Extract Software System
DF/DSS Data Facility/Data Set Service (Utility Software)
DFD Data Flow Diagram
DFLSD Death File Limiting State Death (SSA DUMAS National Death Repository)
DFP Data Facility Product
DFWA DrugFree Workplace Act of 1988
DHHS Department of Health & Human Services
DHHSAA DHHS Audit Agency
DHWHIM Daily Health Insurance Master Health Insurance Merge
DI Disability Insurance
DIA Defense Intelligence Agency
DIB Data Integrity Board
DIB Disability Insurance Beneficiary
DICOM Digital Imaging and Communications in Medicine
DIDO Duplication In, Duplication Out
DII Defense Information Infrastructure
DIMES Departmental Information Management Exchange System
DIP Dual InLine Package
DIRT Distributed Index of Rejected Transactions
DIS Disabled (beneficiary)
DISA Data Interchange Standards Association
DISA Direct Inward System Access
DISC Departmental Independent Study Center
DIU Defense Intelligence University
DJ Department of Justice (DOJ)
DL Data Language
DLL Dynamic Linked Libraries
DLRO Designated Lead Regional Office
DM Data Manager
DM Data Model
DM&S (DVA) Department of Medicine & Surgery
DMCL Data Base Management Control Language
DMD Data Model Diagram
DME Distributed Management Environment
DME Durable Medical Equipment
DMEFS Durable Medical Equipment Fee Schedule
DMEPOS Durable Medical Equipment Prosthetic, Orthotics & Supplies
DMERC Durable Medical Equipment Regional Carrier
DML Data Management Language
DML Data Manipulation Language
DMP Data Match Project
DMS Data Mass Storage
DMS Disk Management System
DMS/OS DASD Management System
DMSS Data Management SubSystem Capabilities
DNA Data Normalization Analysis
DNC Data Network Contractor
DNMNTR Denominator System
DO Data Owner
DO District Office
DOA Department of Agriculture
DOB Date of Birth
DOC Days of Care
DOC Department of Commerce
DOD Date of Death
DOD Department of Defense (DoD)
DOD Department of Defense
DODCI Department of Defense Computer Institute
DOE Date of Entitlement
DOE Department of Energy
DOEH Date of Entitlement to Hospital Insurance (Medicare Part A)
DOES Date of Entitlement to Supplementary Medical Insurance (Medicare Part B)
DOG Day One Group
DOI Department of Interior
DOIAC District Office Intermediary Action Cases
DOIAC District Office/Intermediary Aged Cases (OBSOLETE)
DOJ Department of Justice
DOL Department of Labor
DOLA Delegation of Leasing Authority
DOLBA Date of Last Billing Action
DOM Developmental Office Minicomputer
DOME (Society of Health Systems) Directors of Management Engineering
DOORS Dynamic Object Oriented Requirements System
DOS Date of Service
DOST Date of Suspension or Termination
DOT Department of Transportation
DOTH Date of Termination of Hospital Insurance
DOTS Date of Termination of Supplementary Medical Insurance
DP Data Processing
DP Disability Pension
DP Distinct Part
DPA Delegation of Procurement Authority
DPD Deferred Payment Date
DPF Distinct Part Facility
DPM Deputy Program Manager
DPNA Denial of Payment New Admissions
DPP Disproportionate Patient Percentage
DQC Data Quality Committee
DQSC Data Quality Steering Committee
DR Desk Review
DRA Data Release Agreement
DRA Deficit Reduction Act of 1984
DRA Disaster Recovery Assessment
DRAFT Dictionary/Repository Access Facility & Tools System
DRAIN Desk Review Artificial Intelligence Network
DRAM Dynamic Random Access Memory
DRG Diagnostic Related Group (patients with similar illness)
DRI Drug Rebate Initiative
DRP Disaster Recovery Plan
DRS Data Review System
DRUG Data Release Users Guide
DS Data Set
DSAF Decision Support Access Facility
DSCN Data Service Centers & Network
DSD Data Structure Diagram (aka: DAD)
DSD Detailed Systems Design
DSH Disproportionate Share Hospital
DSM Diagnostic & Statistical Manual
DSM-IV Diagnostic & Statistical Manual of Mental Disorders, 4th Edition
DSMD Discount Schedule & Marketing Data
DSMO Designated Standards Maintenance Organizations
DSMS Development & Support Management System
DSN Data Set Name
DSN W/W Defense Switched Network Worldwide
DSP Design Specification Package
DSP Disproportionate Share Payments
DSR Data Set Ready
DSR Design Manager
DSS Decision Support System
DSS Department of Social Services
DSTU Draft Standard for Trial Use
DTC Design to Cost
DTE Data Terminal Equipment
DUA Data Use Agreement
DUCS Daily Update Control System (HDDUCS)
DUDEX Daily Update Data Exchange System
DUMAS Daily Update Master Accounting System (MBR)
DUNS Data Universal Numbering System
DUO Daily Update Operation
DUR Drug Utilization Review
DVA Department of Veterans Affairs (nee VA)
DVAAP Disabled Veterans Affirmative Action Program
DVR Data Validation Review
DWA Disabled Working Aged
DWARF Data Warehouse Access & Retrieval Facility
DWB Disabled Widow's Benefits
DWI Data Warehouse Initiative
DWI Disabled & Working Individual (see QDWI)
DWOH Days Work On Hand
DX Diagnosis
DXGROUP Diagnosis Group
E-PSA Electronic Public Service Announcement
E/M Evaluation & Management
EA Emergency Assistance
EA Exception Analyst
EAB Enumeration at Birth (SSA)
EAC Estimate at Completion
EAC Estimated Acquisition Cost
EAC Executive Advisory Committee
EACH Essential Access Community Hospital
EAJA Equal Access to Justice Act
EAL Evaluation Assurance Level
EAQC Equal Access Quality Committee
EAR Early Alert Report
EB ESRD Bene
EBCDIC Extended BinaryCoded Decimal Interchange Code
EBNE Eligible But Not Enrolled
EBRI Employee Benefit Research Institute
EC Enrollment Control
EC Evaluation Criterion
EC Event Cycle
ECB Electronic Code Book
ECD Executive Development Council
ECF Extended Care Facility
ECFMG Educational Commission for Foreign Medical Graduates
ECI Employment Cost Index
ECKD Extended Count Key Data
ECM Electronic Counter Measures
ECP External Counterpulsation
ECP Electronic Claims Processing System
ECP Engineering Change Proposal
ECR Electronic Cost Report
ECRD Early Complaint Resolution Process
ECRS Electronic Correspondence Referral System
ECS Electronic Certification System
ECS Extended Care Services
ECTI Electronic Claims Transaction Initiative
ED Electronic Commerce
ED Emergency Department
EDB Enrollment Database (CMS Medicare beneficiary entitlement record)
EDB Enterprise Database
EDBCCB EDB Change Control Board
EDBCRP EDB Common Rules Processor
EDBFPS EDB Five Percent Sample
EDBO EDB Online
EDBOTP EDB OnLine Transaction Processing
EDBP Enrollment Database PRISM (Staff)
EDBS Enrollment & Direct Billing System
EDBTP EDB Transaction Processors
EDBUPT EDB Online Update Facility
EDBW EDB Workbench
EDEES ESRD Data Entry & Editing System
EDF Execution Diagnostic Facility
EDG Emergency Department Group
EDG Enterprise Database Group
EDI Electronic Data Interchange
EDIFWG Electronic Data Exchange Federal Work Group
EDIPAC Electronic Data Interchange / Payment & Collection
EDOH Executive Director, Office of Hearings
EDP Electronic Data Processing
EDPO EDB Printout
EDTA European Dialysis & Transplantation Association
EDW Electronic Data Warehouse
EEG Electroencephalograph
EEVS Enrollment Eligibility and Verification System
EF Exposure Factor
EFC Exclusions From Coverage
EFT Electronic Funds Transfer
EFTS Electronic File Transfer System (GHP large volume transfer to HDC)
EFTS Electronic Funds Transfer System
EGHP Employer Group Health Plan
EH Emergency Hospital
EHNAC Electronic Healthcare Network Accreditation Commission
EHS Abbreviation for Environmental Health & Safety
EIA Electronic Industries Association
EIA 232-C EIA electrical interface standard 232C
EIB Employer Insured Beneficiary
EIN Employee Identification Number (aka SUEI)
EIN Employer Identification Number
EIS Enterprise Information System
EIS Environmental Impact Statement
EIS Executive Information Systems
EISA Extended Industry Standard Architecture
EJR Expedited Judicial Review
EKMS Electronic Key Management System
ELAN Extended Local Area Network
ELF Extremely Low Frequency
EM Enrollment Module
EMATS Electronic Memo Acceptance Tracking System (TSO to NCC)
EMB Eligible Medicare Beneficiary
EMBER Edit for Multiple Bene Entitlement Records
EMC Electronic Media Claim
EMCP Electronic Media Claims Processing
EMCSES Electronic Media Claims Standard Enforcement Software
EMEVS Electronic Medicaid Eligibility Verification System
EMI/EMC Electromagnetic Interference/Electromagnetic Compatibility
EMIA Educators Mutual Insurance Association
EMSS Emergency Medical Service System
EMT Emergency Medical Technician
EMTALA Emergency Medical Treatment and Active Labor Act
ENDOP End of Month Operation
ENIAC Electronic Numerical Integrator and Computer
ENOA Elimination of Notice of Admission (also EONA)
ENQ Enquiry Control Character
ENROLL Enrollment
ENS Electronic Network Services
ENTMRG Prior Entitlement Merge (HDENTMRG)
ENTRAP ENrollment TRAnsaction Processors
EO Executive Order
EOB Explanation of Benefits
EOC Episode of Care
EOIS Enrollment Online Inquiry System (use EDBOIS)
EOM End of Month
EOMB Executive Office of Management & Budget
EOMB Explanation of Medical Benefits
EONA Elimination of Notice of Admission (also ENOA)
EOP Executive Office of the President
EOQ Economic Order Quantity
EOS Economies of Scale
EOT End of Transmission
EOY End of Year
EP Enrollment Period
EP STUDIES Electrophysiological Studies
EPA Environmental Protection Agency
EPAAR EPA Acquisition Regulations
EPC Emergency Protection Coordinators
EPESE Established Populations for Epidemic Logic Studies for the Elderly
EPICS Eligibility Programs Integrated Computer System
EPM Electronic Post Mark
EPOC External Point of Contact
EPSDT Early & Periodic Screening, Diagnosis & Treatment Program (or Services)
ER EntityRelationship
ERA Electronic Remittance Advice
ERD EntityRelationship Diagram
ERIC ERISA Industry Committee
ERISA Employee Retirement Income Security Act of 1974
ERISA Employee Retirement Income Security Act of 1974 (ERISA)
ERMA Edit & Reformat Maintenance Operation (HMERMA)
ERMA Edit & Reject Monthly Accumulation Report System
ERN Electronic Remittance Notice
ERNIE EDB Enrollment Retrieval New Interactive Edit System
ERP Enterprise Resource Planning
ERQ Engineering Requirements
ERS Experimental Reimbursement System
ERV EntityRelationship Verification
ES Emergency Service
ESA Enterprise System Architecture
ESA Exceptional Service Award
ESA Extended Structure Architecture
ESA Extended Systems Architecture
ESP External Services Providers
ESQ Entitlement Status Query
ESRD EndStage Renal Disease
ESRD End Stage Renal Disease
ESRD PMMIS ESRD Program Management & Medical Information System
ESRDBF EndStage Renal Disease Beneficiary File
ESS Estimating System Survey
ESTS Enrollment Statistical Tabulation System
ET Expenditure Target
ETB End of Block
ETC Estimate to Complete
ETL Extraction Transformation & Loading
ETM Extended Terminal Multiplexer
ETV Estimated Test Volume
EVAN Electronic Verification of Alleged Number
EVPN Enhanced Virtual Private Network
EVS Eligibility Verification System
EVS Enumeration Verification System
EWU Equivalent Work Unit
EXA EExtended Architecture
F&A Fraud & Abuse
F&D Findings & Determination
FA Field Audit
FA Fiscal Agent
FA Functional Area
FAA Federal Aviation Administration
FAC Federal Acquisition Circular
FAC Freestanding Ambulatory Care
FAC Freestanding Ambulatory Center
FACA Federal Advisory Committee Act
FACCT Foundation for Accountability
FACP Final Administrative Cost Proposal
FACS Final Administration Cost System
FACS Financial Accounting System
FACTS Federal agency Centralized Trial Balance System
FADPUG Federal ADP Users Group
FAFD Federal Assistance Financing Division
FAH Federation of American Hospitals
FAHS Federation of American Health Systems
FAIR Fund for Assuring an Independent Retirement
FAQ Frequently Asked Question
FAR Federal Acquisition Regulations (48 CFR, Ch. 1)
FAR Federal Acquisition Regulation
FARA Federal Acquisition Regulation Automated System
FARC Federal Archives Records Center
FARS Financial Assistance Reporting System
FASA Federal Acquisition Streamlining Act of 1994
FASA Federated Ambulatory Surgery Association
FASAB Federal Accounting Standards Advisory Board
FASB Federal Accounting Standards Board (or Bureau)
FASC Freestanding Ambulatory Surgery Center
FASEB Federation of American Societies for Experimental Biology
FAT First Article Testing
FBI Federal Bureau of Investigation
FBR Federal Benefit Rate
FC Final Claim
FC Folder Control
FCA Farm Credit Administration
FCA Functional Configuration Audit
FCC Federal Communications Commission
FCCA Federal Claims Collection Act of 1966 (31USC3711 & 4CFR)
FCCA Federal Computer Crime Act of 1984
FCCBC Federal Coordinating Committee on Breast Cancer
FCD First Claims Development
FCM First Credit Month
FCT File Control Table
FCW Freedom of Choice Waiver
FDA Food & Drug Administration
FDA Food and Drug Administration
FDG Fluorodeoxyglucose
FDIC Federal Deposit Insurance Corporation
FDO Formula Driven Overpayment
FDOEH First Date of Entitlement to Hospital Insurance (Part A)
FDOES First Date of Entitlement to Supplementary Medical Insurance (Part B)
FEC Federal Election Commission
FEC Freestanding Emergency Center
FED-STD Federal Standard
FEDSIM Federal Computer Performance Evaluation & Simulation Center
FEDSIM Federal Systems Integration Management
FEDSTRIP Federal Standard Requisitioning & Issue Procedures
FEDWIRE Federal Wire Transmission System
FEHBP Federal Employee Health Benefits Program
FEMA Federal Emergency Management Agency
FEPCA Federal Employees Pay Comparability Act of 1990
FERAS Front-End Risk Adjustment System
FERC Federal Energy Regulatory Commission
FERCCA Federal Erroneous Retirement Coverage Corrections Act of 2000
FF Facility File
FFB Federal Financing Bank
FFMIA Federal Financial Management Improvement Act of 1996
FFP Federal Financial Participation
FFP Federal Fixed Price (contract)
FFRDC FederallyFunded Research & Development Centers
FFS Fee for Service
FFUND Fixed Income Index Investment Fund
FFWG Federal Finance Functional Workgroup
FFY Federal Fiscal Year
FGSTF Federal Government Service Task Force (Congressional caucus)
FHA Federal Highway Administration
FHA Federal Housing Administration
FHIBA Federal Health Insurance Benefits Accounts
FHP Family Health Plan
FI Fiscal Intermediary
FICA Federal Insurance Contributions Act
FICARR Fiscal Intermediary/Carrier
FID Fraud Investigation Database
FIFO First In/First Out
FIG Fiscal Intermediary Group
FILS Federal Information Locator System
FIM Facer Identification Mark
FIPO Freedom of Information & Privacy Office
FIPR Federal Information Processing Resources
FIPS Federal Information Processing Standards
FIPSPUB FIPS Publication
FIQAS Fiscal Intermediary Quality Assurance System
FIRMPOC Federal Information Resources Management Policy Council
FIRMR Federal Information Resources Management Regulations
FIRS Federal Information Relay Service
FIRS Federal Information Reporting System
FIRS Financial Information Reporting System
FIS Forms Information System
FISCAM Federal Information System Controls Audit Manual
FISS Fiscal Intermediary Standard (or Shared) System
FITA Federal Information Technical Architecture
FLC Federal Liason Committee
FLM Future Logical Model
FLRA Federal Labor Relations Authority
FLSA Fair Labor Standards Act
FM Financial Management
FM Frequency Modulation
FM-TAG Financial Management Technical Advisory Group
FMA Federal Managers Association
FMAP Federal Medical Assistance Payments
FMAP Federal Medical Assistance Percentage
FMC Facility Management Contract (Contractor)
FMC Federal Maritime Commission
FMC Foundation for Medical Care
FMCS Federal Mediation & Conciliation Service
FMFIA Federal Managers' Financial Integrity Act of 1992
FMFIA Federal Managers Financial Integrity Act
FMIS Field Management Information System
FMM Financial Management Manual
FMR Focused Medical Review
FMS Federal Monitoring Survey
FMS Federal Monitoring System
FMS Financial Management Service (Treasury Dept.)
