Medical Management Guide, 2009, Version 3.0 - Tricare

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Page 160Appendix B - AcronymsVersion 3.0Medical Management GuideSMESNIACSSDISSISWIITAMPTDYTJCTLDTMATMA-RTTMIPTOATOCTOLTPCTPLTPRTSCTROUBUUBOUFRUMURURACUSAUSACHPPMUSAFUSAFRUSARSubject Matter ExpertSpecial Needs Identification andAssignment Coordination (formerlyUSAF EFMP)Social Security Disability IndexSupplemental Security IncomeSeverely Wounded, Ill, and InjuredTransitional Assistance MedicalProgramTemporary DutyThe Joint CommissionTemporary Limited DutyTRICARE Management ActivityTMA Reporting ToolsTheater Medical InformationProgramTheater of OperationsTRICARE Operations CenterTRICARE OnlineThird Party CollectionThird Party LiabilityTRICARE Prime RemoteTRICARE Service CenterTRICARE Regional OfficeUnified Biostatistical UtilityUniform Business OfficeUnfunded RequestUtilization ManagementUtilization ReviewUtilization Review AccreditationCommissionUnited States ArmyU. S. Army Center for HealthPromotion and Preventive MedicineUnited States Air ForceUnited States Air Force ReserveUnited States Army ReserveUSCG United States Coast GuardUSMC United States Marine CorpsUSNUnited States NavyUSNR United States Navy ReserveUSPSTF United States Preventive ServicesTask ForceVADepartment of Veterans AffairsVBAVeterans Benefits AdministrationVHAVeterans Health AdministrationWIIWounded, Ill, and InjuredWTWarrior TransitionWTB Warrior Transition BattalionWTU Warrior Transition Unit (Army)WISDOM Working Information Systems toDetermine Optimal ManagementWWR Wounded Warrior RegimentWWWR World Wide Workload ReportsCD-ROM RESOURCESAppendixC-Def2 TRICARE Operations Manual6010.51-M, Appendix A,Acronyms and Definitions‘
Medical Management Guide Version 3.0 Appendix C - DefinitionsPage 161Appendix C - DefinitionsAbsent SickAn Active Duty (Army, Navy, Air Force, and Marine Corps) member hospitalized in other than a U.S. MilitaryTreatment Facility and for whom administrative responsibility has been assigned to an MTF. Includes “absentsick moved to an MTF” and “total absent sick.”Resources:DoD Manual 6015.1-M, Glossary of Healthcare Terminology (January 1999):http://www.dtic.mil/whs/directives/corres/pdf/601501m.pdf.See CD-ROM Resource AppendixC-Def1AccreditationA formal process by which an agency or organization evaluates and recognizes an institution or program ofstudy as meeting certain predetermined criteria or standards.Resources:DoD Manual 6015.1-M, Glossary of Healthcare Terminology (January 1999):http://www.dtic.mil/whs/directives/corres/pdf/601501m.pdf.See CD-ROM Resource AppendixC-Def1AppealsAn administrative review of program determinations made under the provisions of law and regulation. Anappeal cannot challenge the propriety, equity, or legality of any provision of law or regulation.Resources:Code of Federal Regulations (CFR), Title 32 — National Defense, Section 199, Part 10 (199.10): Appeal andhearing procedures: http://www.tricare.mil/FR05/C10.PDF.Benchmark/BenchmarkingBenchmark: A TRICARE clerical and automated systems test using claims and other documents created orapproved by TMA and processed by the contractor. The contractor’s output is compared to predeterminedresults prepared or approved by TMA to determine the accuracy, completeness, and operational characteristics
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