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A |
A B C |
http://www.yahoo.com |
A&G |
Administrative and General |
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A&I |
Audits and Investigations |
www.dhcs.ca.gov |
AHA |
American Hospital Association |
www.aha.org/ |
APC |
Ambulatory Payment Classification |
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ARAS |
Audit Review and Analysis Section |
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ARRA |
American Recovery and Reinvestment Act of 2009 |
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ASC |
Ambulatory Surgical Center |
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BBA |
Balanced Budget Act |
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BBRA |
Balanced Budget Reform Act |
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BIPA |
Benefits Improvement and Protection Act |
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CAH |
Critical Access Hospital |
www.cms.gov |
CAP |
Competitive Acquisition Provider |
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CAPD |
Continuous Ambulatory Peritoneal Dialysis |
www.cms.gov |
CAP-REL |
Capital-Related |
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CBSA |
Core Based Statistical Areas |
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CCN |
CMS Certification Number |
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CCPD |
Continuous Cycling Peritoneal Dialysis |
www.cms.gov |
CCU |
Coronary Care Unit |
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CFR |
Code of Federal Regulations |
www.gpoaccess.gov |
CHA |
California Hospital Association |
www.calhealth.org |
CHPP |
Center for Health Plans and Providers |
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CMG |
Case-mix Groups |
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CMHC |
Community Mental Health Center |
www.cccmha.org/ |
CMI |
Case – Mix Index |
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CMS |
Centers for Medicare & Medicaid Services |
www.cms.hhs.gov |
COL |
Column |
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CORF |
Comprehensive Outpatient Rehabilitation Facility |
www.cms.gov |
COS |
Clinical Outcomes Systems |
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CRNA |
Certified Registered Nurse Anesthetist |
www.ehow.com |
CRRP |
Child Care, Resource and Referral Development Program |
www.cde.ca.gov |
CTC |
Certified Transplant Center |
www1.cms.gov |
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DEFRA |
Deficit Reduction Act of 1984 |
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DHCS |
Department of Health Care Services |
www.dhcs.ca.gov |
DHHS |
Department of Health and Human Services |
www.hhs.gov/ |
DME |
Durable Medical Equipment |
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DPP |
Disproportionate Patient Percentage |
www.hhs.gov |
DRA |
Deficit Reduction Act of 2005 |
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DRG |
Diagnostic Related Group |
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DSH |
Disproportionate Share – Medicare |
www.cms.gov |
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EACH |
Essential Access Community Hospital |
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ESRD |
End Stage Renal Disease |
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FCSO |
First Coast Service Options, Inc. |
www.fcso.com |
FI |
Fiscal Intermediary |
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FIM |
Functional Independence Measure |
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FQHC |
Federally Qualified Health Center |
www.cms.gov |
FR |
Federal Register |
www.gpoaccess.gov |
FRVS |
Fair Rent Value System |
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FTE |
Full Time Equivalent |
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GME |
Graduate Medical Education |
www.acgme.org |
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HCFA |
Health Care Financing Administration |
www.hhs.gov |
HFMA |
Healthcare Financial Management Association |
www.hfma.org |
HHA |
Home Health Agency |
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HHSA |
State of California – Health and Human Services Agency |
www.chhs.ca.gov |
HIPAA |
Health Insurance Portability and Accountability Act of 1996 |
www.cms.gov |
HMO |
Health Maintenance Organization |
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HSCS |
Health & Safety Code Sections |
www.cdph.ca.gov |
HSR |
Hospital Specific Rate |
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HSRV |
Hospital-Specific Relative Values |
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I & Rs |
Interns and Residents |
www.acgme.org |
ICF |
Intermediate Care Facility |
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ICF/MR |
Intermediate Care Facility for the Mentally Retarded (9/96) |
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ICU |
Intensive Care Unit |
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IME |
Indirect Medical Education |
www.cms.gov |
INPT |
Inpatient |
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IPF |
Inpatient Psychiatric Facility |
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IRF |
Inpatient Rehabilitation Facility |
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LCC |
Lesser of Reasonable Cost or Customary Charges |
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LDP |
Labor, Delivery and Postpartum |
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LIP |
Low Income Patient |
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LOS |
Length of Stay |
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LTCH |
LongTerm Care Hospital |
