ACRONYMS

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

AAPCC----Adjusted Average Per Capita Cost

ABL----Aggregate Beneficiary Limits

ADR----Automated Desk Review

AFDC----Aid to Families with Dependent Children

AMA----American Medical Association

AMP----Average Manufacturer Price

AOR----After Outliers Removed

APS----Annual Person Summary

ASC----Ambulatory Surgical Centers

BBA--Balanced Budget Act

BC/BS--Blue Cross and Blue Shield

BEA----Business Enterprise Area

BEF--Beneficiary Encrypted File

BEFs--Beneficiary Encrypted Files

BERT--Beneficiary Enrollment Retrieval

BESS--Part B Extract and Summary System

BETOS--Berenson-Eggers Type of Service

BIC--Beneficiary Identification Code

BMAD--Part B Medicare Annual Data

BNL--Beneficiary Notification Letter

BOAN--Beneficiary's Own Account Number

BOR--Beneficiary Outliers Removed

BPL--Beneficiary Program Liability

BPO--Bureau of Program Operations

CAPI--Computer-assisted Personal Interviewing

CHIP--Children’s Health Insurance Program

CHPP--Center for Health Plans and Providers

Claim-IP--Inpatient Claims

Claim-LT--Long-term Care Claims

Claim-OT--Other Claims

CLIA--Clinical Laboratory Improvement Act

CMHC--Community Mental Health Center

CMHS--Continuous Medicare History Sample

CMSO--Center for Medicaid and State Operations

COLA--Cost of Living Adjustment

CORF--Comprehensive Outpatient Rehabilitation Facilities

CPT--Current Procedural Terminology

CWF--Common Working File System

DDLD--Division of Data Liaison and Distribution

DESI--Drug Efficacy Study Implementation

DHHS--U.S. Department of Health and Human Services

DID--Division of Information Distribution

DME--Durable Medical Equipment

DMEPOS--Durable Medical Equipment, Prosthetics/Orthotics, and Supplies

DRA--Data Release Agreement

DRG--Diagnosis Related Group

DSAF--Decision Support Access Facility

DSH--Disproportionate Share Hospital

DUA--Data Use Agreement

EDB--Enrollment Database

EDBW--EDB Workbench

EDEES--ESRD Data Entry and Editing System

EDG--Enterprise Databases Group

EPO--Erythropoietin

EPSDT--Early and Periodic Screening, Diagnostic, and Treatment

ERNIE--Enrollment Retrieval New Interactive Edit

ERS--Electronic Reporting System

ESRD--End Stage Renal Disease

ESRD PMMIS--ESRD Program Management and Medical Information System

FDA--Food and Drug Administration

FFS--Fee-for-Service

FI--Fiscal Intermediary

FIPS--Federal Information Processing Standards

FMAP--Federal Medical Assistance Percentage

FPL--Federal Poverty Level

FQHC--Federally Qualified Health Center

FTP--File Transfer Protocol

GDP.--Gross Domestic Product

GHP--Group Health Plan

GPCI--Geographic Practice Cost Index

GPFE--General Purpose Front End

GPO--Government Printing Office

HCBS--Home Community Based Services

HCFA--Health Care Financing Administration

HCIS--HCFA Customer Information System

HCPCS--HCFA Common Procedure Coding System

HCRIS--Health Care Provider Cost Report Information System

HDC--HCFA Data Center

HDSS--Hospital Data Support System

HHA--Home Health Agency

HI--Hospital Insurance

HIC Number--Health Insurance Claim Number

HIIM--Health Insurance Inactive Master

HIMA--Health Insurance MAster

HIMR--Health Insurance Master Record

HISKEW--Health Insurance Skeleton Eligibility Write-off

HJBCM--Billing and Collection Master

HMO--Health Maintenance Organization

HPPOS--Health Plan Payment and Operations Support Branch

ICD-9-CM--International Classification of Diseases-9th Revision-Clinical Modification

