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@cmgiven
Created April 21, 2020 20:14
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CMS Acronyms
acronym definition
4I 4 Innovation (System)
ACA Patient Protection and Affordable Care Act
ACE Acute Care Episode
ACO Accountable Care Organization
ACO-MS Accountable Care Organization - Management System
ACO-OS Accountable Care Organization - Operational System
ACO-UI Accountable Care Organization - User Interface
AGI Adjusted Gross Income
AHRQ Agency for Healthcare Research and Quality
AIM Accountable Care Organization (ACO) Investment Model
AP Acquisition Plan
APA Administrative Program Accounting
APC Ambulatory Payment Classification
APC Advanced Primary Care
APM Alternative Payment Model
APPS Automated Plan Payment System
APRN Advanced Practice Registered Nurse
APS Advanced Provider Screening
ARS Acceptable Risk Safeguards
AS Acquisition Strategy
ASC Ambulatory Surgical Center
ASCA Administrative Simplification Compliance Act
ATO Authority to Operate
ATRA American Taxpayer Relief Act of 2012
BAAADS Budget Apportionment Allotment Allowance and Database System
BAE Best Available Evidence
BBA Balanced Budget Act
BBA Bipartisan Budget Act
BBRA Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999
BCA Budget Control Act of 2011
BCDA Beneficiary Claims Data API
BCRC Benefits Coordination and Recovery Center
BCRS Benefits Coordination and Recovery System
BFD Beneficiary FHIR Data Server
BIPA Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000
BNI Beneficiary Notices Initiative
BPCI Bundled Payments for Care Improvement
CAH Critical Access Hospital
CAHPS Consumer Assessment of Healthcare Providers and Systems (Surveys)
CARA Comprehensive Addiction and Recovery Act of 2016
CARES Coronavirus Aid, Relief, and Economic Security Act
CBC Community-Based Care
CBIC Competitive Bidding Implementation Contractor
CBO Congressional Budget Office
CCD Continuity of Care Document
CCIIO Consumer Information and Insurance Oversight
CCLF Claim and Claim Line Feed
CCM Chronic Care Management
CCSQ Center for Clinical Standards and Quality
CCTP Community-Based Care Transitions Program
CCW Chronic Conditions Warehouse
CDC Centers for Disease Control and Prevention
CEA Center for Enterprise Agility
CEC Comprehensive End-Stage Renal Disease (ESRD) Care (Model)
CERRS CCIIO Enrollment Resolution and Reconciliation System
CERT Comprehensive Error Rate Testing
CFACTS CMS FISMA Controls Tracking System
CHIP State Children's Health Insurance Program
CIO Chief Information Officer
CISO Chief Information Security Officer
CJR Comprehensive Care for Joint Replacement (Model)
CKCC Comprehensive Kidney Care Contracting
CLFS Clinical Laboratory Fee Schedule
CM Center for Medicare
CMHCB Care Management for High Cost Beneficiaries
CMMI Center for Medicare and Medicaid Innovation
CMS Centers for Medicare and Medicaid Services
CNC Compromised Number Checklist
COB Coordination of Benefits
COBA Coordination of Benefits Agreement
COLA Cost-of-Living Adjustment
CORF Comprehensive Outpatient Rehabilitation Facility
COTS Commercial Off-the-Shelf
CPC Comprehensive Primary Care
CPI Consumer Price Index
CPI Center for Program Integrity
CPIC Capital Planning and Investment Control
CR Change Request
CRA Cyber Risk Advisor
CRS Congressional Research Service
CTO Chief Technology Officer
CVD Cardiovascular Disease
CWF Common Working File (System)
DASG Data Analytics and Systems Group
DBidS DMEPOS Bidding System
DC Direct Contracting (Model)
DCS Debt Collection System
DDR Drug Data Reporting for Medicaid
DESY Data Extract System
DEX Data Exchange System
DGME Direct Graduate Medical Education
DHHS Department of Health and Human Services
DME Durable Medical Equipment
DMEPOS Durable Medical Equipment, Prosthetics, Orthotics, and Other Medical Supplies
DPC Direct Provider Contracting
DPC Data at the Point of Care
DPP Diabetes Prevention Program
DPS Demonstration Payment System
DRA Deficit Reduction Act of 2005
DRG Diagnosis Related Group
DSH Disproportionate Share Hospital
DSH Disproportionate Share Hospital
DUA Data Use Agreement
EA Enterprise Architecture
EASi Easy Access to System Information
ECR Enterprise Cross Reference
ECRS Electronic Correspondence Referral System
EDI Electronic Data Interchange
EGWP Employer Group Waiver Plan
EIDM Enterprise Identity Management
ELMO Eligibility Enrollment Medicare Online
EMDI Electronic Medical Documentation Interoperability
EPPE Enterprise Privacy Policy Engine
eRPT Electronic Retroactive Processing Transmission
ESMD Electronic Submission of Medical Documentation
ESPC Environmental Scanning and Program Characteristics
