Acronyms

AAHP American Association of Health Plans
ACE Automated Claims Evaluator
AHCA Agency for Health Care Administration
AHIMA American Health Information Management Association
AIMS Automated Investigation Management System
AMA American Medical Association
AMG Allied Management Group
ASC Accredited Standards Committee
CC Column 1/Column 2
CC Compound/Comprehensive
CCI Correct Coding Initiative
CDT Current Dental Terminology
CHIP Child Health Insurance Program
CLIA Clinical Laboratory Improvement Amendments
CMP Civil Monetary Penalty
CMS Centers for Medicare and Medicaid Services
COB Coordination Of Benefits
CPT Current Procedural Terminology
DEA Drug Enforcement Administration
DME Durable Medical Equipment
DOB Date Of Birth
DOS Date Of Service
DRG Diagnosis Related Group
DSM Diagnostic and Statistical Manual
EDI Electronic Data Interchange
F&A Fraud & Abuse
FWA Fraud, Waste & Abuse
HCCA Health Care Compliance Association
HCFA Health Care Finance Administration
HCPCS Healthcare Common Procedure Coding System
HIE Health Information Exchange
HIMSS Health Information and Management Systems Society
HIN Health Industry Number
HIPAA Health Insurance Portability and Accountability Act
HITSP Health Information Technology Standards Panel
HL7 Health Level 7
HMO Health Maintenance Organization
ICD International Classification of Diseases
ICN Internal Control Number
IPA Independent Physicians Associations
JIP Joint Interface Plan
LCD Local Coverage Determination
LMRP Local Medical Regional Policy
MDC Major Diagnostic Category
ME Mutually Exclusive
MFADS Medicaid Fraud and Abuse Detection System
MFCU Medicaid Fraud and Control Unit
MIP Medicaid Integrity Program
MSO Management Services Organization
MUE Medically Unlikely Edit
NCCI National Correct Coding Initiative
NCPDP National Council for Prescription Drug Programs
NDC National Drug Code
NHCAA National Health Care Anti-fraud Association
NHIN National Health Information Network
NPI National Provider Identifier
NSF National Standard Format
OIG Office of Inspector General
ONCHIT Office of the National Coordinator for Health Information Technology
OPIC Office of Public Insurance Counsel
OTC Over The Counter
PBM Prescription drug Benefits Management
PCP Primary Care Physician
PPS Prospective Payment System
RAC Recovery Audit Contractor
RVU Relative Value Unit
SIU Special Investigation Unit
SPIN Standard Prescriber Identification Number
SSI Supplemental Security Income
SSN Social Security Number
STAR State of Texas Access Reform
TAA Texas Access Alliance
TPA Third Party Administrator
TPA Trading Partner Agreement
UB Uniform Bill
UB-92 Uniform Bill form 92
UCF Universal Claim Form
UPIN Unique Physician Identification Number