FMS Financial Management System
FMSNET Financial Management System Network
FMSS Financial Management System Software
FMV Fair Market Value
FNMA Federal National Mortgage Association
FNS Food & Nutrition Service (DOA)
FO Field Operations
FO Financial Operations
FOB Freight On Board
FOC Full Operating Capacity
FOI Freedom of information
FOIA Freedom of Information Act of 1966, etc.
FOIA Freedom of Information Act
FOP Financial Operating Plan
FORTRAN Formula Translation
FOSC Freestanding Outpatient Surgery Center
FOSE Federal Office Systems Exposition
FOSE Field Office Systems Enhancement (Claims Modernization Project)
FP Fixed Price
FPAF Fixed Price Award Fee
FPC Fiscal Policy Committee
FPDC Federal Procurement Data Center
FPDS Federal Procurement Data System
FPEFA Fixed Price with Economic Price Adjustment
FPI Fixed Price Incentive
FPIST Fixed Price with Successive Targets
FPL Federal Poverty Level
FPLE Fixed Price Level of Effort
FPMS Federal Productivity Measurement System
FPMS Forms & Printing Management System
FPOC Fixed Price Options Clause
FPR Final Project Report
FPR Fixed Price Redeterminable (contract)
FPRA Forward Pricing Rate Adjustment
FPS Five Percent Sample
FPSC Federal Product & Services Codes
FQA Functional Quality Assurance
FQHC Federally Qualified Health Center
FQHC Federally Qualified Health Centers
FQI Federal Quality Institute
FR Federal Register
FR Final Rule
FR (F/R) Formal Review
FRA Federal Railway Administration
FRCS Federal Reserve Communication System (Treasury Dept.)
FRD Functional Requirements Document
FRO Field Regional Office
FRS Federal Reserve System
FS Final Settlement
FS Financial Statement
FS Fixed Standard
FSA Family Services Administration
FSA Family Support Administration
FSA Federal Service Area
FSA Flexible Savings Account
FSCM Federal Supply Code for Manufacturers (OBSOLETE now called CAGE)
FSE Federal Software Exchange
FSIIS Field Staff Information & Instruction Series
FSIL First State Issuing License
FSP Federal Specific Portion
FSPML First State Professional Medical License
FSS Florida Shared System
FSY Fee Screen Year
FT FrontEnd Edit
FT Full Time
FTAPE Foreign Tape System
FTC Federal Trade Commission
FTCA Federal Tort Compensation Act of 1988
FTI Federal Tax Information
FTP File Transfer Protocol
FTR Failed Transaction Report
FU Followup
FULS Federal Upper Limits (of Medicaid drug pricing) System
FUSA Families USA
FUTA Federal Unemployment Tax Act
FWA Fraud, Waste & Abuse
FWS (U.S.) Fish & Wildlife Service
FWS Federal Wage System
FY Fiscal Year
FY/CY Fiscal Year/Calendar Year
FYE Fiscal Year End or Ending
FYTD Fiscal Year To Date
G&A General & Administrative (costs)
G-CPR Government ComputerBased Payment Related Project
GAAP Generally Accepted Accounting Principles
GAAS Generally Accepted Auditing Standards
GAB Grant Appeals Board
GAF Geographic Adjustment Factor
GAGAS Generally Accepted Government Auditing Standards
GAM General Administration Manual
GAMSS General American Medicare Standard System
GAO (U.S.) General Accounting Office
GAO Government Accounting Office
GAS Government Auditing Standards
GASB Government Auditing Standards Board
GB Global Budget
GBL Government Bill of Lading
GCB Geographic Code Book
GCIA Government Commercial Industrial Activity (also CIA)
GCIP General Defense Intelligence Program
GCPI Geographic Cost of Practice Index
GDC Government Data Center
GDG Generation Data Group
GDP Gross Domestic Product
GEB General Enrollment Beneficiaries
GED General Graphics Editor
GEP General Enrollment Period
GFE Government Furnished Equipment
GFI Government Furnished Information
GFI Government Furnished Items
GFM Government Furnished Materials
GFP Government Furnished Property
GFR Government Furnished Resources
GFUND Government Securities Investment Fund (GSIF)
GHP Group Health Plan
GHPPS Group Health Plan Payment System
GHPS Group Health Processing System
GI Geographic Index
GIC General Inpatient Care
GIS Geographic Information Systems
GIS Gentran Integration Suite
GL General Ledger
GMATS Grants Management & Tracking System
GMIS Grants Management Information System
GMRA Government Management & Reform Act of 1994
GNMA Government National Mortgage Administration
GNP Gross National Product
GOALS Government Online Accounting Link System
GOCO Government Owned, Contractor Operated activity
GOSIP Government Open Systems Interconnection Profile
GOTS GovernmentOffTheShelf
GP Generalized Claims Systems Procedures
GPCI Government Practice Cost Index
GPCI Government Purpose License Rights
GPI Group Practice Indicator
GPNPI Group Practice National Provider Indicator
GPO Government Printing Office
GPO Government Project Officer
GPO Group Purchasing Organization
GPP Group Practice Plan
GPP Group Premium Payor
GPPP Group Practice Prepayment Plan
GPRA Government Performance & Results Act of 1993
GPS Generic Performance Standards
GQS Generic Quality Screens
GRC General Research Corporation
GRECC Geriatric Research, Education & Clinical Center
GRH GrammRudmanHollings Act
GROUCH GHP Report Output User Communications Help
GRS General Records Schedule
GS General Schedule
GSA General Services Administration
GSAR General Services Acquisition Regulation
GSBCA General Services Administration Board of Contract Appeals
GSD General Systems Design
GSS General Support System
GT Growth Target
GTL Government Task Leader (contracts)
GTM Government Task Monitor
GTR Government Transportation Request
GTR Guaranteed Test Region
GWAC Government Wide Acquisition Contract
HA HI Reinstating Operation
HAA Hispanic Agenda for Action
HAASC Hospital Affiliated Ambulatory Surgical Center
HART HCFA Accounting Records Tracking System
HAS Hospital Annual Survey
HAS Health Savings Account
HASEALP HA Search Alpha Program (Beneficiary Alpha Match/Reinstate Operation)
HAVEN Home Assessment Validation & Entry System
HBP HospitalBased Physician
HBP Hospital Based Physician
HC Hardcopy Claims
HC HI Control Operations
HCA Hospital Corporation of America
HCBWP Home & Community Based Waiver Program
HCC Health Care Compare
HCC Hierarchical Coexisting Condition
HCC Hierarchical Condition Category
HCCA Health Care Commuting Area
HCFA Health Care Financing Administration (renamed CMS effective July 1, 2001)
HCG Health Care Group
HCH Health Care for the Homeless
HCIRC Health Care Information Resource Center
HCIS HCFA Customer Information System
HCIS Health Care Information System
HCLEACON HC Report SSI Leads Activity Operation
HCM Hardware Configuration Management
HCPC HCFA Common Procedure Code
HCPCS Healthcare Common Procedure Coding System
HCPP Health Care Prepayment Plan
HCQII Health Care Quality Improvement Initiative
HCQIP Health Care Quality Improvement Program
HCR Health Care Reform
HCRIS Healthcare Provider (or Hospice) (or Hospital) Cost Report Information System
HCRS (Maintain) HCRIS Process
HCTP Health Consumer Training Program
HD Handicapped/Disabled (do not use Handicapped, use IWD or PWD)
HD Health Insurance Daily Operations
HDBUTE Health Insurance Database Update Program
HDDUCS Health Insurance Daily Update Control System
HDENTMRG Health Insurance Daily Prior Entitlement Merge
HDHIDAD HD Health Insurance Daily Actions Dispersion System
HDHIDUP HD Health Insurance Daily Update Program
HDHISS HD Health Insurance Segmented Sort System
HDI Health Data Institute
HDID HI Daily Identification (also see BOIS)
HDLC HighLevel Data Link Control
HDMEDMRG HD Medicaid Merge Program
HDMUPS HI Daily Master Update Processing System
HDPRENT HD Prior Entitlement Program
HDRIM Health Insurance Retrieve Inactive Master System
HDSEX HD Sorted Exceptions Program
HDSQRD HD Monthly Sequential Read Program
HDSS Hospital Data Support System
HE HI Enrollment Operations
HECHICN HE Health Insurance Enrollment Cards Operation
HEDIS Healthplan Employer Data Information Sets
HEDIS Health Plan Employer Data and Information Set
HEO Hispanic Employee Organization
HEP Hispanic Employment Program
HEPA High Efficiency Particulate Attraction
HEZ Health Economic Zone
HF HI Database Specifications Format
HFMA Healthcare Financial Management Association
HG HI General Documentation
HH Hold Harmless
HH Home Health
HHA Home Health Agency
HHABN Home Health Advanced Beneficiary Notice
HHC Home Health Care
HHCOV Home Health Coverage
HHI Home Health Intermediary
HHL Home Health Line
HHPPS Home Health Prospective Payment System
HHQI Home Health Quality Initiative
HHQIS Home Health Quality Indicator System
HHRG Home Health Resource Group
HHS (Department of) Health & Human Services (also DHHS)
HHS Home Health Services
HHS Department of Health and Human Services
HHSAR Health & Human Services Acquisition Regulation (48 CFR, Ch.3)
HHSSA Home Health Services & Staffing Association
HI Health Insurance (Medicare)
HIAA Health Insurance Association of America
HIAM Health Insurance Alpha Microfilm
HIB Health Insurance Benefits (Medicare)
HIB Hospital Insurance Benefits (Part A)
HIBRR Health Insurance Benefits Rights & Responsibilities
HIC Health Information Center
HIC Health Insurance Claim
HIC Health Insurance Company
HIC Home Intensive Care
HIC Health Insurance Claim number used by CMS
HICAN Health Insurance Claim Account Number (Medicare Number)
HICDA Hospital International Classification of Diseases Adapted
HICN Health Insurance Claim Number (Medicare Number)
HICR Health Insurance Correction Request
HIDA Health Insurance Distributor's Association
HIDAD HI Daily Actions Dispersion System
HIDUP HI Duplicate Payments Systems
HIFA Health Insurance Flexibility and Accountability
HIICAP Health Insurance Information, Counseling & Assistance Program
HIIM Health Insurance Inquiries Manual
HIM Health Insurance Manual
HIMA Health Industry Manufacturers Association
HIMA Health Insurance Master
HIMBEX Health Insurance Master Billing Exception Process
HIMF Health Insurance Master File
HIMICS (OHPS) Management Information Control System
HIMR HI Master Record
HIMSS (AHA's) Healthcare Information & Management Systems Society
HIN Health Industry Number
HIN Health Insurance Networks
HIN HI Number (see HICN)
HINN HospitalIssued Notice of Noncoverage
HIO Health Insurance Organization
HIP Health Insurance Pamphlet
HIP Health Insurance Plan
HIPAA Health Insurance Portability & Accountability Act of 1996
HIPDB Healthcare Integrity & Protection Data Bank
HIPO Hierarchical Input Processing & Output
HIPPS Health Insurance Prospective Payment System
HIPPS Health Insurance Prospective Payment System, a CMS payment code system
HIQA Health Insurance Query A (Part A inquiry data)
HIQR Health Insurance Online Query Response
HIRAM Health Insurance Reinstating Alphabetic Master
HIRD HI Reduction Data (30 QC field on MBR)
HIRO Health Insurance Regional Office
HIRTF Health Insurance Reform Task Force
HIS Health Information Systems (3M Inc.)
HIS Health Interview Survey
HIS Indian Health Service
HISAC Health Insurance Screening & CrossReferencing (HMHISAC)
HISB Health Informatics Standards Board
HISB Healthcare Informatics Standards Board
HISDG HCFA Information Systems Development Guide
HISKEW Health Insurance Skeleton Eligibility Writeoff
HISM Handbook of Information Security Management
HISPP Healthcare Informatics Standards Planning Panel
HISS Health Insurance Segmented Sort System (HDHISS)
HISTM Health Insurance System Test Module
HIUM Health Insurance Utilization Master (or Microfilm)
HIURPS Health Insurance Utilization Records Processing System
HJ HI Direct Billing Operations (SOBER)
HJCOIN Health Insurance Central Office Inquiries
HL7 Health Level Seven
HLM HCFA Logical Model
HLQ High Level Qualifier
HM HI Maintenance Operations
HMA Higher Monitoring Authority
HMB Hospital Market Basket
HME Home Medical Equipment
HMERMA HM Edit & Reformat Maintenance Operation
HMHISAC HM Health Insurance Screening & CrossReferencing Operation
HMNCI HM NCI Program
HMO Health Maintenance Organization
HMO/CMP HMO Competitive Medical Plan
HMODR CMS Medicare Outpatient Data Review
HMPSA Health Manpower Shortage Area
HMQ HI/MBR Query
HMS Housekeeping Monitoring System
HMSA Health Manpower Shortage Areas
HMUPHMO HI Master Update HMO
HMWHIM Health Insurance Master Weekly Health Insurance Merge
HO Hearing Officer
HOL HCFA OnLine
HOP Hospital Orientation Program
HOS Health Outcomes Survey
HOST Healthcare Open Systems & Trials
HP HI Payment Records Operations
HPA Health Policy Agenda
HPAC HI Premium Amount Collectable (MBR / BCM)
HPB Historical Payment Basis
HPBSS HCFA Part B Standard System
HPEP Host Performance Evaluation Program\
HPG Homogeneous Patient Groups
HPMS Health Plan Management System
HPPC Health Plan Purchasing Cooperative
HPSA Health Professional (or Personnel) Shortage Area
HQ HI Query Operations
HR Human Resources
HRA Health Reimbursement Account
HRCI Human Resources Certification Institute
HRET (AHAs) Hospital Research & Educational Trust
HRG Health Research Group
HRGA High Rate Geographical Area
HRSA Health Resources & Services Administration (formerly HRA, formerly PHS)
HRSA Health Resources and Services Administration
HS HI Updating Provider Files Operations
HSA Health Service Area
HSA Health Services Administration
HSA Health Systems Agencies
HSA Historical SPAC Amount
HSC (Army) Health Services Command
HSI Health Systems International
HSP Hospital Specific Portion
HSR Hospital Specific Rate
HSRA Health Resources & Services Administration
HTML Hypertext Markup Language
HTR HowToRead
HTTPS Hypertext Transfer Protocol Secure
HUD (Department of ) Housing & Urban Development
HUQA (Part A inquiry data)
HURA Health Underserved Rural Area
HWI Hospital Wage Index
HYBC Hypothetical Base Year Calculations
I-CASE Integrated Computer Aided Software Engineering
IA Information Access
IA Information Assurance
IA Inter/IntraAgency Agreement
IAC Industry Advisory Council
IAC InterAgency Committee
IACS Individuals Authorized Access to CMS Computer Services
IADL Instrumental Activities of Daily Living
IAG Interagency Advisory Group
IAM Innovative Access Method
IAPD Implementation Advance Planning Document
IAR Inventory & Assessment Report
IBD Initial Billing Date
IBIS Industrial Base Information System
IBN Incorrect Bill Notice
IBNR Incurred But Not Reported
IBPO Initial Bill Processing Option
IBPR Intermediary Benefit Payment Report
IBPR Intermediary Benefits Payment Report
IBR Intermediary Benefit Payment
IC Individual Consideration
IC Initial Claims Operations
IC Integrated Circuit
IC Internal Controls
ICA Information Control Area
ICA Information, Counseling & Assistance
ICA Insurance Counseling Assistance (Program)
ICA Internal Control Area
ICAM Integrated Computer Aided Manufacturing
ICB Information Collection Budget
ICB Inner Company Billing (Code)
ICC Interstate Commerce Commission
ICCB Infrastructure Change Control Board
ICCP Individual Community Care Plan
ICCSHE Interagency Committee on Computer Support of Handicapped Employees
ICD Implantable Cardioverter Defibrillator
ICD Interface Control Document
ICD International Classification of Diseases
ICD-9-CM International Classification of Diseases 9th Edition Clinical Modification
ICDA International Classification of Diseases Adapted for the U.S.
