SO - Health Care Compliance Association

ABCsOF ACRONYMSEditor’s note: The following listing will help youthrough the health care acronym maze. The informationis provided by Erin O’Donnell, an Associate withPricewaterhouseCoopers.ABN - Advance Beneficiary Notice is a waiverthat a provider has a patient sign confirming thepatient’s understanding that certain provided servicesmay not be reimbursable under Medicare andtherefore are the patient’s responsibility. To readmore about ABN visit, http://www.codegreen.org/id13.htmlACER - Annual Contractor Evaluation Report isHCFA’s formal evaluation report of the contracto r’s performance for the fiscal ye a r. It is based uponresults of the Contractor Performance EvaluationProgram (CPEP) reviews, along with results ofother special evaluations which are considered whenevaluating contractor performance. The reviewsm e a s u re the degree to which each contractor meetsHCFA’s performance criteria and standards. Thescores in the ACER show the level of performanceachieved by the contractor for each standard andcriterion. To read more about ACER, visit http://w w w. h c f a . g ov / p u b f o rm s / 23 % 5 ro Fm / r 21005 . h t m #_ 1 _ 2ERISA - Employee Retirement Income SecurityAct was established in 1974. ERISA set up plandesign, funding, and administration requirementsfor employee pension plans to protect the rightsof plan participants and beneficiaries includingpreempting certain state laws relating to employeebenefit plans, including medical plans self-insuredby employers. Visit http://www.harp.org/erisatoc.htmHCPCS - HCFA Common Procedure CodingSystem is a set of codes used by Medicare thatdescribes services and procedures; HCPCS Level Icodes are CPT codes, Level II codes are for suppliesand other non-CPT codes, and Level III arelocally set codes. Want to read more? Visithttp://www.hcfa.gov/medicare/hcpcs.htm ■July 200122WEBR E S O U R C E SEditor’s ■ Contact HCCA President Gregnote:WarnerPeriodically ■ Review the latest compliance classifiedwe publish a listingadsof helpful Internet and email resources. ■ Review HCCA Membership informationHealth Care Compliance Association memberand sign up on the WebKaren Larson, DC, MS, CPC, helped ■ Search the Membership Directoryto compile this listing. Ms. Larson is aon HCCA’s Member’s Only SectionProgram Coordinator II in the Resource ■ Read the most recent issue ofCenter for Clinical Data Management and HCCA’s newsletter, ComplianceAnalysis at the University of Kentucky TodayChandler Medical Center (UKCMC) inLexington. She can be reached atBe sure to regularly visit HCCA’sklars2@pop.uky.edu.Website. A search feature has beenadded to better help you find complianceIf you know of In t e rnet re s o u rces that may beinformation.of help to corporate compliance pro f e s s i o n a l splease submit them to Ma r g a ret Dragon viaGovernment Websitesemail at m rd r a g o n @ z i p l i n k . n e t .■ Searchable database of all MedicallyUnderserved Areas (MUAs)–ClickHCCA Websiteon “Resources”http://www.hcca-info.orghttp://www.bphc.hrsa.dhhs.govFind the latest information on HCCANational and Regional ConferencesOther helpful WebsitesSign up for:■ Health Privacy Project–state-by-state■ AHLA/HCCA Fraud andanalysis by Georgetown UniversityCompliance Forum, September 30-http://www.healthprivacy.org/resourcesOctober 2, Washington, DCVisit HCCA’s Compliance Resources■ Quorum Health Group, Inc.,and order:Complete Medicare Cost Report■ Compliance, Conscience, andCase SettlementConduct, HCCA’s Compliance andhttp://www.prnewswire.com/cgi-bin/Ethics Training Programstories.pl?ACCT=105&STORY=■ Individual & Small Group Physician /www/story/04-23-2001/0001475504Practice Compliance, HCCA’s 39-minute audio training program ■ A Guide to Monitoring Medicaid■ Compliance 101, HCCA’s popular Managed Careseminar, now a bookhttp://www.familiesusa.org/pubs/■ Subscribe to This Week in Corporate medmngde.htmCompliance and HCCA’s ENewsAlert■ American Accreditation Healthcare■ Network with compliance professionalsCommissionusing the HCCA Forumhttp://www.urac.org■