ICF--Intermediate Care Facility

ICFs/MR--Intermediate Care Facility for the Mentally Retarded

ISG--Information Systems Group

LTC--Long Term Care

M204--Model 204

MADRS--Medicare Automated Data Retrieval System

MAP--Medical Assistance Payments

MANRLINE--Menu-driven Access to the 100% Nearline Claims File

MBES--Medicaid Budget and Expenditure System

MBR--Master Beneficiary Record

MCBS--Medicare Current Beneficiary Survey

MCCA--Medicare Catastrophic Coverage Act

MCO--Managed Care Organization

MCP--Managed Care Plan

MDC--Major Diagnostic Category

MDRI--Medicaid Drug Rebate Initiative

MEDPAR--Medicare Provider Analysis and Review

MEQC--Medicaid Eligibility Quality Control

MHIS--Medicare Hospital Information System

MMACS--Medicare/Medicaid Automated Certification System

MMIS--Medicaid Management Information System

MN--Medically Needy

MPIER--Medicare Physician Identification Eligibility Registry

MQIS--Medicare Quality Indicator System

MSA--Metropolitan Statistical Area

MSIS--Medicaid Statistical Information System

MSP--Medicare Secondary Payor

MUI--Medicaid User Interface

MUPPET--Medicare Update Processors for Enrollment Transactions

NCH--National Claims History

NCHQAS--NCH Quality Assurance System

NCHS--National Center for Health Statistics

NDC--National Drug Code

NF--Nursing Facility

NHE--National Health Expenditures

NIDDK--National Institute of Diabetes and Digestive and Kidney Diseases

NPR--Notice of Program Reimbursement

NPRM--Notice of Proposed Rule Making

NTIS--National Technical Information Service

OACT--Office of the Actuary

OB--Obstetric

OCSQ--Office of Clinical Standards and Quality

OIS--Office of Information Services

OPM--Office of Personnel Management

OSCAR--Online Survey Certification and Reporting System

OSP--Office of Strategic Planning

PACE--Programs of All-Inclusive Care for Elderly

PDIG--Program Development and Information Group

PED--Pediatric

PHP--Prepaid Health Plan

PHS--Public Health Service

PIN--Provider Identification Number

POCI--Physician Ownership and Compensation Interest System

POS--Provider of Services

PPOs--Preferred Provider Organizations

PPR--Physician Payment Reform

PPS--Prospective Payment System

PRICER--PPS Pricing Software for Inpatient Stays System

PRO--Peer Review Organization

PSOs--Provider-Sponsored Organizations

PSPS--Physician/Supplier Procedure Summary

PUF--Public Use File

QA--Quality Assurance

QC--Quality of Care

QDWIs--Qualified Disabled and Working Individuals

QI--Qualifying Individuals

QMBs--Qualified Medicare Beneficiaries

RADARS--Rapid Data Retrieval System

REBUS--Renal Beneficiary and Utilization System

REMIS--Renal Management Information System

RHC--Rural Health Clinic

RRB--Railroad Retirement Board

RVS--Relative Value Scale

RVU--Relative Value Unit

SAF--Standard Analytic File

SDSS--Skilled Nursing Facility Data Support System

SIMS--Standard Information Management System

SLMBs--Specified Low-Income Medicare Beneficiaries

SMI--Supplementary Medical Insurance

SMRF--State Medicaid Research File

SNF--Skilled Nursing Facility

SOBER--Separate Operation for Billing Entitlement and Remittance

SPA--State Plan Amendment

SPACE--SMI Premium Accounting, Collection, and Enrollment

SPDATA--State Profile Data System

SRF--Survey Report Form

SSA--Social Security Administration

SSI--Supplemental Security Income

SSN--Social Security Number

TANF--Temporary Assistance for Needy Families

TPEARTH--Third Party Master

UB82--Uniform Bill 82

UB92--Uniform Bill 92

UEDB--Unloaded EDB

UNOS--United Network for Organ Sharing

UPIN--Unique Physician Identification Number

USRDS--United States Renal Data System

VSAM--Virtual Storage Access Method