ICEP Initial Coverage Election Period
ICF Intermediate Care Facility
ICF/MR Intermediate Care Facility for Mental Retardation
ICFS/MR Intermediate care facilities for the mentally retarded
ICMA Individual Case Management Association
ICMS Information Center Management System (Cullinet)
ICN Inhouse Claim Number
ICN Inquiry Control Number
ICN Intercontractor Notices
ICN Intermediary Control Number
ICN Internal Control Number
ICN Inventory Control Number
ICP Internal Control Program
ICPR Informal Dispute Resolution
ICQ Internal Control Questionnaire
ICR Image Copy Recognition
ICR Incomplete Claims Reject
ICR Information Collection Requirement
ICR Intelligent Character Recognition
ICR Internal Control Review
ICR Investigative Claims Report
ICST Institute for Computer Sciences & Technology
ICSTP Intermediary/Carrier System Testing Project
ID Identification (Number)
ID Identifying Data
ID Implementation Date
IDB Information Data Base
IDD Integrated Data Dictionary
IDE Investigational Device Exemptions
IDEF Integrated Data Engineering Facility
IDIQ Indefinite Delivery / Indefinite Quantity
IDIQ Indefinite Duration, Indefinite Quantity
IDMS Information Data Management System
IDMS Integrated Database Management System
IDMS/R Integrated Database Management System/Relational
IDRC Improved Data Recording Capability
IDS Integrated Delivery System
IDS Intrusion Detection Software (or System)
IDTF Independent Diagnostic Testing Facility
IE Industrial Engineering
IEC International Electrotechnical Task Force
IEF Information Engineering Facility
IEP Initial Enrollment Period
IEQ Initial Enrollment Questionnaire
IER Interim Expenditure Report
IER Intermediary Expenditure Report
IETF Internet Engineering Task Force
IEVS Income & Eligibility Verification System
IFB Invitation for Bids
IFC Interim Final Rule with Comment
IFQ Invitation for Quote
IG Implementation Guide
IG Inspector General
IGA Interim Geographic Adjustment
IGAA Inspector General Act Amendments of 1988
IGCE Independent Government Cost Estimate
IGLAS Integrated General Ledger Accounting System
IHPP Intergovernmental Health Policy Project
IHS Indian Health Service
IIA Information Industry Association
IIA Institute of Internal Auditors
IIB Impact & Implementation Bargaining
IIC Inflation Index Charge
IIHI Individually Identifiable Health Information
IJST Internal Job Stream Action (MBR)
IL Intermediary Letter
ILDJ Interactive Language Dependent Job
IM Information Memorandum
IM Intermediary Manual
IMA Individual Medical Account
IMC International Medical Center
IMCAS Intervening Medical Care Analysis System
IMD Institution for Mental Disease
IME Indirect Medical Education
IMF Individual Master File (ICR)
IMI Infant Mortality Initiative
IMI Interim Manual Instructions
IMN Internal Machine Number
IMP Implementation Phase
IMPACC Immediate Payment Critical Case Process (MBR)
IMPACT Integrated (or Improved) Management of Personnel Administration thru Computer Technology
IMRP Instruction Manual for Renal Providers
INFOMAN Information Management
INFOSEC Information (System) Security
INRA Immigration Nursing Relief Act of 1989
INS Immigration & Naturalization Service
INS SAVE Immigration & Naturalization Service's Systematic Alien Verification for Entitlements
IOC Inspection of Care
IOF Input Output Facility
IOF Interactive Output Facility
IOL Intraocular Lens
IOM Institute of Medicine
IOR Individual Operating Report
IORM Intermetrics Oversight & Risk Management
IOU (CWF) Identify Ownership Utility
IP/SNF Inpatient SNF
IPA Independent Practice Association
IPA Individual Practice Association
IPAC Immunization Practice Advisory Committee
IPAP Interagency Placement Assistance Program
IPC Information Processing Center
IPL Independent Physiological Lab
IPL Initial Program Load
IPMG Investment Planning & Management Group
IPO Initial Program Offering
IPOA InterPlan Operating Agreement
IPP Individual Practice Plan
IPP Individual Program Plan
IPP Integrated Planning Process
IPP Integrated Project Planning
IPPB Intermittent Positive Pressure Breathing
IPR Independent Professional Review
IPRP Interim Payment Review Program
IPS Institutional Provider of Service
IPS Interim Payment System
IQC Integrated Quality Control (System)
IQC Internal Quality Control
IQUE Inplant Quality Evaluation
IR Incident Report
IR Information Requirement
IR&D Independent Research & Development
IRA Initial Review Analysis
IRAC Information Resources Administration Councils
IRB Institutional Review Board
IRB Intern & Resident to Bed (ratio)
IRC Informal Resolution Conference
IRC Information Resource Center
IRC Inpatient Respite Care
IRC Internal Revenue Code
IRCA Immigration Reform & Control Act of 1986
IRD Intercomponent Review Draft
IRD Internal Research & Development
IRDS Information Resource Depository System
IRDS Information Resource Dictionary System
IRE Independent Review Entity
IRF Inpatient Rehabilitation Facility
IRIS Interim & Resident Information System
IRIS Interns & Residents Information System
IRM Information Resources Management
IRMP Information Resource Management Program (or Plan)
IRMS Information Resource Management Service
IRP Incentive Reward Program
IRP Insurance Reimbursement Program
IRP Interim Review Package
IRR Implementation Readiness Review
IRS Identical, Related & Similar (drugs)
IRSAP Internal Revenue Service Acquisition Procedure
IRU Initial Review Unit
IS Information Sharing (QC)
IS Information System
IS/T Information Systems/Technology
ISA In Service Area
ISA Internet Security Assessment
ISBN International Standard Book Number
ISC Information Strategy Council (senior management team)
ISC Intersystem Communication
ISCLT International Society for Clinical Laboratory Technology
ISES Information System Empowerment Strategy
ISFUG Integrated Software Federal Users Group
ISM Information Systems Management
ISO Interconnection System Operation (OSI Model)
ISO International Standards Organization
ISR Intelligence, Surveillance & Reconnaissance
ISSO Information Systems Security Officer
ISSP Information Systems Security Plan
ISTP Intermediary System Testing Program
ISW Information Systems Workgroup (also ISWG)
IT Information Technology
IT Integration Team
IT-IRB Information Technology Investment Review Board
ITA Information Technology Architecture
ITA International Trade Association
ITAG Information Technology Architecture Group
ITAR International Trafficking Acquisition Regulations
ITC Information Technology Council
ITC International Trade Commission
ITMRA Information Technology Management Reform Act of 1996
ITPIL Initial Three Percent Investigation List
ITS Information Technology Systems
ITS Inspection Tracking System
ITV InterAgency Transfer Voucher
IU International Unit
IUC Incurred But Unreported Claims Reserve
IV&V Independent Validation & Verification
IVR Interactive Voice Response
IWD Individuals With Disabilities
JAD Joint Applications Design (or Development)
JAMA Journal of the American Medical Association
JAS Job Accounting System
JAS Joint Agreement Statement
JCA Jewish Council for Aging
JCAHCO Joint Commission on Accreditation of Health Care Organizations
JCAHO Joint Commission for Accreditation of Health Organizations
JCHACO Joint Commission on Accreditation of Health Care Organizations (JCHACO)
JCL Job Control Language
JCP Joint Committee on Printing
JCS Joint Chiefs of Staff
JES Job Entry Subsystem
JES2 Job Entry System MVS/XA
JFMIP Joint Financial Management Improvement Program
JOA Joint Operating Agreement
JOFOC Justification for Other than Full & Open Competition
JRC Job Rehabilitation Contact
JRC Joint Review Committee
JTR Joint Travel Regulation
JUA Joint Underwriting Association
JURIS Justice Retrieval & Inquiry System
JURIS RRB Jurisdiction Change Operation
JV Journal Voucher
KAL Key asset List
KBIT KnowledgeBased Intelligence Tracking
KBMS Knowledge Base Management System
KBSA KnowledgeBased Software Assistant
KD Knocked Down
KE Knowledge Engineering
KFL Key Facilities List
KIDS KnowledgeBased Integrated Design System
KIP Key Intelligence Position
KIQ Key Intelligence Question
KMC Key Management Center
KMID Key Material Identification Number
KRA Key Result Areas
L-H Labor Hour
LAC Library Advisory Committee
LAE Limitation on Administrative Expenses
LAF Ledger Account File (code)
LAG Local Application Group
LAG Logical Application Group
LAN Local Area Network
LAP Last Action Processed
LARPA Locality Adjusted Reduced Prevailing Amount
LARPA Locality Area Reduced Prevailing Allowance
LBRS LockBox Bank Remittance System (DB)
LCC Lesser Cost or Charges
LCC Life Cycle Cost
LCD Local Coverage Determination
LCDM Life Cycle Development Methodology
LCER Limiting Charge Exception Report
LCL Lowest Charge Levels
LCP Letter Charge Proposal
LDAP Lightweight Directory Access Protocol
LDBM Local Database Manager
LDD Logical Database Design
LDDI LDD Implemented
LDM Logical Data Model
LDO Legally Defined Overpayment
LEACON Report SSI Leads Activity Operation (HCLEACON)
LEIE List of Excluded Individuals & Entities
LEP Late Enrollment Penalty
LET Liaison Education Team
LGHP Large GHP
LIA Litigation Information Action
LIHEA Low Income Home Energy Assistance
LIL Limitation of Liability
LIS Low-Income Subsidy
LISP List Processor
LM Line Manager
LMRP Local Medical Review Policy
LOB Line of Business
LOC Letter of Credit
LOC Level of Care
LOC Lines of Code
LOE Level of Effect
LOE Level of Effort
LOI Letter of Intent
LOINC™ Logical Observation Identifiers, Names and Codes ™
LOS Length of Stay
LP Legislative Projects
LPC Locality (or Locally) Prevailing Charge
LQC Local Quality Control
LRD Lifetime Reserve Days
LRF Logical Record Facility
LRI Laboratory Roll In
LRO Lead Regional Office
LRS Labor Relations Staff
LSA Local Systems Administrator
LSC Life Safety Code
LSI Large Scale Integration
LSR Limited Service Rural (Hospital)
LSR Local Shared Resource
LSS Litigation Support System
LSU Last Summary Update
LT Location Type
LTC Long Term Care
LTCF Long Term Care Facility
LTCIAC Long Term Care Insurance Advisory Council
LTCM Long Term Care Management
LTCP Long Term Care Program
LTCU Long Term Care Unit
LTD Live Test Demonstration
LTE Less Than Effective (drug)
LTP Lifetime Psychiatric Days
LU Logical Unit (data connection)
LUMI Last Update Month Indicator
LUPA Low Utilization Payment Adjustment
LVAD Left Ventricular Assist Device
LVE Low Volume Exemption
LVRS Lung Volume Reduction Surgery
LW Living With
M&M Medicare & Medicaid
M+C Medicare + Choice
M+C NSF Medicare + Choice National Standard Format
M+CO Medicare + Choice Organization
MA Major Action
MA Medicaid Agency
MA Medical Assistance
MA Medicare Advantage (formerly Medicare+Choice)
MA BSF Medicare Advantage Benefit Stabilization Fund
MA-PD Medicare Advantage Prescription Drug Plans
MAA Medical Assistance Agency
MAA Memorandum of Advance Agreement
MAABD Medical Assistance to Aged, Blind & Disabled
MAAC Maximum Allowable Actual Charge
MAAR Mandatory Annual Audit Requirement
MAC Major Ambulatory Category
MAC Maximum Allowable Cost (or Charge)
MAC Medicare Appeals Council
MACE Medicare Alternate Claim Entry System
MADC Major Ambulatory Diagnostic Categories
MADCAP Manual Adjustments Credits & Awards Program (MBR)
MADRS Medicare Automated Data Retrieval System
MADS Mass Adjusted System
MADS Medicare Actuarial Data System
MAF Medical Assistance Facility
MAFDUDE MBR Master File Duplication Detection Operation
MAFDUP Abbreviated MBR File in MAFDUDE Operation
MAH Most Accessible Hospital
MAISARC Major Automated Information Systems Acquisition Review Committee
MAN Medicare Automated Network
MANRLINE Menu-driven Access to 100% Near-Line Claims Files System (NCH)
MANRLITE Access to MANERLINE
MAO Medical Assistance Only
MAO Medicare Advantage Organization
MAP Manufacturing Automated Protocol
MAP Maturity Actions Program (MBR)
MAP Medical Assistance Payments
MAP Medical Assistance Program
MAPC Maximum Allowable Prevailing Charge
MAPD Medicare Advantage Prescription Drug
MAPSA Medicare A Provider Services Assistants
MARI Medicare Administrative Reform Initiatives
MARK Mechanized Assignment & Record Keeping (System)
MARS Management & Administrative Reporting System
MARS Management Administration Reporting Subsystem
MARS Medicare Accounts Receivable System
MARX Medicare Advantage and Prescription Drug System
MAS Medicare Appeals System
MAS (GSA) Multiple Award System
MAT Master Account Title
MAU Memorandum of Advance Understanding
MAU Multistation Access Unit
MAX Medicaid Analytic Extract
MB Market Basket
MBA Monthly Benefit Amount (SSA)
MBAS Medicare Benefit Accounting System
MBCIS Medicare Compliance Issues System
MBCS Medicare Budget & Cost System
MBCSP Medicare Beneficiary Customer Service Program
MBD Medicare Beneficiary Database
MBD Medicaid Beneficiary Database
MBDA Minority Business Development Agency
MBE Medicaid Budget & Expenditures
MBES Medicaid Budget & Expenditures System
MBHCW (Medicare or Medicaid) Home & Community Based Services Waivers System
MBI Minimum Background Investigation
MBN Medicare Benefit Notice
MBO Management by Objectives
MBPRP Monthly Bill & Payment Records Processing System
MBR Master Beneficiary Record (SSA)
MBSCAN Maximum Direct Record Scans (searches)
MBSPAS State Plan Amendments System
MC Maintenance Contractor
MCA Management Control Area
MCA Maternity Center Association
MCAB Medicare Contractor Administrative Budget
MCAC Medical Coverage Advisory Committee
MCBFMR BESS Focused Medical Review
MCBS Medicare Current Beneficiary Survey
MCCA Medicare Catastrophic Coverage Act of 1988 (PL 100360)
MCCB Medicare Change Control Board
MCCOY Managed Care Online Information System (GHP)
