Appendix A: Acronyms and Abbreviations - SMPresource.org

SMP FOUNDATIONS TRAINING MANUALAppendix A: Acronyms and AbbreviationsAAA ..................... Area Agency on Aging (State designation)AARP .................. American Association of Retired PersonsAC ....................... Affiliated ContractorACA ..................... Affordable Care Act of 2010ACO ..................... Accountable Care OrganizationAG ....................... Attorneys General (State)ALS ..................... Advanced Life Support (Ambulance)AoA ..................... Administration on Aging (Federal)ASC ..................... Ambulatory Surgical CenterBLS ..................... Basic Life Support (Ambulance)CMHC .................. Community Mental Health CenterCMN .................... Certificate of Medical NecessityCMP ..................... Civil Monetary PenaltyCMS ..................... Centers for Medicare & Medicaid ServicesCORF .................. Comprehensive Outpatient Rehabilitation FacilityCP ........................ Clinical PsychologistCPI ....................... Consumer Price IndexCPT ..................... “Physicians’ Current Procedural Terminology” (published yearly by theAmerican Medical Association)CSW .................... Clinical Social Worker or Certified Social WorkerDHHS .................. Department of Health and Human Services (Federal)DME ..................... Durable Medical EquipmentDMEMAC ............ Durable Medical Equipment Medicare Administrative ContractorDMERC ............... Durable Medical Equipment Regional CarrierDOI ...................... Department of Insurance (State)DOJ ..................... Department of Justice (Federal)DRG ..................... Diagnostic Related GroupsEGHP .................. Employer Group Health PlanEOB ..................... Explanation of BenefitsEOMB .................. Explanation of Medicare BenefitsESRD ................... End-Stage Renal DiseaseFI ......................... Fiscal IntermediaryFPL ...................... Federal Poverty LevelFY ........................ Fiscal YearGAO .................... General Accounting Office (Federal)HCFAC ................ Health Care Fraud and Abuse Control Program (Federal)HCPCS ................ Healthcare Common Procedure Coding SystemHH+H ................... Home Health and HospiceHHA ..................... Home Health AgencyHIC# .................... Health Insurance Claim NumberHICAP ................. Health Insurance Counseling Advocacy Program (aka SHIP)HIPAA ................. Health Insurance Portability and Accountability ActHMO .................... Health Maintenance OrganizationHPSA ................... Health Professional Shortage AreaI&R ...................... Information and ReferralSMP Foundations Training Manual May 2011Appendix A – Page 114

SMP FOUNDATIONS TRAINING MANUALICF ....................... Intermediate Care FacilityIPL ....................... Independent Physiological LabLIS ....................... Low-Income SubsidyLTC ...................... Long-Term CareMA ....................... Medicare AdvantageMAC .................... Medicare Administrative ContractorMA-DP ................. Medicare Advantage Drug PlanMEDPARD .......... Medicare Participating Physicians and Suppliers DirectoryMMA .................... Medicare Modernization Act of 2003MSN ..................... Medicare Summary NoticeMSP ..................... Medicare as Secondary PayerMSP………………Medicare Savings ProgramNAIC .................... National Association of Insurance CommissionersNPI ....................... National Provider IdentifierOAA ..................... Older Americans Act (Federal)OIG ...................... Office of Inspector General (Federal)ORT ..................... Operation Restore TrustOT ........................ Occupational TherapyPart A .................. Hospital Insurance (Medicare)Part B .................. Medical Insurance (Medicare)PBM ..................... Pharmaceutical Benefit ManagerPDP .................... Prescription Drug PlanPHP ..................... Partial Hospitalization ProgramPPO ..................... Preferred Provider OrganizationPPS ..................... Prospective Payment SystemPSA ..................... Physician Scarcity AreaPSA ..................... Planning and Service Area (geographic service area covered by an AAA)PSC ..................... Program Safeguard ContractorPT ........................ Physical TherapyQIO ...................... Quality Improvement OrganizationQMB .................... Qualified Medicare Beneficiary (State)RAC ..................... Recovery Audit ContractorRDS ..................... Retiree Drug SubsidyRHHI .................... Regional Home Health IntermediaryRRB ..................... Railroad Retirement BoardSEP ..................... Special Enrollment PeriodSHIP .................... State Health Insurance Assistance ProgramsSMP ..................... Senior Medicare PatrolSNF ..................... Skilled Nursing FacilitySSA ..................... Social Security Administration (Federal)SSI ....................... Supplemental Security Income (State)SSN ..................... Social Security NumberSSP ..................... Supplemental Security Payment (State)ST ........................ Speech TherapyTrOOP ................. True Out of Pocket costsUR ....................... Utilization ReviewVA ........................ Veterans’ Affairs (Federal)ZPIC .................... Zone Program Integrity ContractorSMP Foundations Training Manual May 2011Appendix A – Page 115