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