MCCRA Medicare Catastrophic Coverage Repeal Act of 1989 (PL 101234)
MCD Medicare Coverage Database
MCD Medicare Coverage Documents
MCDATA MedicareMedicaid Common Data Initiative
MCDC Medicare Contractor Data Center
MCE Medicare Code Editor
MCE(S) Medical Care Evaluation (Studies)
MCF Master Control File
MCH Maternal & Child Health Services
MCI Medicare Claims Inquiry
MCIGLAS Medicare Contractor Integrated General Ledger Accounting System
MCM Medicare Carrier Manual
MCO Managed Care Operation
MCO Managed Care Organization
MCOB Medicare Contractor Oversight Board
MCP Management Control Plan
MCP Monthly Capitation Payment
MCPI Medical Care Component of the Consumer Price Index
MCPI Medicare Contractor Productivity Improvement
MCPS Medicare (Part A) Claims Processing System (Veritus)
MCR Management Control Review
MCS Mandatory Claim Submission System
MCS MultiCarrier System
MCSC Medicare Customer Service Center
MCSID Medicare Contractor Systems Information Database
MCSS Medicare Contractor Standard System
MCSSMR Medicare Contractor Standard Systems Medical Review
MCWRS Medicare Contractor Workload Reporting (System)
MCWS Medicare Contractor Workload System
MD Medical Director
MDAS Medicaid Override Application System
MDC Major Diagnosis Category
MDC Medicare Data Center
MDCN Medicare Data Communications Network
MDH Medicare Dependent Hospital
MDRI Medicaid Drug Rebate Initiative
MDS Medicare Decision Support
MDS Minimum Data Set
MDS Mortality Data System
MDSRH Medicare Dependent Small Rural Hospital
MDSS Medicare Decision Support System
MDTA Manpower Development & Training Act
MDW Modernized Development Worksheet
ME Medical Effectiveness
ME Medical Endurance
MEASURES Medicare/Medicaid Automated Survey Reporting System
MECA Medicare Expanded Choice Act of 1987
MECCA Medicare Catastrophic Coverage Act of 1988 (also MCCA)
MECT Multiple Electroconvulsive Therapy
MED Medicare Enrollment Data (System)
MED Medicare Exclusion Database
MED-ED Medical Education
MEDAL Medicare/Medicaid Eligibility Data Linkage
MEDB Manage the EDB System
MEDB Medicare Part B
MEDIBAPS Medicare Budget Allocation Process System
MEDICAID Medical Aid (State administered health insurance program)
MEDIGAP Medicare Gap (Medicare complementary insurance program)
MEDIRS Medicaid Eligibility Determination & Information Retrieval System
MEDMRG Medicaid Merge Program (HDMEDMRG)
MEDPAC Medicare Payment Advisory Commission
MEDPAR Medicare Provider Analysis & Review
MEDPARD Medicare Participating Physician/Supplier Directory
MEDSTAT Medicaid Statistical Information (Reporting) System (now MSIS)
MEDTEP Medical Treatment Effectiveness Program
MEF Master Earnings File (SSA)
MEI Medical Economic Index
MEI Medicare Economic Index
MEQC Medicaid Eligibility Quality Control (System)
MES Medicare Entitlement System
MET Medicaid Eligibility Terminal
MEWA Medicare & Multiple Employer Welfare Associations
MEWA Multiple Employer Welfare Arrangement
MFAIC Medicare Fraud & Abuse Information Coordinator
MFCU Medicaid Fraud Control Unit
MFIS Medicare Fraud Information Specialist
MFS Medicare Fee Schedule
MFSDB Medicare Fee Schedule Database
MFSR Medicare Focused Medical Review Status Report
MGA Medicaid Grant Awards
MGCRB Medical Geographical Classification Review Board
MGCRB Medicare Geographic Classification Review Board
MHB Maximum Hospital Benefit
MHCRS Maintain HCRIS Process
MHOS Medicare Health Outcomes Survey
MHS Medical History Sample
MI Manual Issuance
MI Medical Insurance (Part B or SMI)
MIA Mark Interface Application
MIB Medical Information Bureau
MIB Medical Insurance Bureau
MICH Maternal, Infant & Child Health
MICO Midwestern Consortium (Chicago & Kansas City HIROs)
MIDES (Intermediary) Medicare Internal Data Entry System
MIG Medicare Insured Group
MIH Maternal & Infant Health Initiative
MIIR Management Information Integrated Repository
MIM Medicare Intermediary Manual
MIMS Medicare Information Management System
MIP Medicare Integrity Program
MIR Medicare Information Request
MIRPS Miscellaneous Information Reference PostEntitlement System (SSA MBR)
MIS Major Information Systems
MIS Management Information System
MIS Manual Issuance System
MISCOR Miscellaneous MBR Correction Operation
MISF Management Information System Facility
MLS MultiLevel Security
MLT Multiple Logical Tasking
MM Media Management
MM Month or Minutes (i.e., mmddyyyy)
MMA Medicare Modernization Act (of 1999)
MMACS Medicare/Medicaid Automated Certification System
MMAP (AARP) Medicare/Medicaid Assistance Program
MMCITS Medicaid Managed Care Information Tracking System
MMCQI Medicare Managed Care Quality Improvement
MMCS Medicare Managed Care System
MMDDCCYY Month-Month/Day-Day/Century-Century/Year-Year (i.e., 02/26/2001) (also MMDDYYYY)
MMDDYY MonthMonth/DayDay/YearYear
MMIS Medicaid Management Information System
MMORP Medicare Management & Open Review Program
MMP Mixed Model Plan (GPP/IPP combination)
MMPS Medicare Mortality Predictor System
MMR Monthly Membership Report
MMS (U.S.) Minerals Management Service
MMS Manpower Management System
MMS Metropolitan Medicare System
MMWR Morbidity & Mortality Weekly Report
MN Medical Necessity
MN Medically Needy
MNIL Medically Needy Income Levels
MO Management Office
MO Multiply Occurring
MOC Management Oversight Council
MODEM ModulatorDemodulator
MOE Method of Evaluation
MOL Maximum Order Limitation
MOLI Mirtel OnLine Inquiry System (HCFA access to RRB Database)
MOPD Maintenance Operations Protocol Loader Daemon
MOR Medicaid Overpayment Report
MOSS Mandatory Offsite Storage System
MOU Memorandum of Understanding
MOUT Maximum Output
MP Master Processor
MPA Master Pending Accretion
MPARTS Mistaken Payment Recovery Tracking System
MPC Medical Patterns of Care
MPCC Medicare Premium Collection Center
MPCS Medicare Premium Collection System
MPD Medicare Provider Database
MPDB Medicare Prescription Drug Beneficiaries
MPF Master Provider File
MPFS Medicare Physician Fee Schedule
MPFSDB Medicare Physician Fee Schedule Data Base
MPI Medicare Provider Inventory
MPIER Medicare Physician Identification & Eligibility Registry (or Record)
MPIES Medicare Physician Identification & Eligibility System
MPLS Multiprotocol Label Switching
MPP Massive Parallel Processing
MPR (carrier) Master Procedure Record
MPR Mathematical Policy Research
MPRS Medical Policy Retrieval System
MPS Market Penetration Survey
MQA Medicare Quality Assurance (CWF data validation)
MQAG Medicare Quality Advisory Group
MQC Medicaid Quality Control
MQFE Medicare Qualified Federal Employment
MQGE Medicare Qualified Government Employee
MQIS Medicare Quality Indicator System
MQM Medicare Quality Monitor
MQSA Mammography Quality Standards Act of 1992
MR Management Review
MR Master Record
MR Medical Review
MR Mortality Ratio
MR/DD Mentally Retarded / Developmentally Disabled
MR/UR Medical Review / Utilization Review
MRA Minimum Retirement Age
MRAR Medical Review Annual Report
MRB Medical Review Board
MRCRA Medicare Regulatory & Contractor Reform Act of 2001
MRI Medical Records Institute
MRO Multiple Region Option
MRO MultiRegion Operation
MRP Material Requirements Planning
MRP Maximum Reimbursement Point
MRRS Medicaid Retrospective Reimbursement System
MRS-1 Medical Review System Version 1 (aka: Part B Medical Review Savings Reporting System)
MRT Medical Review Team
MRTAG Mortality Review Technical Advisory Group
MS/R MultiState/Regional (Contractor)
MSA Major Service Area
MSA Medical Savings Accounts
MSA Medical Statistical Area
MSA Metropolitan Statistical Area (for PPS)
MSA Monthly Statement of Accounts
MSA Medicare Savings Account
MSAT Medicaid Strategic Analysis Team
MSC Medicare Status Code
MSC Message Switching Centers (SSA ARS/SSADARS)
MSHIP Medicare Supplemental Health Insurance Programs
MSIS Medicaid Statistical Information System (formerly MedStat)
MSIS Medicaid Statistical Information System
MSN Medicare Summary Notice
MSOM Modernized Systems Operations Manual (SSA)
MSP Manager Software Products
MSP Medicare Secondary Payor
MSP Message Security Protocol
MSPFQA Medicare Secondary Payer Functional Quality Assurance (Steering Committee)
MSPLS Medicare Secondary Payer Litigation Support
MSPPAY Medicare Secondary Payor Payment Module
MSPQA Medicare Secondary Payer Quality Assurance
MSR MidSession Review
MSS Medical Social Sevices
MSS Medicare Statistical System
MSSC Medicare Systems / State & County (Reimbursement)
MTAG Medicare Technical Advisory Group
MTD Month to Date
MTEA Medical Treatment Effectiveness Agenda
MTI Medicare Telephone Inquiry
MTM Methods Time Measurement
MTMC Military Traffic Management Command
MTMP Medication Therapy Management Program
MTOP Multiple Type of Provider
MTS Medicare Target Scenario
MTSO Medical Transcription Service Organization
MTUS Miles/Times/Units/Service
MUA Medically Undeserved Area
MUDD Maximum Direct Output
MUDS Medicare Utilization Data System
MUP Master Update Processor
MUPPET Medicare UPdate Processors for Enrollment Transactions (nee NEWDUP)
MUPS (HI) Maintenance Update Processing System
MUR Minimum Utilization Rate
MVPS Medicare Volume Performance Standard
MVS/ESA MVS/Enterprise System Architecture
MWRS Medicare Workload Report System
N&R Needs & Requirements
NAAP National Association of Activity Professionals
NAATP National Association of Addiction Treatment Providers
NAAV National Average Actuarial Value
NABP National Association of Boards of Pharmacy
NAC National Association of Counties
NACDS National Association of Chain Drug Stores
NACHA National Automated Clearing House Association
NACHC National Association of Community Health Centers
NACHRI National Association of Children's Hospitals & Related Institutions
NACI National Agency Check & Inquiry
NACRH National Advisory Committee on Rural Health
NADSA National Adult Day Services Association
NAEYC National Association of Education for Young Children
NAF NonAppropriated Fund
NAHC National Association for Home Care
NAHDO National Association of Health Data Organizations
NAHFE National Association of Hispanic Federal Executives
NAIC National Association of Insurance Commissioners
NAIT National Alliance for Infusion Therapy
NAM National Association of Manufacturers
NAMDRC National Association for Medical Directors of Respiratory Care
NAMES National Association of Medical Equipment Suppliers
NAMI National Alliance for the Mentally Ill
NAP National Advisory Council
NAPA National Academy of Public Administration
NAPH National Association of Public Hospitals
NAPHS National Association of Psychiatric Health Systems
NARA National Archives & Records Administration
NARA National Association of Rehabilitation Agencies
NARD National Association of Retail Druggists
NARF National Association of Rehabilitation Facilities
NARFE National Association of Retired Federal Employees
NAS National Academy of Sciences
NASA National Aeronautic & Space Administration
NASBO National Association of State Budget Officers
NASIRE National Association of State Information Resource Executives
NASIS National Association of State Information Systems
NASLTCOP National Association of Long Term Care Ombudsman Program
NASMD National Association of State Medicaid Directors
NASOP National Association of State Ombudsman Programs
NAUGH Network Administrator's Users Group
NAV (Carrier) Name & Address Verification
NAWRS National Association for Welfare Research & Statistics
NBME National Board of Medical Examiners
NBS National Bureau of Standards
NC Network Council
NCA National Coverage Analysis
NCAI National Coalition for Adult Immunization
NCAL National Coalition for Assisted Living
NCC Network Coordinating Counsel
NCCAP National Certification Council for Activity Professionals
NCCLS National Council of Clinical Laboratory Services
NCCNHR National Citizen's Coalition for Nursing Home Reform
NCCR National Colorectal Cancer Roundtable
NCD National Coverage Determination
NCGME National Council on Graduate Medical Education
NCH National Claims History
NCH National Clinical History
NCHA National Clearing House Association
NCHBPL National Claims History Beneficiary Program Liability
NCHDB National Claims History Database
NCHICA North Carolina Healthcare Information and Communications Alliance
NCHLS National Council on Health Laboratory Services
NCHPR National Claims History Processing Reports
NCHQA National Claims History Quality Assurance
NCHS National Center for Health Statistics
NCHS National Center for Health Statistics (or Studies)
NCHS National Claims History System (CWF)
NCHSR National Center for Health Services & Research
NCHSTS National Claims History Statistical Tabulation System
NCHSUM National Claims History Summary
NCI National Cancer Institute
NCIP National Inventory Control Point
NCITS National Committee for Information Technical Standards
NCMA National Contract Management Association
NCNHR National Coalition on Nursing Home Reform
NCOA National Change of Address (SSA & USPS)
NCOA National Council on the Aging
NCOCIC National Coordination Office for Computing, Information & Communications
NCP National Coverage Policy
NCPDP National Council of Prescription Drug Programs
NCPDP National Council for Prescription Drug Programs
NCPSSM National Committee to Preserve Social Security & Medicare
NCQA National Committee for Quality Assurance
NCQHC National Committee for Quality Health Care
NCR National Cash Register Corp.
NCS National Communications System
NCSA National Computer Security Association
NCSB Neurological, Cognitive, Sensory & Behavorial (Variables)
NCSC National Computer Security Center
NCSC National Council of Senior Citizens
NCSI National Capitol Systems Inc.
