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A
AAA - Anesthesia Administration Assembly
AAACN - American Academy of Ambulatory Care Nursing
AAAP - Association of Administrators in Academic Pediatrics
AAARRO - Association of Administrators in Academic Radiology and Radiation
Oncology
AAFP - American Academy of Family Physicians
AAHA - American Association of Health Attorneys
AAHC - Accreditation Association for Ambulatory Health Care
AAHP:
American Association of Health Plans
AAHSA: American Association of Homes
and Services for the Aging
AAN - American Academy of Neurology
AANP - American Academy of Nurse Practitioners
AAMC:
Association of American Medical Colleges
AAO - American Academy of Ophthalmology
AAOA - Association of Academic Orthopedic Administrators
AAOS - American Academy of Orthopedic Surgeons
AAP - Administrators is Academic Psychiatry; American Academy of Pediatrics
AAPHO - American Association of Physician Hospital Organizations
AAPMR - American Academy of Physical Medicine and Rehabilitation
AAPPO - American Association of Preferred Provider Organizations
AAPS - American Association of Plastic Surgeons
AARP - American Association of Retired Persons
AASA - American Association of Surgical Administrators
AATA - American Association of Thoracic Surgeons
ABIM
American Board of Internal Medicine
ACAI - American College of Allergy and Immunology
ACC - Ambulatory Care Center; American College of Cardiology
ACCME
Accreditation Council on Continuing Medical Education
ACEHSA - Accrediting Commission on Education for Health Services Administration
ACEP - American College of Emergency Physicians
ACG - Ambulatory Care Group; American College of Gastroenterology
ACGME - Accreditation Council for Graduate Medical Education
ACHE - American College of Healthcare Executives
ACMPE - American College of Medical Practice Executives
ACNM - American College of Nuclear Medicine
ACOG - American College of Obstetrics and Gynecology
ACOM - American College of Occupational Medicine
ACP - American College of Physicians
ACPE - American College of Physician Executives
ACPM - American College of Preventive Medicine
ACPPD - average cost per patient day
ACR - adjusted community rate; American College of Radiology ;American College
of Rheumatology
ACS - American College of Surgeons
ACU:
Ambulatory Care Unit
AD - Advance Directive
ADA - American Dental Association; Americans with Disabilities Act
ADC:
Average Daily Census
ADL - activities of daily living
ADR:
Adverse Drug Reaction
ADS - alternative delivery systems
AFDC - Aid to Families with Dependent Children
AFPA - Association of Family Practice Administrators
AGPA - American Group Practice Association
AGPAM - American Guild of Patient Account Managers
AGS - American Geriatrics Society
AHA - American Hospital Association
AHC
Academic Health Center
AHCA:
American Health Care Association
AHCPR - Age Health Care Policy and Research
AHIMA - American Health Information Management Association
AHP - accountable health plan/partnership
AHSR - Association of Health Services Research
AIDS:
Acquired Immune Deficiency Syndrome
AIM - Administrators of Internal Medicine
ALOS - average length of stay
AMA - American Management Association; American Medical Association
AMCRA - American Managed Care and Review Association
AMGO - Association of Manager of Gynecology and Obstetric
AMHO:
Association of Managed Health Care Organizations
AMHPA - Assembly of Mental Healthcare Practice Administrators
ANA - American Nurses' Association
ANSI - American National Standards Institute
AOA - Administration on Aging
AOHA - Administrators in Oncology/Hematology Assembly
AOHA:
American Osteopathic Hospital Association
AONE: American Organization of Nurse
Executives
APA - Academic Practice Assembly; American Psychiatric Association
APC:
Ambulatory Patient Classifications
APD:
Adjusted Patient Day
APG - ambulatory patient group
APT - admissions per thousand
A/R - accounts receivable