ESRD End-Stage Renal Disease
ET3 Emergency Triage, Treat, and Transport (Model)
ETC End-Stage Renal Disease (ESRD) Treatment Choices (Model)
FAI Financial Alignment Initiative
FCHCO Federal Coordinated Health Care Office
FCHIP Frontier Community Health Integration Project
FDA Food and Drug Administration
FedRAMP Federal Risk and Authorization Management Program
FESC Frontier Extended Stay Clinic
FFM Federal Facilitated Marketplace
FFS Fee-for-Service
FFSDCS Fee-for-Service Data Collection System
FHIR Fast Healthcare Interoperability Resources
FIPS Federal Information Processing Standard
FISMA Federal Information Security Management Act
FISS Fiscal Intermediary Standard System
FITARA Federal Information Technology Acquisition Reform Act
FPL Federal Poverty Level
FPLP Federal Payment Levy Program
FQHC Federally Qualified Health Center
GAO Government Accountability Office
GDP Gross Domestic Product
GIS Gentran Integration Suite
GME Graduate Medical Education
GNE Graduate Nurse Education
GPR Governance Profile Repository
GRB Governance Review Board
GRT Governance Review Team
HAC Hospital-Acquired Condition
HATS Host Access Transformation Services
HBCU Historically Black Colleges and Universities
HBO Prior Authorization Model for Non-Emergent Hyperbaric Oxygen (Model)
HCERA Health Care and Education Reconciliation Act of 2010
HCIA Health Care Innovation Awards
HDT HIPAA Eligibility Transaction System Desktop
HETS HIPAA Eligibility Transaction System
HHA Home Health Agency
HHS Department of Health and Human Services
HHVBP Home Health Value-Based Purchasing
HI Hospital Insurance (Medicare Part A)
HIE Health Information Exchange
HIGLAS Healthcare Integrated General Ledger Accounting System
HIO Health Informatics Office
HIOS Health Insurance Oversight System
HIPAA Health Insurance Portability and Accountability Act
HMO Health Maintenance Organization
HOPD Hospital Outpatient Department
HOS Health Outcomes Survey
HPMS Health Plan Management System
HRSA Health Resources and Services Administration
IAH Independence at Home
IAP Innovation Accelerator Program
IC Innovation Center
ICD International Classification of Diseases
IDE Investigational Device Exemption
IDR Integrated Data Repository
IDR Informal Dispute Resolution
IIDR Independent Informal Dispute Resolution
IME Indirect Medical Education
IMPACT Improving Medicare Post-Acute Care Transformation Act of 2014
InCK Integrated Care for Kids (Model)
IPAB Independent Payment Advisory Board
IPF Inpatient Psychiatric Facility
IPI International Pricing Index (IPI)
IPPS Inpatient Prospective Payment System
IRF Inpatient Rehabilitation Facility
ISPG Information Security and Privacy Group
ISSO Information System Security Officer
ISV Internet Server
KCC Kidney Care Choices
KCF Kidney Care First
LDS Limited Data Set
LIS Low-Income Subsidy
LOB Line of Business
LTC Long-Term Care
LTCH Long-Term Care Hospital
LTSS Long-Term Services and Supports
LUPA Low-Utilization Payment Adjustment
MA Medicare Advantage
MAC Medicare Administrative Contractor
MACPro Medicaid and CHIP Program (System)
MACRA Medicare Access and CHIP Reauthorization Act of 2015
MAISTRO Medicare Administrative Issue Tracker and Reporting of Operations (System)
MAO Medicare Advantage Organization
MAPCP Multi-Payer Advanced Primary Care Practice
MAPD Medicare Advantage Prescription Drug (Plan)
MARx Medicare Advantage Prescription Drug (System)
MBES Medicaid Budget and Expenditure System
MCBS Medicare Current Beneficiary Survey
MCCD Medicare Coordinated Care Demonstration
MCCM Medicare Care Choices Model
MCM Managed Care Manual
MCS Multi-Carrier System
MCTRJCA Middle Class Tax Relief and Job Creation Act of 2012
MCU Marketplace Change Utility
MDAPM Maryland All-Payer Model
MDM Master Data Management
MDP Medicaid Drug Program (System)
MDPP Medicare Diabetes Prevention Program
MDR Medicaid Drug Rebate (Program)
MED Medicare Exclusion Database
MEDIC Medicare Drug Integrity Contractor
MedPAC Medicare Payment Advisory Commission
MEI Medical Economic Index
MEPD Medicaid Emergency Psychiatric Services Demonstration
MFFS Managed Fee-for-Service
MH Million Hearts Cardiovascular Disease Risk Reduction Model
MHCQ Medicare Health Care Quality
MIPCD Medicaid Incentives for the Prevention of Chronic Disease
MIPPA Medicare Improvements for Patients and Providers Act of 2008
MIPS Merit-Based Incentive Payment System
MITA Medicaid Information Technology Architecture
MLMS Marketplace Learning Management System
MM Medication Management
MMA Medicare Prescription Drug Improvement and Modernization Act of 2003
MMAI Medicare-Medicaid Alignment Initiative
MMCO Medicare-Medicaid Coordination Office