NCSL National Conference of State Legislatures
NCTL National Computer & Telecommunications Laboratory
NCVHS (PHS) National Center for Vital & Health Statistics
NCVHS National Center for Vital and Health Statistics
NDAA National Defense Authorization Act of 1991
NDC National Drug Code
NDEP National Diabetes Education Program
NDG Network Design Group
NDI National Death Index
NDM Network Data Mover
NDMS National Disaster Medical System
NDPS National Drug Pricing System
NDR National Death Repository (SSA)
NDRR National Data Reporting Requirements (System)
NDS Netware Directory Services
NEA National Endowment for the Arts
NEARLINE NCH Nearline update and maintenance System
NECMA New England County Metropolitan Area
NEHA New England Health Assembly
NEIC National Electronic Information Clearinghouse
NEJM New England Journal of Medicine
NEPA National Environmental Policy Act
NEPSC Northeast Program Service Center, SSA
NESRD NonEnd Stage Renal Disease
NETT National Emphysema Treatment Trial
NF Nursing Facility
NFA Net Fixed Assets
NFC National Finance Center
NFID National Foundation for Infectious Diseases
NFPA National Fire Protection Association
NGA National Governor's Association
NGFR NonGovernment Furnished Resources
NGFSFHP National Guaranty Fund for SelfFunded Health Plans
NH Nursing Home
NHA Nursing Home Administrator
NHAC National Health Advisory Committee
NHB National Health Board
NHC Nursing Home Certifiable
NHCAA National Health Care Anti-Fraud Association
NHCAA National Health Care AntiFraud Association
NHCMQ Nursing Home Case Mix & Quality Demonstration
NHDAC National Health Data Advisory Council
NHE Nation's Health Expenditures
NHE National Health Expenditure
NHELP National Health Law Program
NHI National Health Insurance
NHI Nursing Home Information
NHII National Health Information Infrastructure
NHIS National Health Interview Survey
NHO National Hospice Organization
NHSC National Health Service Corps
NHTSA National Highway & Transportation Safety Administration
NIA National Institute on Aging
NIAID National Institute of Allergies & Infectious Diseases
NIAMSD National Institute of Arthritis & Musculoskeletal & Skin Diseases
NIAP National Information Assurance Partnership
NICOA National Indian Council on Aging
NIDA National Institute on Drug Abuse
NIDDKD National Institute of Diabetes, Digestive & Kidney Diseases
NIDR National Institute of Dental Research
NIE Net Impact Estimate
NIF National Insurance File
NIF Not In File
NIH National Institutes of Health
NII National Information Infrastructure
NIMA National Imagery & Mapping Agency
NIMBE Not Including Medicare Benefits Exhausted
NIMH National Institute of Mental Health
NIMMS National Integrated Medicaid Management System
NINDS National Institute of Neurological Disorders & Stroke
NIOSH National Institute for Occupational Safety & Health
NIP National Improvement Project
NIPC National Infrastructure Protection Center, FBI
NIRA National Industrial Recovery Act (New Deal)
NISC (OPM) National Independent Study Center
NIST National Institute of Standards & Technology
NIT National Internal Telecommunications (MTS)
NIT Network Information & Technology
NKF National Kidney Foundation
NLA National Limitation Amount
NLM National Library of Medicine
NLN National League of Nursing
NLRB National Labor Relations Board
NMAO NonMedical Assistance Only (Cash/Deemed Cash)
NMC National Maintenance Contractor
NME National Medical Enterprises
NMEP National Medicare Education Program
NMES National Medical Expenditure Survey
NMES Neuromuscular Electrical Stimulation
NMFA National Medicare Fraud Alert
NMFAI National Medicaid Fraud & Abuse Institute
NMS Network Monitoring System (MTS)
NMUD National Medicare Utilization Database
NNWP Noncontact Normothermic Wound Therapy
NOA Nature of Action
NOA Notice of Admission
NOA Notice of Award
NOAA National Oceanographic & Atmospheric Administration
NOBA Notice of Budget Approval
NOC Network Operation Center
NOC Not Otherwise Classified
NOCHD Notice of Correction Hearing Decision
NOCO Northeastern Consortium (Boston, New York & Philadelphia HIROs)
NODMAR Notice of Discharge & Medicare Appeal Rights
NOEU National Obscenity Enforcement Unit
NOF Not On File
NOI Notice of Intent
NOMCI Notice of Medigap Claim Information
NOOH Notice of Opportunity for Hearing
NOPA National Office Products Association
NOPA Northwest Organ Procurement Agency
NOPR Notice of Program Reimbursement
NORA National Operational Research Agenda
NORQS Number of Temporary Procedures
NOS National Operating Services (GTE)
NOSIP Network Operations System Implementation Project
NOU Notice of Utilization
NP Nurse Practitioner
NP/PA Nurse Practitioners / Physician Assistants
NPA Network Performance Analyzer
NPA National PACE Association
NPC NetPost Certified
NPDB National Practitioner Data Bank
NPF National Provider File
NPI National Provider Identifier
NPII NPI Initiative
NPIP Non Periodic Interim Payment
NPP Narrative Project Plan
NPP National Privacy Panel
NPR National Performance Review
NPRG National Partnership for Reinventing Government
NPRM National Provider Reimbursement Manual
NPRM Notice of Proposed Rule Making
NPRM Notice of Proposed Rulemaking
NPS National Provider System
NQF National Quality Forum
NQLC National Quality Leadership Conference
NQMP National Quality Management Program
NRA National Recovery Administration
NRA National Rifle Association
NRAA National Renal Administrators Association
NRC National Research Council
NRC Nuclear Regulatory Commission
NRHA National Rural Health Association
NRM Notice of Rule Making
NRODC Northwest Regional Organ Donation Center
NRP Network Resource Planning (tool)
NRU Nurse Review Unit
NSA National Security Agency
NSA National Standardized Amount
NSA Network Security Assessment
NSC National Security Council
NSC National Supplier Clearinghouse
NSCLC National Senior Citizens Law Center
NSDD National Security Decision Directive
NSEF National Standard Electronic (Media) Format
NSEMC National Standard Electronic Media Claims
NSF National Science Foundation
NSF National Standard Format
NSF NonStandard Format
NSF Not Sufficient Funds
NSN National Stock Number
NSNA No Stock Number Assigned
NSR NonShared Resource
NSS National Systems Support
NSTISSI National Security Telecommunications & Information Systems Security Institute
NT New Technology
NTAG National Technical Advisory Group
NTE Not to Exceed
NTEU National Treasury Employees Union
NTH NonTransplant Hospital
NTI National Technical Information
NTIA National Telecommunications & Information Administration
NTIOLS New Technology IntraOcular Lenses
NTIS National Technical Information Service (NBS, DOC)
NTRS National Therapeutic Recreation Society
NTSB National Transportation Safety Board
NUBC National Uniform Billing Committee (AHA)
NUCC National Uniform Claim Committee (AMA)
NUL National Urban League
NVA NonVeterans Administration
NVAC National Vaccine Advisory Committee
NVP National Vaccine Program
NWI National Wage Index
O&M Operations & Maintenance
O&M Organization & Management
O/H Overhead
OA Office Automation
OA Office of the Administrator, CMS
OAA Old Age Assistance
OAA Older Americans Act
OAC OASIS Automation Coordinator
OACT Office of the Actuary
OASB Old Age & Survivors Benefits
OASDHI Old Age, Survivors, Disability & Health Insurance
OASDI Old Age, Survivors & Disability Insurance
OASH Office of the Assistant Secretary for Health
OASI Old Age & Survivors Insurance
OASIS Outcome & Assessment Information Set
OATS Operation Assignments Tracking System
OBQI Outcome Based Quality Improvement
OBQIM Outcome Based Quality Improvement Management
OBQM Outcome Based Quality Monitoring
OBRA Omnibus Budget Reconciliation Act
OBRA Omnibus Budget Reconciliation Act of 1981/1987/1989/1990
OCD OIG Clearance Document
OCD Operational Capability Demonstration
OCE Outpatient Code Editor (System)
OCESAA Omnibus Consolidated & Emergency Supplemental Appropriations Act for FY 1999
OCFAA Office of Civil Fraud & Administrative Adjudication
OCHAMPUS Office of Civilian Health & Medical Program of the Uniformed Services
OCI Organizational Conflict of Interest
OCR Office of Civil Rights
OCR Optical Character Recognition
OCR Office for Civil Rights
OCSE Office of Child Support Enforcement
OCST Outstation Customer Service Team (also CSOT)
ODA Occupancy Depreciation & Amortization
ODIE Online Data Input & Edit (Subsystem) (OSCAR frontend system)
ODL Outpatient Diagnostic Laboratory
ODSN Organization Development Services Network
OEC OASIS Educational Coordinator
OEM Original Equipment Manufacturer
OEO Occupant Emergency Organization
OEP Open Enrollment Period
OEPI Open enrollment period for institutionalized individuals
OEPNEW Open Enrollment Period for Newly Eligible Individuals
OES Occupational Employment Survey
OF Optional Form
OFA (FSA) Office of Family Assistance
OFB Outpatient Feedback
OFCCP Office of Federal Contract Compliance Programs
OFPP Office of Federal Procurement Policy
OGC (HHS) Office of the General Council
OGE Office of Government Ethics
OHCDS Organized Health Care Delivery System
OHDS Office of Human Development Services
OHTA (PHS) Office of Health Technology Assessment
OI Office of Inspections
OI Office of Investigations, OIG
OIA Office of Intergovernmental Affairs
OIC Opportunity to Improve Care
OICS Office of Internal Customer Support, CMS
OIFO Office of Investigations Field Office
OIG Office of the Inspector General
OIRA Office of Information & Regulatory Affairs
OIS Office of Information Services, CMS
OIS Office of Information Systems
OJT OnTheJob Training
OL Office of Legislation, CMS
OLAP OnLine Analytic Processing
OLM Online Mapping
OLMR Office of Labor Management Relations
OLQ Online Query
OLTC Other Long Term Care
OLTP OnLine Transaction Processing
OMB (HHS) Office of Management & Budget
OMB Office of Management and the Budget
OMCH Office of Maternal & Child Health
OMESP Omnibus Medicare Enrollment System Processor
OMM Office of Medicaid Management, MB
OMP Operational Management Plan
OMR Office of Medical Review
OMR Optical Mark Reading
OMRA Other Medicare Required Assessment
OMS Oversight and Management System
OOP Object Oriented Programming
OOSA Out of Service Area (use OSA)
OP Organization Purpose
OP Outpatient
OP Overpayment
OPA Organ Procurement Agency
OPAC Online Payment & Accounting Collection (System) (Treasury)
OPD OutPatient Department
OPDIV OPerating DIVision
OPI Office of Primary Interest
OPI Other Processing Information
OPIC Overseas Private Investment Corporation
OPL Operation Policy Letter
OPM Office of Personnel Management (formerly CSC)
OPM Office of Personnel Management
OPO Organ Procurement Organization
OPPS Outpatient Prospective Payment System
OPR Office of Public Relations, CMS
OPS Output Performance Standards
OPSA Office of Professional & Scientific Affairs
OPTN Organ Procurement & Transplantation Network
OQ Office of Qualification
OQC Operations Quality Council
ORA (see OBRA)
ORBTUP Orbit Update (MBR)
ORDI Office of Research, Development, and Information, CMS
ORF Outpatient Rehabilitation Facility
ORHP (HRSA) Office of Rural Health Policy
ORR Office of Refugee Resettlement
ORSI Office of Retirement & Survivors Insurance
ORT Operation Restore Trust
ORTIS Operation Restore Trust Information System
ORUS Operations Resources Utilization System
OS Office of the Secretary
OS Organization Structure
OS/ES Office of the Secretary / Executive Secretariat
OSA Out of Service Area (also OOSA)
OSC Office of Standards & Certification
OSC Office Systems Coordinator
OSCAR Office of Standards & Certification Automated Retrieval System
OSCAR Online Survey Certification & Reporting (System)
OSDIT Office of Software Development & Information Technology
OSE Office Systems Equipment
OSE Open Software Evaluation
OSE Open Systems Environment
OSERS Office of Special Education Rehabilitation Services
OSH ACT Occupational Safety & Health Act
OSHA Occupational Safety & Health Administration
OSI Open System Interconnection
OSI/SAS Optimum System Incorporated/Shared Arkansas System
OSP Outpatient Speech Pathology
OSPATS OnSite Surveyor Performance Assessment & Training Survey
OSTP Office of Science & Technology Policy
OTA (Congressional) Office of Technology Assessment
OTA Office of Technical Assistance
OTC OneTimeCost
OTC Over the Counter
OTIS Office of Telecommunications & Information Systems
OTIS Online Telecommunications Information System
OTP OneTime Payment
OTR Off theRecord
OTR On theRecord
OTS OneTime Source
OWCP Office of Worker's Compensation Programs
OWL Older Women's League
OWTDS Office of Washington Training & Development Services
P Process
P&E Parenteral & Enteral
P&T Pharmaceutical and Therapeutic
P/B Provider / Beneficiary
P/N Part Number
PA Privacy Act of 1974
PA Project Assessment
PAC Patient Assessment Computerized (System)
PAC Personal Access Code
PAC Political Action Committee
PAC PreAdmission Certification
PAC Premium Amount Collectible
PAC Products of Ambulatory Care
PAC Professional & Administrative Careers
PAC Professional, Administrative, Clerical
PAC Project Account Code
PACE Pharmaceutical Assistance Program
PACE Planning, Assigning, Controlling & Evaluating System
PACE Professional & Administrative Career Examination
PACE Program for All Inclusive Care for the Elderly
PACEMKR Pacemaker System
PACO Principal Administrative Contracting Officer
PACS Patient Care & Services
PAG Policy Advisory Group
PAHP Prepaid Ambulatory Health Plan
PAL Patient Accounting Language (IBM software)
PAL Provider Audit List
PAM Priority Audit Memorandum
PAM Project Administration Manual
PANAPT (APCSS Automated Production Turnover software)
PANVALET (APCSS source code management software)
PAO Procurement Assistance Office
PAO Property Accountable Officer
PARD Provider Audit & Reimbursement Department
PARL Physician/Supplier Assignment Rate List
PART A Medicare Hospital Insurance
PART B Medicare Supplementary Medical Insurance
PAS PreAward Survey
PAS Premium Accrual Stop
PAS Professional Activity Study
PAS Public Appearances Staff, OPA
PASARR Preadmission Screening & Annual Resident Review
PASS Policy Access Support System
PASS Procurement Automatic Source System
PAT Planning Action Team
PATCO Professional, Administrative, Technical, Clerical Other
PATHVU Path View
PAYERID Payer Identification (national provider identifier initiative)
PBA Part B Advisory
PBA Pharmacy Benefit Administrator
PBC Premium Billing Code
PBGC Pension Benefit Guaranty Corp.