ASA - American Society of Anesthesiologists
ASAE - American Society of Association Executives
ASC - ambulatory surgery center
ASGPA - Assembly of Surgical Group Practice Administrators
ASH - American Society of Hematology
ASIG - American Special Interest Group
ASIM - American Society of Internal Medicine
ASMS - Ambulatory Surgery Management Society
ASO - administrative services only
ASOS - American Society of Outpatient Surgeons
ASR - age/sex rates
AUA - American Urological Association
AUPHA - Association of University Programs in Health Administration
AUR - ambulatory utilization review
AVG - ambulatory visit group
AWP - any will provider; average wholesale price
B
BBA:
Balanced Budget Act of 1997
BC - board certified
BC/BS - Blue Cross/Blue Shield
BE - board eligible
BLS:
Bureau of Labor Statistics
BME: Board of Medical Examiners
BONES - a national association of orthopedic administrators
BP: Blood Pressure
BSN: Bachelor of Science in Nursing
C
CAE - certified association executive
CAH:
Critical Access Hospital
CAP - College of American Pathologists
CAT:
Computerized Axial Tomography
CBA - cost benefit analysis
CBO:
Congressional Budget Office
CCO - complete/coordinated care organization
CCN:
Community Care Network
CCU:
Critical Care Unit
CDC - Center for Disease Control
CD-ROM - compact disk-read only memory
CE:
Continuing Education
CEO - chief executive officer
CF - conversion factor
CFO - chief financial officer
CFR - Code of Federal Regulations
CHAMPUS - Civilian Health and Medical Program of the Uniformed Services
CHC - community health center
CHIME - College of Health Information Management Executives
CHF:
Congestive Heart Failure
CHIN:
Community Health Information Network
CHIP:
Children’s Health Insurance Program
CHPA - community health purchasing alliances
CICU:
Cardiac Intensive Care Unit
CIO - chief information officer
CLIA - Clinical Laboratory Management Association
CM:
Case Management; Case Manager
CMA - certified medical assistant
CME - continuing medical education
CMP - competitive medical plan
CMPE - Certified Medical Practice Executive
CMS:
Centers for Medicare and Medicaid Services
CNM - certified nurse midwife
CNS:
Clinical Nurse Specialist
COA - certificate of authority
COB - coordination of benefits
COBRA - Consolidated Omnibus Budget Reconciliation Act
COC - certificate of coverage
COE:
Center of Excellence
COLA - cost of living adjustment
CON - certificate of need
COO - chief operating officer
COPD:
Chronic Obstructive Pulmonary Disease
CORF - comprehensive outpatient rehabilitation facility
COTH - Council of Teaching Hospitals
CPA:
Certified Public Accountant
CPI - consumer price index
CPPD - Central Practice Plan Directors
CPR:
Cardiopulmonary Resuscitation
CPR - customary, prevailing and reasonable reimbursement
CPT - current procedural terminology
CQI - continuous quality improvement
CRAHCA - Center for Research in Ambulatory Health Care Administration
CRISP - Consortium Research on Indicators of System Performance
CRC - community rating by class
CRNA - certified registered nurse anesthetist
CSCA - Cardiovascular/Thoracic Surgery and Cardiology Assembly
CT:
Computerized Tomography
CWA - common working file
CWW - clinic without wall
D
D & O - Directors and officers
DBA - Doctor of Business Administration
DC - dual choice
DCI - duplicate coverage inquiry
DEA - Drug Enforcement Agency
DHHS - Department of Health and Human Services
DID - direct inward dial
DME - durable medical equipment
DME:
Director of Medical Education
DNR: Do Not Resuscitate
DO - Doctor of Osteopathy
DOJ:
Department of Justice
DOL: Department of Labor
DOS - disk operating system
DPM - Doctor of Podiatric Medicine
DPT - days per thousand
DRA - diagnosis related group
DRG - Deficit Reduction Act
DrPH - Doctor of Public Health
DSH:
Disproportionate Share Adjustment
DUR - drug utilization review
Dx:
Diagnosis
E
EAP - employee assistance program
ECF:
Extended Care Facility
ECU:
Environmental Control Unit
EKG/ECG: Electrocardiogram