MMIS Medicaid Management Information Systems
MMSEA Medicare, Medicaid, and SCHIP Extension Act of 2007
MPFS Medicare Physician Fee Schedule
MQA Medicare Quality Assurance
MQR Medicare Quality Release
MS-DRG Medicare Severity Diagnosis Related Groups
MSI Medicare Administrative Contractor (MAC) Satisfaction Indicator
MSIS Medicaid Statistical Information System
MSP Medicare Secondary Payer
MSSP Medicare Shared Savings Program
MTM Medication Therapy Management (Model)
NCH National Claims History (System)
NCPDP National Council for Prescription Drug Programs
NGACO Next Generation Accountable Care Organization (Model)
NHVBP Nursing Home Value-Based Purchasing
NIH National Institutes of Health
NIST National Institute of Standards and Technology
NMUD National Medicare Utilization Database
NPI National Provider Identifier
NPICS National Provider Identifier Crosswalk System
NPPES National Plan and Provider Enumeration System
OA Office of the Administrator
OACT Office of the Actuary
OCE Outpatient Code Editor
OCM Oncology Care Model
OEDA Office of Enterprise Data and Analytics
OIG Office of Inspector General
OIT Office of Information Technology
OMB Office of Management and Budget
OnePI One Program Integrity (System)
OPPS Outpatient Prospective Payment System
OT Occupational Therapy
OTP Opioid Treatment Program
PA Privacy Advisor
PACE Program of All-Inclusive Care for the Elderly
PAMA Protecting Access to Medicare Act of 2014
PAMPA Patient Access and Medicare Protection Act
PBD Provider-Based Department
PCR Primary Care Redesign
PDGM Patient Driven Groupings Model
PDP Prescription Drug Plan
PDPM Patient Driven Payment Model
PECOS Provider Enrollment, Chain, and Ownership System
PFFS Private Fee-for-Service
PFPM Physician-Focused Payment Model
PHI Personal Health Information
PIA Privacy Impact Assessment
PII Personally Identifiable Information
PMDA Performance Metrics Database and Analytics
PO Prosthetics and Orthotics
POS Provider of Services (File)
POS Place of Service
PPS Prospective Payment System
PQRS Physician Quality Reporting System
PRIS Payment Recovery Information System
PRP Payment Record Process
PSF Provider Specific File
PSR Provider Statistical and Reimbursement
PT Physical Therapy
PTAC Physician-Focused Payment Model (PFPM) Technical Advisory Committee
PUF Public Use File
QARM Quality Net Authorization and Role Management
QHP Qualified Health Plan
QI Qualified Individual
QIC Qualified Independent Contractor
QIO Quality Improvement Organization
QMB Qualified Medicare Beneficiary
QPP Quality Payment Program
RAC Recovery Audit Contractor
RBRVS Resource-Based Relative Value Scale
RCHD Rural Community Hospital Demonstration
RFI Request for Information
RHC Rural Health Clinic
RNSGUI Research and Support Graphical User Interface
RTI Research Triangle Institute
SA&A Security Assessment and Authorization
SAMHSA Substance Abuse and Mental Health Services Administration
SAS Statistical Analysis System
SBM State-Based Marketplace
SCA Security Control Assessment
SCH Sole Community Hospital
SCHIP State Children's Health Insurance Program
SDLC Systems Development Lifecycle
SDM Shared Decision Making
SERTS State Exchange Resource Tracking System
SERVIS State Exchange Resource Virtual Information System
SGR Sustainable Growth Rate
SHIM Enrollment and Payment Portal
SHIP State Health Insurance Assistance Program
SHSIP State Health System Innovation Plan
SIA Security Impact Analysis
SIM State Innovation Models
SLMB Specified Low-Income Beneficiaries
SME Subject Matter Expert
SMI Supplementary Medical Insurance (Medicare Parts B and D)
SNF Skilled Nursing Facility
SNP Special Needs Plan
SORN System of Records Notice
SPARC Strategic Partners Acquisition Readiness Contract
SPMI Severe and Persistent Mental Illness
SRRD Senior Risk Reduction Demonstration
SSA Social Security Administration
SSA Social Security Act
SSI Supplemental Security Income
SSP Shared Savings Program
STAR System for Tracking Audit and Reimbursement
STS Statistical Tabulation System
SUM Part B Summary (System)
T-MSIS Transformed Medicaid Statistical Information System
TLC Target Life Cycle
TRA Technical Reference Architecture
TRB Technical Review Board
TRHCA Tax Relief and Health Care Act of 2006
UCM Unified Case Management
UFMS Unified Financial Management System
UPIC Unified Program Integrity Contractor
USPSTF United States Preventive Services Task Force
VDP Variable Per Diem
VIPS Viable Information Processing System
VMS VIPS Medicare Shared (System)
XLC eXpedited Life Cycle
zONE Opportunity to Network and Engage (System)
ZPIC Zone Program Integrity Contractor
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