PBIS PerformanceBased Incentive System
PBMS Pharmacy Benefit Managers
PBO Payment Bill Option
PBP Plan Benefit Package
PBP Provider Based Physician
PBR Process Bill Register
PBX Private Branch Exchange
PC Partnership Council
PC Procurement Cycle
PC Professional Component
PC Project Coordinator
PCA Physical Configuration Audit
PCA Physicians Comparability Allowance
PCA Principle Certification Authority
PCA Progressive Corrective Action
PCA Private Collection Agency
PCAM Punch Card Accounting Machines
PCAS Patient Care Algorithm
PCC Per Capita Cost (System)
PCCM Primary Care Case Management
PCCMP Primary Care Case Management Provider
PCD Premium Conversion Date
PCDB Provider/Contractor Data Base
PCE Personal Care Expenditures
PCH Primary Care Hospital
PCIE President's Council on Integrity & Efficiency
PCMI President's Council on Management Improvement
PCO Procurement Contracting Officer
PCP Primary Care Physician (or Provider)
PCPR Provider Claims Processing Requirements
PCR Private Consumer Rate
PCR Procurement Center Representative
PCR Prospective Composite Rate
PCRP Per Capita Rate Payment
PCRS (Carrier) Performance Control Reporting System
PCS Permanent Change of Station
PCS Position Classification Standard
PCT Project Coordination Team
PCYA Presidential Classroom for Young Americans
PD Physical Database
PD Position Description
PD Premium Deducted
PD Process Description
PD Program Development
PDA Premium Due Amount
PDBO Public Disability Benefit Offset
PDD Physical Database Design
PDD Preliminary Design Document
PDD Presidential Decision Directive
PDD63 Presidential Decision Directive #63
PDE Prescription Drug Event
PDED (same as PDD directly above)
PDF Program Development Facility
PDFS Prescription Drug Front-End System
PDLO Printing & Distribution Liaison Officer
PDM Parallel Development Manager
PDM Personalized Documentation Manager
PDM Program Decision Memorandum
PDMA Prescription Drug Marketing Act of 1988
PDOTH Prior Date of Termination of Hospital Insurance
PDP Program Decision Package
PDP Prescription Drug Plan
PDP Private Prescription Drug Plan
PDR Physician's Desk Reference
PDS Partitioned Data Set
PDS Peer (Review Organization) Data System
PDSC Phased-Down State Contribution
PDT Physical Design Team
PDV Program Data Vector
PE Performance Evaluation
PE Post Entitlement
PE Program Evaluation
PEB Performance Evaluation Board (contracts)
PEBES (SSA) Personal Earnings & Benefit Estimate Statement
PEBS Personal Earnings & Benefit Statement
PEBTAG Provider Electronic Billing Technical Advisory Group
PEC Performance Engineering Corp. (SAIC subcontractor)
PECOS Provider Enrollment, Chain & Ownership System
PED Project Engineering Development
PEI Postentitlement Internet (MBR Query)
PEL (OSHA) Permissible Exposure Limits
PENVAL Post Entitlement Notices Validations (SSA)
PEO Program Executive Officer
PEP Partial Episode Payment
PEP Partnerships in Education Program
PEP Performance Evaluation Program
PEP Proposal Evaluation Plan
PEPP Payment Error Prevention Program
PEPPER Post Entitlement Premium Payment & Enrollment Program (SSA)
PERT Program Evaluation & Review Technique
PERVU Practice Expense Relative Value Units
PESO Post Entitlement Scheduling Operation (SSA)
PESO Post Entitlement System Operation (SSA)
PET Positron Emission Tomography
PET Provider Education & Training
PET Provider Evaluation & Training
PETS Problem & Enhancement Tracking System (GHP)
PETT Position Emission Transverse Tomography
PEW PRO Efficiency Workgroup
PFCRA Program Fraud Civil Remedies Act
PFF Physician Fee Freeze
PFFS Private FeeForService Plan
PFFS Private Fee-For-Service Plan
PH Partial Hospitalization
PHCE Personal Health Care Expenditures
PHCP Prepaid Health Care Plan
PHDDS PRO Hospital Discharge Data Set
PHEC PostHospital Extended Care
PHHH PostHospital Home Health
PHI Personal Health Information
PHI Premium Hospital Insurance
PHI Protected Health Information
PHIC Partnership for Health Insurance Counseling
PHIP Pharmacist's Incentive Program
PHOS Post Hospital Outcome Study
PHP Partial Hospitalization Program
PHP Prepaid Health Plan
PHPO Prepaid Health Plan Option
PHPO Private Health Plan Option
PHR Professional in Human Resources
PHRMA Pharmaceutical Manufacturers and Researchers of America
PHTP Priority Health Training Programs
PHUS Payment History Update System
PHY/SUP Physician/Supplier
PI Penalty Indicator
PI Performance Indicator
PI Productivity Investment
PI Program Integrity
PI Project Initiation
PIA Primary Insured Amount (MBR)
PIC Policy Information Center (DHHS)
PIC PRO Intermediary Carrier
PIC Program Information Coordinator
PICC Peripherally-inserted central catheter
PICS Plan Information Control System
PICS Program Information Control System
PID Payer Identification System
PID Program Inspections Division, OIG
PID Project Idea Document
PIDS People or Individual with Disabilities (aka POIWD)
PIE Post Implementation Evaluation
PIG Program Integrity Group, OFM, CMS
PIHP Prepaid Inpatient Health Plan
PIIS Program Instructions Issuance System
PIM Personal Information Manager
PIMR Program Integrity Management Reporting
PIN Personal Identification Number
PIN Physician Identification Number
PIN PreInvitation Notice
PIN Primary Insured Number (MBR)
PIN Provider Identification Number
PINQ Premium Inquiry
PIP Performance Improvement Plan
PIP Periodic Interim Payment
PIP Physician Incentive Plan
PIP Productivity Improvement Program
PIP Projects in Progress
PIPC Public Information Program Circular
PIPDCG Principal Inpatient Diagnostic Cost Group
PIR Periodic Interim Reimbursement
PIR Post Implementation Review
PIT Process Improvement Team (ALJ)
PITS PRO Information Tracking System
PJS Personal Job Scheduler
PL Performance Level
PL Proposed Legislation
PL Public Law
PL99-474 Computer Fraud & Abuse Act of 1986
PLAN Plain Language Action Network
PLAN Protection for Long Term Assistance Needs
PLANNET Plan Network
PLT Production Lead Time
PM post meridiem
PM Procedure Manual
PM Program Management
PM Program Memoranda
PM Project Manager
PM-PET Program ManagementProvider Education & Training
PM/PM Per Member/Per Month
PMA PreMarket Approval
PMA Prior Month Accrual
PMBOK Project Management Body of Knowledge
PMC Patient Management Categories
PMCS Program Management Control System
PMCS Project Management Collection System
PME Partial Month Eligible (Medicaid)
PME Prior Month Ending
PMI Project Management Institute
PMIS Program Management Information System
PMIS PSRO Management Information System
PMMIS Program Management & Medical Information System
PMO Project Management Office
PMO Property Management Officer
PMP Preventive Maintenance Program
PMP Project Management Plan
PMRS Performance Management & Recognition System
PMRS Performance Management Rating System
PMS Payment Management System
PMS Personnel Manual for Supervisors (SSA)
PMS Program Management System
PMS Property Management System
PMSA (BLSC) Primary Metropolitan Statistical Area
PMTT Programmable Magnetic Tape Terminal (or Transmission)
PNM Price Negotiation Memorandum
PO Post Office
PO Privacy Officer
PO Procurement Office
PO Project Officer
PO Purchase Order
POAM Plan of Action & Milestones
POC Patterns of Care
POC Plan of Care
POC Plan of Correction
POC Point of Contact
POC Principal Operating Component
POCI Physician Ownership/Compensation Interest
POE Plan of Expenditures
POIWD People or Individuals with Disabilities (aka PIDS)
POL Physician Office Laboratories
POMS Program Operations Manual System (SSA) (formerly Claims Manual CM))
POR Print/Utility Owning Region
POR Provider Overpayment Recovery
POR Provider Overpayment Report
PORA Principal Official Responsible for Acquisition
PORS Provider Overpayment Recovery System
PORS Provider Overpayment Reporting System
PORT Patient Outcome Research Team (or Treatment)
PORTS Patient Outcome Research Teams
POS Place of Service
POS Point of Sale
POS Point of Service
POS Provider of Service(s) (System)
POSIX Portable Operating System Interface Exchange
POT Plan of Treatment
PP Project Plan
PP Prospective Payment
PP&A Plan Performance & Assistance
PPA Premium Paid Amount
PPAC Practicing Provider Advisory Council
PPAC Prospective Payment Assessment Commission
PPB Planning, Programming, Budgeting
PPC Processing Payment Cycle
PPG Primary Care Physician Groups
PPI Producer Price Index
PPL Potentially Penalty Liable
PPLS Policy Planning Liaison Staff
PPM Parts Per Million
PPNA Program Planning & Needs Analysis
PPO Preferred Provider Organization
PPP Preference Procurement Program
PPP Production Program Profile
PPR Physician Payment Reform
PPR Prospective Payment Review
PPR IMI Physician Payment Reform Impact Monitoring Initiative
PPRC Physician Payment Review Commission
PPRMS Physician Payment Review Monitoring System
PPRTF Physician Payment Reform Task Force
PPS Prepayment Screen
PPS Primitive Process Specification
PPS Proposed Price Setting
PPS Prospective Payment System (Medicare Part A)
PPS Prospective Pricing System
PPS Prospective Payment System
PPSMS Printing & Paper Stock Management System
PPSP Physician's Primary Sponsor Plan
PPSSCC President's Private Sector Survey on Cost Control
PPV Pharmaceutical Prime Vendor
PPWY Productivity Per Work Year
PQE Prior Quarter Ending
PR Peer Review
PR Program Requirement
PR Purchase (or Procurement) Request
PRA Paperwork Reduction Act of 1980
PRA Per Resident Amount
PRA Percent Reactive Antibody
PRACP Project Review and Coordination Panel
PRAF Physician Reviewer Assignment Format
PRB Payment Record Batch
PRB Performance Review Board
PRCP Project Review & Coordination Panel
PRENT Prior Entitlement Program (HDPRENT)
PRES Policy Review & Evaluation Staff
PRG Performance Recognition Group
PRI Procurement Request Information
PRICER (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 Manual
PRMDS Provider Minimum Data Set
PRO Peer Review Organization (renamed to QIO)
PRO Principal Regional Official
PRO Professional Review Organization
PRO/FI Professional Review Organization / Fiscal Intermediary
PROM Protocol for Regional Office Monitoring
PROMPTS Peer Review Organization Monitoring Protocol & Tracking System
PROPAC Prospective Payment Assessment Commission (Task Force)
PRP Prospective Reimbursement Plan
PRP Provider Reimbursement Profile
PRPD Payment Reform Policy Development
PRRA Paperwork Reduction Reauthorization Act
PRRB Provider Reimbursement Review Board
PRS Payment Reconciliation System
PRS Parameter Release Study
PRS Prepayment Review System
PRUCOL Permanently Residing Under Color of Law
PRVSF Provider Summary File
PS Physician Sequential
PS&E Performance Standards & Evaluation
PS&E TAG Performance Standards & Evaluation Technical Advisory Group
PS&RR Provider Statistical & Reimbursement Report
PSA PreSolicitation Announcement
PSA Problem Statement Analysis
PSA Public Service Announcement
PSAF Physician/Supplier Action File
PSC Product & Service Code
PSC Program Safeguard (or Safety) Contractor
PSC Program Service Center (SSA) (formerly Payment Center (PC))
PSC Program Support Center (DHHS)
PSC Public Service Commission
PSF Provider Specific File
PSGH Policy Standards & Guidelines Handbook
PSI Problem Source Identification
PSL Problem Statement Language
PSM Physician Summary Master
PSO Physician Security Officer
PSO Provider Sponsored Organization
PSO Provider-Sponsored Organization
PSOR Physician & Supplier Overpayment Report
PSOR Physician Supplier Overpayment Recovery
PSOR Provider Statistical & Overpayment Report
PSP Provider/Supplier Service Plan
PSPRICE Physician Fee Schedule System
PSR Proposal Submission Requirements
PSR Provider Statistics & Reimbursement Report (aka PS&R)
PSR Provider Summary Report
PSRB Performance Standards Review Board
PSRO Performance Standards Review Organization
PSRO Physician Service Review Organization
PSRS Provider Statistical & Reimbursement System
PSS Packet Switch Service (FTS2000)
PSS Programed Symbol Set (board)
PT Processing Time
PT Proficiency Testing
PTA Part A (of Medicare)
PTA Point of Total Assumption
PTA Prior To Admission
PTA Percutaneous Transluminal Angioplasty
PTAC Premium Target Advisory Commission
PTAG Program Training Advisory Group
PTAMUS Part A Medicare Utilization System
PTAPTT Part A Processing Times Tabulation
PTB Part B (of Medicare)
PTO (U.S.) Patent &Trademark Office
PTP Performance Test Platform (PRISM)
PTP Portable Training Package
PTP Proficiency Testing Program
PTS Provider Terminal System
PU/ME/DE Public Use / Medical Effectiveness / Demonstration & Evaluation
PUC Public Utilities Commission
PUDI Prior Unqualifing Disabled Indicator (also RISI)
PUF Public Use Files
PUFF Proposed Uses of Federal Funds
PUFS Public Use Files System
PUP Provider Update Operation
PUT Payment Update Transaction (MBR)
PV Performance Value
PV Present Value
PVA Priority Value Assessment
PVA Project Valuation Assessment
PVB Provider Bills
PVC Permanent Virtual Circuit
PW Project Workbench
PW Public Welfare
PWBA Pension Welfare & Benefits Administration
PWD Persons With Disabilities
PWS Performance Work Standard
PWS Payment Withhold System
PX Post Exchange
PY Prior Year
PYE Prior Year Ending
Q&A Questions & Answers
QA Quality Assessment
QA Quality Assurance
QAE Quality Assurance Evaluator
QAHB (Carrier) Quality Assurance Program Handbook
QAI Quality Assessment Index
QALY Quality Adjusted Life Year
QAM Quadrature Amplitude Modulation
QAM Quality Assurance Monitoring
QAP Quality Assurance Program
QAR Quality Assurance Representative
QAS Quality Assurance Standards
QAS Quality Assurance System
QATAP Quality Assurance Through Attributes Program
QBE Query By Example
QBL Qualified Bidders List
QC Quality Control
QC Quality Council
QC Quarters of Coverage (SSA)
QCEM Quality Control Enforcement Mechanism
QCM Quality Call Monitoring
QCM Quality Care Monitoring
QCP Quality Control Program
QDN Quality Deficiency Notice
QDR Quality Deficiency Report
QDWI Qualified Disabled & Working Individual (aka QWDI)
QDWIS Qualified Disabled and Working Individuals
QI Quality Indicator
QIES Quality Improvement Evaluation System
QIO Quality Improvement Organization
QIP Quality Improvement Process
QIP Quality Intervention Plan
QIPRO Quality Improvement Professional Research Organization
QIS Qualifications Information Statement
QIS Qualified Individuals
QISMC Quality Improvement System for Managed Care
QIT Quality Improvement Team
QM Quality Management
QMB Qualified Medicare Beneficiary (OBRA 1989 PL101239,Sect.6013)
QMB Qualified Medicare Beneficiaries
QMCE Qualified Management Care Facility
QML Qualified Manufacturers List
QMMP Quality Measurement & Management Project
QMRP Qualified Mental Retardation Professional
QMS Quality Measurement System
QO Qualification Officer
QOC Quarterly Operational Cost
QPDA Questionable Premium Due Amount
QPL Qualified Products List
QR Quarterly Refund
QR Quarterly Report
QRO Quality Review Organization
QRS Quality Review Studies
QSS Quality Systems & Software
QST Quality Support Team
QUEST Quality Assurance Expert System Testbed
QUEST Quality Evaluation of Settlement
QUGS Quality Utilization Generic Screens
QW Quick Reference
QWDI Qualified Working Disabled Individual (aka QDWI)
R&A Repair & Alteration (contract)
R&C Reasonable & Customary
R&D Research & Development
R/C Report of Contact
RA Regional Administrator
RA Remittance Advice
RA Risk Assessment
RAAC Risk Adjustment Advisory Committee
RAB Register Accreditation Board
RAC Reimbursement Advisory Committee
RACF Resource Access Control Facility (software)
RAD Rapid Application Development
RAD Requirements Analysis Document
RAD Respiratory Assist Device
RADAR Radio Detection & Ranging
RADAR RSDI Account Data Record
RADARS (HCFA) Ranking & Data Analysis Reporting System
RADARS Rapid Data Retrieval System
RAFO Research & Find Out
RAI Resident Assessment Instrument
RAID Redundant Array of Independent Disk
RAP Ready Assessment Packages (Y2k)
RAP Request for Accelerated Payment
RAP Resource Allocation Plan
RAP Request for Anticipated Payment
RAPS Risk Adjustment Processing System
RAPS Risk Adjustment Processing System
RAPS Resident Assessment Protocol System
RAS Risk Adjustment System
RASC Regional Administrative Support Center, HHS
RAT Remote Access Trojan
RBAC RoleBased Access Control
RBBS Remote Bulletin Board System
RBRVS ResourceBased Relative Value Scale
RBRVU ResourceBased Relative Value Use
RBS Report of Benefit Savings
RC Reasonable Charge (or Cost)
RC Regional Carrier
RCA Refugee Cash Assistance
RCAS Reconsideration Control & Appeals System
RCC Ratio of Cost to Charges
RCCAC Ratio of Charges to Charges Applied to Costs
RCCS Revenue Center Code System
RCE Reasonable Compensation Equivalent
RCICS Registry Customer Information Control System
RCL Report Card Listing (SSA)
RCL Routine Cost Limit
RCP Reasonable Charge Pricing
RCP Report of Contractor Performance (ACER replacement)
RCSRS Resource Cost Reporting System
RCT Randomized Clinical Trials
RCT Registered Care Technologist
RCT Religious Compensatory Time
RD&E Research, Demonstration & Evaluation
RDBMS Relational DBMS
RDEM Regional Office Data Exchange Manager
RDES Regional Data Exchange System
RDF Renal Dialysis Facility
RDO Resource Definition Online
RDS The Retiree Drug Subsidy Program
RDS NUMBER see Plan Sponsor number
RDT&E Research, Development, Test & Evaluation
RE (Carrier) Reasonable Expectancies (or Expectations)
REA (U.S.) Rural Electrification Administration
REACH Regional Education About Choices in Health
REACT Return Check Action (MBR)
REBUS Renal Beneficiary & Utilization System
RECONS (Online) Reconsideration Information System
RECOUP Recovery of Unpaid Premiums (MBR)
REGO Reinventing Government
REGTRK Regulations Tracking System
REINS Reduced Expenditure Initiatives
REIT Real Estate Investment Trust
REL Recommended Exposure Limits
REM Remark Line
REMAS Recovery Management & Accounting System
REMAS Report on Medicare as Secondary Payor System
REMIS Renal Management Information System
REPORE Report Output Retrieval System
RESDAC Research Data Assistance Center
RETAP Regular Transcript Selection & Attainment Pass (SSA)
REVS Recipient Eligibility Verification System (Mass. DPW)
REXX Restructured Extended Executor Language
RFA Regulatory Flexibility Act (5USC 601612)
RFA Request for Applications
RFA Reason for Assessment
RFC (Treasury) Regional Financial Center
RFC Request for Comment
RFC Request for Contract
RFI Request for Information
RFP Request for Proposal
RFQ Request for Quotation
RGT Requirements Gathering Techniques
RH Rural Hospital
RHC Rural Health Center
RHC Rural Health Claim
RHC Rural Health Clinic
RHHI Regional Home Health Intermediary
RHHIPEP Regional Home Health Intermediary Performance Evaluation Program
RHIR Resident Health Insurance Representative
RHP Rebundling of Hospital Payment
RI Regional Intermediary
RI Routing Indicator
RIA Regulatory Impact Analysis
RIC Record Identification Code
RIL Regional Informational Letter
RIM Retrieve Inactive Master System
RIMS Reconsideration Information Management System
RISC Reduced Instruction Set Computing
RISC Regulatory Information Service Center
RISI Renal Insured Status Indicator (also PUDI)
RIT Reorganization Implementation Team
RJE Remote Job Entry
RM Release Management
RMA Referral & Monitoring Agency
RMA Refugee Medical Assistance
RMAPS Rocky Mountain Part A Processing System
RMF Resource Measurement Facility (software)
RMFA Restricted Medicare Fraud Alert
RMP Resource Management Plan
RMRP Regional Medical Review Policy
RMS Record Management System
RMS Regional Management System
RMS Requirements Management System
RMS Retention Management System
RMT Requirements Management Team
RMU Resource Management Unit
RN Recruitment Notices
RN Registered Nurse
RNHCI Religious NonMedical Health Care Institution
RNO Race & National Origin
RO Regional Office
RO Abbreviation for Regional Office.