ED: Emergency Department
EDI - electronic data interchange
EDP:
Electronic Data Processing
EDS: Electronic Data System
EEG:
Electroencephalogram
EEO - equal employment opportunity
EEOC:
Equal Employment Opportunity Commission
EFT - electronic funds transfer
EHO - emerging healthcare organization
EIS - electronic information standards
EMA - Emergency Medicine Assembly
EMC - electronic media claims
EMS - emergency medical services/systems
EMT:
Emergency Medical Technologist
EMTALA: Emergency Medical Treatment
and Active Labor Act
EOB - explanation of benefits
EOI - evidence of insurability
EOM - end of month
EOMB - explanation of Medicare benefits
EOY - end of year
EPA:
Environmental Protection Agency
EPO - exclusive provider organization
ER - experience rating
ER:
Emergency Room
ERISA - Employee Retirement Income Security Act
ET - expenditure target
F
FAC - freestanding ambulatory care
FACHE - Fellow of the American College of Healthcare Executives
FACMPE - Fellow of the American College of Medical Practice Executives
FAHS - Federation of American Health Systems
FASA - Federated Ambulatory Surgery Association
FASB:
Financial Accounting Standards
FASC - freestanding ambulatory surgery center
FBA - flexible benefit account
FDA - Food and Drug Administration
FEC - freestanding emergency center
FFS - fee-for-service
FI - fiscal intermediary
FIGS - fully integrated groups
FMG:
Foreign Medical Graduate
FMLA - Family Medical Leave Act
FMS - Financial Management Society
FOC - freedom of choice
FP - family practice
FQHC:
Federally Qualified Health Center
FR - Federal Register
FSA - flexible spending account
FTC - Federal Trade Commission
FTE - full-time equivalent
FUF - Facing the Uncertain Future study
FY - fiscal year
FYE:
Fiscal Year Ending
G
GAA - Gastroenterolgy Administration Assembly
GAAP:
Generally Accepted Accounting Principles
GAF - geographic adjustment factor
GAO - General Account Office
GBA - Group on Business Affairs(part of AAMC)
GDP - gross domestic product
GFP - Group on Faculty Practice (part of AAMC)
GHAA - Group Health Association of America
GI:
Gastrointestinal
GIP - Group on Institutional Planning (Part of AAMC)
GME - graduate medical education
GMENAC - Graduate Medical Education National Advisory Committee
GNP - geriatric nurse practitioner; gross national product
GP general practice
GPCI - geographic practice cost index
GPIN - Group Practice Improvement Network
GPO - Government Printing Office; group purchasing organization
GPWW - group practice without walls
GRA - Geriatric Resource Assembly
GRC - Government Relations Committee
GSCR - group-specific community rating
H
HCA - Hospital Corporation of America
HCFA - Health Care Financing Administration
HCPCS - HCFA Common Procedure Coding System
HCRES - House concurrent resolution
HEDIS - Healthplan Employer Data Information Set
HFMA - Healthcare Financial Management Association
HH:
Home Health
HHA - home health agency
HHS - Health and Human Services (U.S. Department)
HIAA - Health Insurance Association of America
HIB - health insurance benefits
HIMSS - Healthcare Information and Management Systems Society
HIO - health insuring organization
HIPAA:
Health Insurance Portability and Accountability Act of 1996
HIPC - health insurance purchasing cooperative
HMO - health maintenance organization
HMSA - health manpower shortage area (now HPSA)
HOI - Health Outcomes Institute
HPO - healthcare purchasing organization; hospital provider organization
HPPC - health plan purchasing co-operative
HPSA - health professionals shortage area
HRSA - Health Resources and Services Administration
HRS - House Resolution; Human Resources Society
HSA - health service agreement
I
IBNR - incurred but not reported
ICCU:
Intensive Coronary Care Unit
ICD-9-CM - International Classification of Diseases, Ninth Revision, Clinical
Modification
ICD-10 -
International Classification of Diseases, Tenth Revision
ICF:
Intermediate Care Facility
ICU: Intensive Care Unit
IDS - integrated delivery system