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LTCRU |
Long Term Care Reimbursement Unit |
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LTCSDU |
Long Term Care System Development Unit |
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M+C |
Medicare + Choice (also known as Medicare Part C) |
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MA |
Medicare Advantage (previously known as M+C) |
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MAC |
Medicare Administrative Contractors |
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MCP |
Monthly Capitation Payment |
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MDH |
Medicare Dependent Hospital (10/97) |
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MDS-PAC |
Minimum Data Set for Past-Acute Care |
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MEA |
Medicare Enrollment Application |
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MED-ED |
Medical Education |
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MedPAC |
Medicare Payment Advisory Commission |
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MedPAR |
Medicare Provider Analysis and Review File Tool |
www.cms.gov |
MIPPA |
Medicare Improvements for Patients and Providers Act of 2008 |
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MIRL |
Maximum Inpatient Reimbursement Limitation |
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MMA |
Medicare Prescription Drug Improvement and Modernization Act of 2003 |
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MPD |
Medi-Cal Policy Division |
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MSA |
Metropolitan Statistical Area (10/97) |
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MS-DRG |
Medicare Severity Diagnosis-Related Group |
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MSP |
Medicare Secondary Payer |
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NF |
Nursing Facility |
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NHCMQ |
Nursing Home Case Mix and Quality Demonstration |
www.ncbi.nlm.nih.gov |
NPI |
National Provider Identifier |
nppes.cms.hhs.gov |
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OBRA |
Omnibus Budget Reconciliation Act of 1993 |
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OLTC |
Other Long Term Care |
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OOT |
Outpatient Occupational Therapy |
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OPD |
Outpatient Department |
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OPO |
Organ Procurement Organization |
www.organdonor.gov |
OPPS |
Outpatient Prospective Payment System |
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OPT |
Outpatient Physical Therapy |
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ORF |
Outpatient Rehabilitation Facility |
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OSHPD |
Office of Statewide Health Planning and Development |
www.oshpd.cahwnet.gov/ |
OSP |
Outpatient Speech Pathology |
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PARD |
Provider Audit and Reimbursement Department |
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PBP |
Provider-Based Physician |
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PGBA |
Palmetto GBA |
www.palmettogba.com |
PIRL |
Peer Group Inpatient Reimbursement Limitation |
http://files.medi-cal.ca.gov |
PM |
Program Memorandum |
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PPP |
Prospective Payment Provider |
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PPS |
Prospective Payment System |
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PRM |
Provider Reimbursement Manual |
www.cms.gov |
PRO |
Professional Review Organization |
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PRS |
Provider Rate Section |
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PS&R |
Provider Statistical and Reimbursement System |
www.cms.gov |
PT |
Physical Therapy |
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QAFP |
Quality Assurance Fee Program |
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RCE |
Reasonable Compensation Equivalent |
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RDB |
Rate Development Branch |
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RHC |
Rural Health Clinic |
www.cms.gov |
RHQDAPU |
Reporting Hospital Quality Data for Annual Payment Update |
www.cms.gov |
RPCH |
Rural Primary Care Hospitals |
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RT |
Respiratory Therapy |
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RUG |
Resource Utilization Group |
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SCH |
Sole Community Hospitals |
www.cms.gov |
SCHIP |
State Children Health Insurance Program |
www.cms.gov |
SNF |
Skilled Nursing Facility |
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SSI |
Supplemental Security Income (for Long Tern Care Hospital) |
www.cms.gov |
SSI |
Supplemental Security Income (for Inpatient Rehab Facilities) |
www.cms.gov |
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TEFRA |
Tax Equity and Fiscal Responsibility Act of 1982 |
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TOPs |
Transitional Outpatient Payment System |
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UPIN |
Unique Physician Identification Number |
www.hipaaspace.com |
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W&ICS |
Welfare and Institutions Code Sections |
www.cdph.ca.gov |
WKST |
Worksheet |
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WPS |
Wisconsin Physician Services |
www.wpsic.com |
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