ROADV Regional Office Advance Copy Note
ROAM ROAR Master (SSA)
ROAMS Regional Office Appeals Management System
ROAR 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 Contact
ROC Resumption of Care
ROCL Regional Office Contractor Letter
ROE Report of Eligibility
ROE Return on Equity
ROF Regional Office Flag
ROI Return on Investment
ROM Regional Office Manual
ROMGRS Regional Office Managers
ROPES Regional Office Performance Evaluation System
ROPO Regional Office Project Officer
ROSTAR Regional Office System Tracking for Audit Reimbursement
ROUG Regional Office Users Group
RPA Renal Physicians Association
RPBC Rejected Provider Bill Control (Process)
RPC Remote Procedure Call
RPCH Regional Primary Care Hospital
RPCH Rural Primary Care Hospital
RPD Run Processing Date
RPG Report Program Generator
RPL Reasonable Performance Level
RPL Reemployment Priority List
RPM Revolutions Per Minute
RPO Regional Personnel Officer
RQC Regional Quality Council
RR Rate Review
RRB Railroad Retirement Board
RRC Rural Referral Center
RRIA Resource Requirements for Impact Analysis
RRP Reimbursement Review Program
RS Random Search
RSC Record Status Code
RSC Reimbursement Statistics by State & County System
RSDHI Retirement, Survivors, Disability, & Health Insurance
RSDI Retirement, Survivors, & Disability Insurance
RSF Renal Services Facility
RSI Retirement & Survivors Insurance
RSVP Retired Senior Volunteer Project
RT Record Type
RT Recovery Team
RT Respiratory Therapy
RTC Reports to Congress
RTC Resolution Trust Corporation
RTG Return to Government
RTI Return to Intermediary
RTN Routing & Transit Number
RTP Request for Technical Proposal
RTP Return To Provider (or Plan)
RTS Recovery Tracking System
RTS Request to Send
RTS Return (tapes) to Stock
RUG Resource Utilization Group
RUNT RRB Universal RIC
RUR Recurring Utilization Report
RV Residual Value
RVS Relative Value Scale (or Schedule)
RVU Relative Value Unit
RWJF Robert Wood Johnson Foundation
RZIP Residence ZIP (Code)
S&C Survey and Certification
S&E Staff & Equipment
S&I Supervision & Interpretation
S-MIME Secure Multipurpose Internet Mail Extensions
S/HMO Social Health Maintenance Organization
S/W Software
SA Scheduled Allowance
SA Security Administrator
SA Settlement Agreement
SA State Agency
SA State Assessment
SA Supplemental Agreement
SA Systems Administrator
SA Systems Analyst
SA-CMM Software Acquisition Capability Maturity Model
SAC Special Action Code
SAC Statistical Analysis Contractor
SACP (AHA) Society for Ambulatory Care Professionals
SAD Service Area Directory (SSA)
SAD Simultaneous Accretion/Deletion
SAD Self Administered Drug
SADBUS Small And Disadvantaged Business Utilization Specialist
SADMERC Statistical Analysis Durable Medical Equipment Regional Carrier
SAEP State Agency Evaluation Plan
SAF Standard Analytic File
SAGE-204 SAS interface to M204 databases
SAHD Staff Assisted Home Dialysis
SAI Special Audit Initiative
SAIC Science Applications International Corp. (PRISM software contractor)
SALT Suspensions & Life Terminations System (MBR)
SAM Software Asset Management
SAMHSA Supstance Abuse & Mental Health Services Administration
SAR (microfilm) Storage & Retrieval unit
SAR Safeguard Activity Report
SAR Service Area Report
SAS Single Award Schedules
SAS Statement of Auditing Standards
SAS Statistical Analysis Software
SAS Statistical Analysis System
SAS/C SAS Compiler
SAVE Systematic Alien Verification of Eligibility
SB Standards Board
SBA Small Business Administration
SBC School Based Clinics
SBI Single Scope Background Investigation
SBI State Buy In
SBIGPPP State BuyIn Group Practice Prepayment Plan
SBIR Small Business Innovation Research (Program)
SBR Supplemental Budget Request
SBRS Senior Biomedical Research Service
SBSA Small Business SetAside
SBU Sensitive But Unclassified
SBU Strategic Business Unit
SC State & County
SC Sub Contractor
SCACA Seniors Coalition Against Catastrophic Act
SCAR Significant Correspondence Assignment Report
SCC (Service Area) State/County Code
SCC Security Control Center
SCD Service Computation Date
SCE Separate Cost Entity
SCH Sole Community Hospital
SCHIP State Child Health Insurance Program
SCHIP State Children’s Health Insurance Program
SCIC Significant Change In Condition
SCIF Sensitive Compartmentalized Information Facility
SCIP Survey & Certification Improvement Project
SCLM Source Code Librarian Manager
SCM Software Configuration Management
SCN Strategic Communication Network
SCOPE Share Cost Options for Private Employees
SCORE Service Corps of Retired Executives
SCP Sole Community Provider
SCSA Significant Change in Status Assessment
SCT Specialty Care Transport
SDA Software Design Activity
SDA System Design Alternatives
SDB Small &Disadvantaged Business
SDBU Small &Disadvantaged Business Utilization
SDC Secondary Diagnostic Category
SDD Software Design & Development
SDF Standard Deviation Factor
SDLC System Development Life Cycle
SDM Structured Development (or Design) Methodology
SDM/S Systems Development Methodology / Structured
SDO Servicing District Office (SSA)
SDO Standards Development Organization
SDO System Design Overview
SDP Service Delivery Point
SDP Single Drug Pricer
SDPS (PRO) Standard Data Processing System
SDR System Design Review
SDX State Data Exchange
SEALP Search Alpha Program (Beneficiary Alpha Match/Reinstate) (HASEALP)
SEALP State Agency Evaluation Program
SEC (U.S.) Securities & Exchange Commission
SEER Surveillance, Epidemiology & End Results (Program)
SEF Separated Employee File
SEF Software Engineering Facility
SEI Software Engineering Institute
SEI-CMM Software Engineering Institute Capability Maturity Model
SEIU Software Engineering Institute Union
SELF (HHS) Secretary's Executive Leadership Forum
SEMS Security Management System
SEP Special Enrollment Period
SEP Special Election Period
SEPG Software Engineering Process Group
SEPSC Southeastern Program Service Center, SSA
SER Scientific, Engineering & Research
SER Summary Earnings Record
SES Standards Enforcement Software
SES System External Specifications
SET Secure Electronic Transaction
SET Software Engineering Technology
SEX Sorted Exceptions (HDSEX)
SF Standard Form
SF-36 Medical Outcomes Study 36 Item Short Form Health Survey
SFI Statement of Financial Information
SFO Solicitation for Offers (contract)
SFRO SanFrancisco Regional Office
SFTP Secure File Transfer Protocol
SG Surgeon General
SGA Substantial Gainful Activity
SGF State Guaranty Funds
SGL Standard General Ledger
SH Systems Handbook
SHA Secure Hash Standard
SHC Select Health Care
SHCC State Health Coordinating Council
SHI Supplemental Health Insurance
SHINE Serving Health Information Needs of Elders
SHIP (AFGE) Supplemental Health Insurance Plan
SHIP (Medicare) Supplemental Health Insurance Programs
SHIP Senior Health Insurance Program
SHIP State Health Insurance Assistance Program
SHMO Social Health Maintenance Organization
SHN State Health Notes
SHPDA State Health Planning & Development Agency
SHRM Society for Human Resource Management
SHS Society for Health Systems
SHTIP Secure Hyper Text Transfer Protocol
SI Single Intermediary
SI System Integrator
SI Systems Inventory
SIC (DOL, BLS) Standard Industrial Classification
SIC Special Indicator Code
SIC State Insurance Commission
SICE Social Insurance Claims Examiner
SID (Supplemental) Security Income Data
SID Special Income Deduction
SIED (Supplemental) Security Income Entitlement Date
SIFT Security Income file Type
SIG Special Interest Group
SIGCAT Special Interest Group CDROM Applications & Technology
SIGOMET Special Interest Group on Optical Media in Education & Training
SII Security/Suitability Investigation Index
SIM Society for Information Management
SIMS Standard Information Management System
SIN Special Item Number
SIPP Systems Issues, Policies & Procedures (nee HIPP, BIPP)
SIR (Carrier) System Improvement Request
SIR System Implementation Roadmap
SIRLIB (change control for M204 user language programs software)
SIRMON (M204 performance monitoring & operational control tool software)
SIRT Security Incident Response Team
SIS Strategic Information Strategy
SIS System Internal Specifications
SISC (Supplemental) Security Income Status Code
SISSO Senior Information Systems Security Officer
SLA Service Level Agreements
SLAE State & Local Administration Expenditure
SLAMS Second Level Appeals Management System
SLE Single Loss Expectancy
SLIAG State Legislation Impact Assistance Grants
SLIM Software Life Cycle Maintenance
SLIMB Specified LowIncome Medicare Beneficiary
SLIP-A Supplemental Low Income Patient Adjustment
SLM Service Level Metrics
SLMB (see SLIMB)
SLMB Special Low-Income Beneficiaries
SLMB Specified Low-income Medicare Beneficiary
SM System Manager
SMART System for MSP Automated Recovery & Tracking
SMDA State Medicaid Directors Association
SME Subject Matter Expert
SMF System Measurement Facility
SMF Systems Management Facility
SMG State Medicaid Group
SMI Standardized Medreview Instrument
SMI Supplementary Medical Insurance (Part B of Medicare)
SMIB Supplementary Medical Insurance (also Part B)
SMIRK SOBER Miscellaneous Input Record
SMIS Safety Management Information System
SML Solicitation Mailing List
SMM State Medicaid Manual
SMP System Modernization Program
SMP Special Needs Plan
SMQC System for Monitoring Quality of Care
SMRF State Medicaid Research Files (aka SMURF)
SMS Shared Maintenance System
SMS Storage Management System
SMS System Managed Software
SMS System Managed Storage
SMS Systems Management Specialist
SMS/SPS Shared Maintenance System / Shared Processing System
SMSA Standard Metropolitan Statistical Area
SMURF State Medicaid Uniform Research File (aka SMRF)
SNAP Standard National Accounting Program (BC/BS)
SNC Skilled Nursing Care
SNCRIS Skilled Nursing Cost Reporting Information System
SNCT Sensory Nerve Conduction Threshold
SNF Skilled Nursing Facility
SNFMDS SNF Minimum Data Set
SNI System Network Interface
SNIP Strategic National Implementation Process
SNMA Student National Medical Association
SNSP Safety Net Surveillance Project
SO Successful Offerer
SOB Statement of Benefits
SOB Shortness of breath
SOC Start of Care
SOC SubObject (Classification) Code
SOCO Southeastern Consortium (Atlanta & Dallas HIROs)
SOD Superintendent of Documents
SOI Statement of Intent
SOL Solicitation
SOM SOBER Operating Month (DOE 1 or COM +1) (OBSOLETE)
SOM State Operations Manual
SON Submitting Office Number
SOP Standard Operating Procedure
SOP Status of Provider
SOP Style of Practice
SOR (Carrier) Section Operating Report
SOR System of Record
SORCES Service Office Record Computer Entry System (MTS)
SORS Systems of Records
SORT Seniors Organized to Restore Trust
SOU Statement of Understanding
SOW Scope of Work
SOW Statement of Work
SP Sample Persons
SP Special Project
SP Standard of Performance
SP Systems Performance
SPA State Plan Amendment
SPAC SMI Premium Amount Collectable (MBR / BCM)
SPACE SMI Premium Accounting, Collection & Enrollment (System)
SPACEX SPACE Exceptions
SPAMS Small Purchase Automated Management System
SPAP State Pharmaceutical Assistance Program
SPARC Stroke Prevention Awareness Recognition Campaign
SPARCS Statewide Planning & Research Cooperative System
SPAS State Plan Amendment System
SPAW State Plan Amendment Waiver
SPBA Society of Professional Benefit Administrators
SPC State Program Characteristics
SPC Supervisory Project Coordinator
SPD Standard Position Description
SPD Summary Plan Description
SPDATA State Profile Data System
SPECT Single Photon Emission Computed Tomography
SPECTRUM State Performance Evaluation & Comprehensive Test of Reimbursement Under Medicaid
SPF Sequential Processing Facility
SPH Shared Processing Host
SPI Software Process Improvement
SPIDER System to Provide Immediate Data on Eligibility for Reimbursement (now CWF)
SPIES Shared Project & Information Exchange System
SPIN Standard Prescriber Identification
SPIN Supplier Profile Identification Number
SPMS Storage Products Management System
SPO Self Protection Organization (CD)
SPO Servicing Personnel Office
SPOC Single Point of Contact (now CSCC)
SPOC Single Point of Contact
SPOE Secure Point of Entry
SPOE Secure Point of Entry
SPOF Single Point of Failure
SPP Select Provider Program
SPP SMI Premium Penalty
SPPS State Plan Profile System
SPR Safeguard Procedures Report
SPR Standard Paper Remittances
SPR Systems Performance Review
SPRDRS SPR Data Reporting System
SPRY Setting Priorities for Retirement Years
SPS Schedule of Providers Serviced
SPSP State Payment of SMI Penalty
SQA Software Quality Assurance
SQIG Supplier Quality Information Group
SQL Structured (or System) Query Language
SQRD Monthly Sequential Read Program (HDSQRD)
SR Service Representative (SSA)
SR Service Request
SR Systems Requirements
SRA Significant Regulatory Actions
SRA Systems Research Associates
SRC Status Report Coordinator
SRD Systems Requirements Definition
SRD Systems Requirements Design
SRD Systems Requirements Document
SRMC Statistical Report Medicaid Services
SRMS Statistical Report (HCFA2082) on Medicaid Services System
SRS Social & Rehabilitation Service
SS Seconds (i.e., ssmmddyyyy)
SS Sequential Search
SS Shared Systems
SS Short Stay
SS Social Security
SS Standard Systems
SS1 Selective Signaling (Equipment)
SSA Social Security Act
SSA Social Security Administration
SSA State Survey Agency
SSA Systems Security Assessment
SSACCS SSA Claims Control System
SSADO Social Security Administration District Office
SSAFO Social Security Administration Field Office
SSARA SSA Reform Act of 1994 (establishes SSA as independent agency)
SSB Social Security Board (now SSA)
SSC Standard Source Code
SSC Systems Security Coordinator
SSD (GSA) Standard Solicitation Document
SSDI Social Security Disability Insurance
SSG Staffing Support Group
SSG Standard Systems Group
SSH Short Stay Hospital
SSI Supplemental Security Income
SSIDUP SSI Duplicate Payment
SSIPML Second State Issuing Professional Medical License
SSM Standard System Maintainers
SSM Sterling Space Monitor
SSMP Systems Security Management Program
SSN Social Security Number
SSO Social Security Office (also DO)
SSO Systems Security Officer
SSOP Second Surgical Opinion Program
SSP State Supplemental Payments
SSP System Security Plan
SSPM System Security Plan Methodology
SSPML Second State Professional Medical License
SSR Social Security Rulings
SSR Supplemental Security Income Record
SSS Senior Scientist Service
SSSA Senior Systems Security Advisor
SSSGS Similarly Sized Subscriber Groups
SST Supplemental Systems Test
STAG System Technical Advisory Group (aka STAG)