IEP - initial enrollment period
IG:
Inspector General
IHO - integrated healthcare organization
IHPS - Integrated Healthcare Practice Society
IHS - Indian Health Service; integrated healthcare system
IMA - Internal Medicine Assembly
IME:
Indirect Medical Education
IMO - integrated multiple option
IMS - Information Management Society; information management system
InHCc -
International Health Care Consultants
IOM:
Institute of Medicine
I/P: Inpatient
IPA - independent practice association/arrangement
IPN - integrated provider network
IPO - individual practice organization
IRC - Internal Revenue Service
IS:
Information System
ISN - integrated service network
IT -
Information Technology
IV:
Intravenous
J
JCAHO - Joint Commission on Accreditation of Healthcare Organizations
JD - Juris Doctor
L
LAN - local area network
LOS - length of stay
LPN - licensed practical nurse
LTC - long term care
LVN:
Licensed Vocational Nurse
M
MA - Master of Arts, medical assistance
MAAC - maximum allowable actual charge
MAC - maximum allowable cost
MBA - Master of Business Administration
MBO - management by objectives
MCA - Managed Care Assembly
MCCA - Medicare Catastrophic Coverage Act
MCO - managed care organization
MCPI - medical consumer price index
MCR - medical cost ratio
MD - Doctor of Medicine
MEC:
Medical Executive Committee
MED Management Education Development
MEDPAC:
Medicare Payment Advisory Commission
MEI - Medicare Economic Index
MEWA - multiple employer welfare arrangements
MFIB - Medicare Fraud Investigations Branch
MFS - Medicare fee schedule
MGES - Multispecialty Group Executive Society
MGMA - Medical Group Management Association
MHA - Master of Health Administration
MI:
Myocardial Infarction
MIB - Medical Information Bureau
MIS - management information system
MLP:
Midlevel Practitioner
MOA - market opportunity analysis
MOB - medical office building
MPH - Masters of Public Health
MRI - magnetic resonance imaging
MRS - medical review systems
MSA - management services agreement; medical savings account
MSA:
Metropolitan Statistical Area
MSO - management service organization
MVPS - medical volume performance standard;
medicare volume performance standard
N
NAA - Neurosciences Administration Assembly
NAHDO - National Association of Health Data Organizations
NAHQ - National Association of Health Quality
NAIC - National Association of Insurance Commissioners
NAMCP - National Association of Managed Care Physicians
NAMCS- National Ambulatory Medical Care Survey
NAPHO - National Association of Physician Hospital Organization
NCHS - National Center for Health Statistics
NCQA - National Committee for Assurance
NCQHA - National Committee for Quality Health Care
NEIC - National Electronic Information Corporation
NHI - National Institute on Aging
NIA - National Institutes of Health
NICU:
Neonatal Intensive Care Unit
NIH: National Institutes of Health (HHS)
NIHM - National Institutes of Mental Health
NIOSH - National Institute of Occupational Safety and Health
NLRB:
National Labor Relations Board
NMES - National Medical Expenditure Survey
NMR - nuclear magnetic resonance
NP - nurse practitioner
NPA - non-par approved
NPDB:
National Practitioner Data Bank
NPN - non-par not approved
O
OA - Ophthalmology Assembly
OAA - Otolaryngology Administration Assembly
OBGA - Obstetrics and Gynecology Assembly
OB-GYN:
Obstetrics & Gynecology
OBRA - Omnibus Budget Reconciliation Act
OD - Doctor of Optometry; organizational development
OEP - open enrollment period
OHMO - Office of Health Maintenance Organizations
OI - Office of Investigator
OIG - Office of Inspector General
OM - outcomes management
OMB:
Office of Management and Budget
OMS - outcomes management system
OOA - out of area
OP:
Outpatient
OPA - Orthopedic Practice Assembly
OPM - Office of Personnel Management
OR:
Operating Room
OSGR - Office of State Government Relations
OSHA - Occupational Safety and Health Administration
OT:
Occupational Therapy
P
PA - physician assistant; professional association