STAPE Short Format State Magnetic Tape File (HIM)
STAR (Medicaid) Systems Test for Alternative Reimbursement
STAR Standard Administrative Reporting
STAR System for Tracking Audit & Reimbursement
STD ShortTerm Disability
STM Staff Time Measure
STP Satellite Ticket Printer
STROBE (Performance Management System application monitoring tool)
STS Safety Tracking System
STU System Testing Unit
STX Start of Text
SUBC State Uniform Billing Committee
SUEI Standard Unique Employer Identifier (HCFA0047F) (aka EIN)
SUL Standard User Label
SUR Surveillance & Utilization Review (aka S/UR)
SURS Surveillance & Utilization Review Subsystem (S/URS)
SUT System User Test
SVC Supervisor Call
SVCS Services
SVES State Verification & Exchange System (SSA)
SVRS Statistically Valid Random Sample
SW Step Weight
SW-CMM Software Development Capability Maturity Model
SW/T Structured Walkthrough
SWAT Specialized Work Action Team
SWBI State Welfare BuyIn Enrollment Profile System
SWICA State Wage Information Collection Agency
SYS OCO systems support application system code
T&D Training & Development
T&M Time & Materials
T1 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 Disabled
T16 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)
TA Technology Assessment
TAA Time Account Adjustment (Schedule or Report)
TAC Technology Advisory Committee
TAC Type of Activity Code
TACT Total Audit Concept Technique
TACT Transfer, Automate, Contract Out and/or Terminate Project
TAG Technical Advisory (or Assistance) Group
TAMRA Technical & Miscellaneous Revenue Act of 1988
TANF Temporary Assistance for Needy Families
TAP Technical Advisory Panel
TAP Terminal Acquisition Project (SSA)
TAPEDSN Tape Data Set Protection
TARS Telephone Action Requests System
TASC (OWTDS) Training Assistance Services Cadre
TASC Transportation Administration Service Center
TAVERN Terminations & Attainments Validation & Enforcement of Returned Notices
TB Transaction Branch, DMOS (formerly GPABS or PM)
TBA To be Announced
TBC Transit Benefit Coordinator
TBD To Be Determined
TBO Transaction Back Out
TBP To Be Provided
TBP Transit Benefit Program
TBSR Total Business Systems Review
TC Technical Component
TC Technology Component
TC Telecommunications
TC Total Cost
TC Transaction Code
TCAB Technical Computer Advisory Board
TCC Technical Control Center
TCC Temporary Continuation of Coverage
TCD Trauma Code Development
TCP Transitional Corridor Payments
TCS Telephone Customer Service
TCSDB Test Case Specification Database
TD Treasury Department
TDC Training & Development Center
TDD Telecommunications Device for the Deaf
TDEA Triple Data Encryption Algorithm
TDOC Total Days of Care
TDP Testing Designated Positions
TDY Temporary Duty Travel
TEAM Technology Evaluation & Acquisition Methods
TEC Technical Evaluation Criteria
TEDBA Target Enrollment Database Architecture
TEDH Third Party Entitlement Date for Hospital Insurance
TEDS Third Party Entitlement Date for Supplementary Medical Insurance
TEFRA Tax Equity & Fiscal Responsibility Act of 1982 (PL97248)
TENS Transcutaneous Electrical Nerve Stimulation
TENS Transcutaneous Electrical (or Electronic) Nerve Stimulator
TEP Technical Evaluation Panel
TEP Transfer Enrollment Period
TEP Technical Experts Panel
TERMID Terminal ID
TFCS Treasury Financial Communications Systems (aka FEDWIRE)
TFSS Task Force for Standard Systems
TH Teaching Hospital
THD Total Hospice Days
THE Trailblazers Health Enterprises, Inc. (MD component of TX BC/BS)
TI Texas Instruments
TIARA Tactical Intelligence and Related Activities
TIM Technical Instruction Manual
TIMS Text Information Management System
TIN Tax Identification Number
TINA Truth In Negotiations Act
TIPPS Test of Intermediary Prospective Payment System
TIS Technical (or Technology) Information Services
TIS Therapeutic Intervention Scoring (System)
TITLE I Grants to States for old age assistance & medical assistance for the aged
TITLE 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 program
TITLE XXI State Child Health Programs
TLC Total Location Counter
TLS Transport Layer Security
TLV Threshold Limit Exposure Values
TMIS Training Management Information System
TMJ Temporomandibular Joints
TMP Task Management Plan
TMR Transmyocardial Revascularization
TMS Tape Management System
TN Transmittal Number
TNHP Teaching Nursing Home Program
TNIF Transaction NIF
TNIF True Not In File
TO Task Order
TO Training Office
TOB Type of Bill
TOC Transition Office Contact
TOP Trade Opportunities Program
TOP Transitional Outpatient Payment
TOP Treasury Offset Program
TOP Triple Option Package
TOP Type of Provider
TOPR Type of Program Record
TOPS Transitional Outpatient Payments System
TOR Terminal Owning Region
TOS Type of Service
TP Third Party
TP Transaction Processor
TPA Third Party Administrator
TPA Tissue Plasminogen Activator
TPAO Third Party Annotation Operation
TPBEST Third Party Billing Extract Statistical Totals
TPBLAST Third Party BuyIn Liability Accretions for Screening & Taping
TPCH Third Party Code for Hospital Insurance
TPCS Third Party Code for Supplementary Medical Insurance
TPDB Third Party Data Base
TPEXLAX Third Party Expel Lapsed, Antiquated & XR Records
TPF Third Party File
TPG Third Party Groups
TPL Third Party Liability
TPLAB Third Party List Agency Billing
TPM Third Party Master
TPN Total parenteral nutrition
TPNS Teleprocessing Network Simulator
TPO Treatment, Payment, Operations
TPPAYD Third Party Payment Data
TPPC Third Party Premium Collection
TPPG Third Party Private Group
TPQY Third Party Query System
TPR Third Party Record
TPRP Third Party Rules Processor
TR (T/R) Team Review
TRACE Third Party Recovery Audit Coordinated Effort
TRACS Teleprocessing Remote Access Control System
TRADE Training & Development Exchange
TRASOP Tax Reduction Act Stock Ownership Plan
TRC Technical Review Committee
TRC Transaction Reply Code
TRID Telecommunications Routing Indicator Directory
TRIDE TRID Extended
TRIM Target Rate Implementation Monitoring
TRIM Total Resources Information Management System
TRM Technical Reference Model
TRO Tax Refund Offset
TROMP Track Recovery of Mistaken Payments
TROOP True Out-of-Pocket
TRPBETA Third Party BuyIn Exceptions for TP Agencies
TRR Transaction Reply Report
TS Technical Strategy (official meaning)
TS Tentative Settlement
TSC Technical Service Center
TSCOG TSC Operator Guide
TSG The Surgeon General
TSIPML Third State Issuing Professional License
TSO Time Sharing Option
TSO Time Sharing Option
TSO/ISPF TSO Interactive System Productivity Facility
TSP Teleprocessing Services Program
TSP Terminal Simulator Panel
TSR Terminate & Stay Resident
TST Testing Phase
TT Trust Territories (Micronesia, Marshalls, Palau)
TTDH Third Party Termination Date for Hospital Insurance
TTDS Third Party Termination Date for Supplementary Medical Insurance
TTSF Test Time Sharing Facility
TTY Text Telephones
TVA Tennessee Valley Authority
TVA Threat & Vulnerability Assessment
TVIP Testing, Validation & Implementation Plan
TVS Test Value Sets
TWA Time Weighted Average
TWA Transaction Work Area
TWG Technical Work Group
TWP Trial Work Period
TWWIA Ticket to Work & Work Incentives Act of 1999
U&C Usual and Customary
U/I Unit of Issue
UA Unit & Analysis
UAMCDS Uniform Ambulatory Medical Care Data Set
UAT User Acceptance Testing
UAW United Auto Workers
UB Uniform Bill
UB-92 Uniform Billing form 92
UBIT Unrelated Business Income Tax
UC Utilization Control
UCAS Uniform Cost Accounting Standards
UCC Uniform Commercial Code
UCC User Communication & Control (System)
UCDS Uniform Clinical Data Set
UCDSS UCD System
UCF Universal Control Facility
UCFT Uniform Claim Form Taskforce
UCR Uniform Cost Report
UCR Usual, Customary & Reasonable (Charges)
UCR/PACE Ususal, Customary & Reasonable / Performance & Cost Efficiency
UCRD Uniform Cost Report Demonstration
UDB Utilization Database
UDE User Defined Exit
UDR Uniform Desk Review
UE User Etract
UFAS Uniform Federal Accessibility Standards
UGMT Users Group Management Terminal
UHCIA Uniform Health Care Information Act
UHDDS Uniform Hospital Discharge Data Set
UHIN Utah Health Information Network
UHIS Unbundling of Hospital Inpatient Services
UHP Unbundling of Hospital Payment
UHP United Health Plan
UL Underwriters Laboratory
UL User Language
ULP Unfair Labor Practice
UMBI Utilization Management & Benefit Integrity
UMO Utilization Management Organization
UMPC Union Management Partnership Council
UMS Universal Measured Service
UMW United Mine Workers
UNAI Uniform Needs Assessment Instrument
UNCEFACT United Nations Centre for Facilitation of Procedures and Practices for Administration, Commerce, and Transport
UNEDIFACT United Nations Rules for Electronic Data Interchange for Administration, Commerce, and Transport
UNIBILL Uniform Bill (Intermediary Submitted Files of Processed Medicare Provider Bills)
UNICEP Uniform Contractor Evaluation Program
UNOS United Network for Organ Sharing
UPD Unilateral Price Determination
UPIN Unique Physician Identification Number
UPIN Universal Provider Identification Number
UPL (Medicaid) Upper Payment Limit
UPN Universal Product Number
UPPS Uninterruptible Premium Power Supply
UPS Uninterruptable Power Supply
UPS United Parcel Service
UPT User Proposal Team
UR Upon Receipt
UR Utilization Review
URAC Utilization Review Accreditation Commission
URC (Intermediary) Utilization Review Coordinator
URC Utilization Review Committee
URF User Request Form
URL Uniform Resource Locator
URO Utilization Review Organization
URQ User Requirements
US User Services
USAID United States Agency for International Development
USARC United States America Registration Committee
USBC Uniform State Bill Committee
USC United States Code
USCA USC Annotated
USCM United States Conference of Mayors
USCS United States Code System
USDA United States Department of Agriculture
USERID User Identification
USGAO United States General Accounting Office
USGS United States Geological Survey Department
USHIK U.S. Health Information Knowledgebase
USIA United States Information Agency
USP U.S. Pharmacopoeia
USPCC United States Per Capita Cost
USPS United States Postal Service
USQ Utilization Status Query
USRDS United States Renal Data System
USTF Uniformed Services Treatment Facility
UTL Unable To Locate
UTL Utilization Database application system code
V&V Verification & Validation
VA Department of Veterans Affairs
VAD Ventricular Assist Device
VADATS Veterans Administration Data Automatic Transmission System
VAM Volume Allocation Manager
VAN Value Added Network
VAR Value Added Reseller
VAX Value Added Exchange
VAX Voice Activated Exchange
VBA Visual Basic architecture
VC Value Code
VC Voluntary Closing
VCPR Visit Code Comparative Performance Report
VDRE Value Driven Reengineering
VDS Voluntary Data Sharing
VDSA Voluntary Data Sharing Agreement
VECP Value Engineering Change Proposal
VERA Voluntary Early Retirement Act of 1993
VICP Vaccine Injury Compensation Program
VICS Virtual Integrated Communications System
VIP Voucher Insurance Plan
VIPS Viable Information Processing Systems
VISION Vital Information System to Improve Outcomes in Nephrology
VLSI Very Large Scale Integration
VMS Viable Medicare Systems
VMS VIPS (Viable Information Processing Systems) Medicare System
VMS VIPS Medicare System
VMS Virtual Multiple Storage
VMX Voice Message Exchange
VNA Visiting Nurses Association
VOLSER Volume Serial Number
VOS Virtual Operating System
VPAC Variable Premium Amount Collectable
VPN Virtual Private Network
VPS Volume Performance Standard
VPS VTAM Printer Support System
VRA Veteran's Readjustment Appointment
VRR Validation Readiness Review
VRU Ventilator Rehabilitation Unit
VSAM Virtual Storage Access Method
VSCR Virtual Storage Constraint Relief
VTAM Virtual Total Access Method
VWA View Work Area
WA Working Aged
WAC Wholesale Acquisition Cost
WAEPA Worldwide Assurance for Employees of Public Agencies
WAR Working Aged Recovery
WASC (OPM) Washington DC Area Service Center
WATS Wide Area Telephone Service
WBS Work Breakdown Structure (or Schedule)
WBT WebBased Training
WC Workers Compensation
WCF Working Capital Fund
WEAL Women's Equity Action League
WECO Western Consortium (Denver, San Francisco & Seattle HIROs)
WEDI Workgroup on Electronic Data Interchange
WEL Women's Executive Leadership
WEP Windfall Elimination Provision
WERS Work Experience Reporting System
WFE Weekly FrontEnd Bill & Payment Records Processing System
WFP Workforce Planning Initiative
WG Workgroup
WHCOA White House Conference on Aging
WHCRA Women's Health & Cancer Rights Act of 1998
WHIM Weekly Merge File of all HI Processed Transactions
WHIP Write HI Printout (Format Printout Responses) (HDWHIP)
WHO World Health Organization
WI Wage Index
WIC Western Integrity Center
WIC Women, Infant & Children Program, DOA
WINDEX Widow (and Widowers) Indexing
WIP Work in Progress
WIS Warehouse Inventory System
WIS WWMCCS Information System
WITS Washington Interagency Telecommunications System
WIX Wage Index System
WKFL Workflow (Customer Inquiry System)
WMTI Women's Management Training Initiative
WNPSC Western Program Service Center, SSA
WOC Workplan Objective Code
WOCN Wound Ostomy Continence Nurses
WORKGP Work Group Membership Tracking System
WPA Whistleblower Protection Act
WPA Works Progress Administration
WPC Washington Publishing Company
WWMCCS World Wide Military Command & Control System
WY Workyear (formerly manyear)
XA Extended Architecture Operation System (SSA)
XAC Cross Reference Account Code
XCN Executive Control Number
XCOM External Communications System
XDE Extended Development Environment
XDP Extended Data Processing
XDR Extended Data Representation
XID Exchange Identifier
XIV Title 14 Grants to States for Aid to the Permanently & Totally Disabled
XIX Title 19 Grants to States for Medical Assistance Programs (MAA)
XIXED Title 19 Entitlement Date
XL Excelerator (CASE tool software)
XLD Excelerator Dictionary
XMBA Executive Masters in Business Administration
XMS Cross Memory Services
XMT Transmit
XMTL Transmittal
XQA Expanded Quality Assurance
XRAN Cross Reference Account Number
XVI Title 16 Grants to States for Aid to the Aged, Blind or Disabled or Aid & Medical Assistance for the
XVIII Title 18 Medicare
XX Title 20 State operated home health care entitlement program
XXI Title 21 State Child Health Program
Y2K Year 2000
YOB Year of Birth
YR Year
YTD YearToDate
YYYY Year (i.e., mmddyyyy)
ZBB Zero Base Budgeting (OMB Circular A115)
ZD Zero Defects
ZI Zonal Index
ZIP Zone Improvement Plan (ZIP Codes)
ZIP+4 9 digit ZIP Code Plan
ZO Zero Overpricing
ZST Zone Standard Time
ZULU Greenwich Mean Time