PAA - Pediatric Administration Assembly
PAC - political action committee; pre-admission certification
PACS - picture archiving and communication system
PAHCOM - Professional Association of Health Care Office Managers
PATCH - planned approach to community health
PATOS - payment at time of service
PBM - prescription benefit manager
PC - professional corporation
PCC - patient care coordinator
PCN - primary care network
PCP - personal care physician; primary care physician
PCPM - per contract per month
PCR - physician contingency reserve
PDR - Physicians' Desk Reference
PDC - pre-existing condition
PEER - Performance Efficiency Evaluation Report
PET:
Positron Emission Tomography
PGP - prepaid group practice
PGY - post graduate year
PHO - physician hospital organization
PHP - prepaid health plan
PHS - Public Health Service
PI - performance indicator; principle investigator
PIC - program integrity coordinator
PIGS - partically integrated groups
PIS - psychiatric information services
PMA - Pathology Management Assembly
PMG - primary medical group
PMPM - per member per month
PMRA - Physical Medicine and Rehabilitation Alliance
PO - physician organization
PODS - pools of doctors
POL - physician office laboratories
POMR - problem-oriented medical record
POS - point of sale; point -of-service (plan)
PPA - preferred provider arrangement
PPAC - Practicing Physicians Advisory Council
PPD - prepaid
PPG - primary provider group
PPO preferred provider organization
PPRC - Physician Payment Review Commission
PPS - prospective payment system; prospective pricing system
PQI - personal quality improvement
PRO - professional review organization
ProPAC - Prospective Payment Assessment Commission
PSC - Physician Services: Comparison
PSDA - Patient Self-Determination Act
PSO - physician services organization
PSPA - Physician Services Practice Analysis
PSRO - professional standards review organization
PT - patient; physical therapist/therapy; proficiency testing |
PTMPTY - per thousand members per year
Q
QA - quality assurance
QC - quality circle
QI - quality improvement
QMB - qualified Medicare beneficiary
QWL - quality of work life
R
RA - Radiology Assembly
R&D:
Research and Development
RAPS - radiologists, anesthesiologists, pathologists;
regulated all-paper system
RBMA - Radiology Business Management Association
RBRVS - resource based relative value scale
RFI - request for information
RFP - request for proposal
RFQ - request for quote
RHCS - regional health care system
RN - registered nurse
ROA - return on assets
ROE - return on equity
ROI:
Return on Investment
RPh:
Registered Pharmacist
RRC - residency review committee
RUG - resource utilization group
RVS - relative value scale
RVU - relative value unit
Rx:
Prescription
S
SB - senate bill
SCA - Satellite Clinic Alliance
SCR - standard class rate
SCRES - Senate concurrent resolution
SHMO - social health maintenance organization
SIC - standard industry classification
SLP:
Speech Language Pathologist
SMSA - standard metropolitan statistical area
SNF - skilled nursing facility
SOI - severity of illness
SP - speech pathologists; speech pathology
SPA - Society for Physicians in Administration
SRES - Senate resolution
T
TEFRA - Tax Equity and Fiscal Responsibility Act
TPA - third party administrator
TQI - total quality improvement
TQM - total quality management
TR -
turnover rate
U
UA - Urology Assembly
UB - uniform billing
Uniform Billing Committee
UBIC - unrelated business income
UCR - usual, customary, and reasonable
UMGA - Unified Medical Group Association
UMQC - unique physician identification number
UR - utilization review
V
VEBA - voluntary employee benefit account
VHA - Voluntary Hospitals of America
VPS - volume performance standard
W
WC - worker's compensation
WEDI - Workgroup on Electronic Data Interchange
WHO - World Health Organization
WLU - work load unit
WWW - world wide web
Y
YTD - year-to date
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