Useful Acronyms

Throughout our website and often when discussing complex reimbursement issues and regulations, we use acronyms. The following is a listing of useful acronyms:

  • ACA - Affordable Care Act

  • A&G - Administrative and General

  • AHSEA - Adjusted Hourly Salary Equivalency Amount

  • ARRA - American Recovery and Reinvestment Act of 2009

  • ASC - Ambulatory Surgical Center

  • BBA - Balanced Budget Act

  • BBRA - Balanced Budget Reform Act

  • BIPA - Benefits Improvement and Protection Act

  • CAH - Critical Access Hospitals

  • CBSA - Core Based Statistical Areas

  • CCN - CMS Certification Number

  • CFR - Code of Federal Regulations

  • CMHC - Community Mental Health Center

  • CMS - Centers for Medicare & Medicaid Services

  • CORF - Comprehensive Outpatient Rehabilitation Facility

  • CRNA - Certified Registered Nurse Anesthetist

  • DEFRA - Deficit Reduction Act of 1984

  • DPP - Disproportionate Patient Percentage

  • DRA - Deficit Reduction Act of 2005

  • DRG - Diagnostic Related Group

  • DSH - Disproportionate Share

  • EACH - Essential Access Community Hospital

  • ECR - Electronic Cost Report

  • EHR - Electronic Health Records

  • ESRD - End Stage Renal Disease

  • FQHC - Federally Qualified Health Center

  • FR - Federal Register

  • FTE - Full Time Equivalent

  • GME - Graduate Medical Education

  • HCERA - Health Care and Education Reconciliation Act of 2010

  • HCPCS - Healthcare Common Procedure Coding System

  • HCRIS - Healthcare Cost Report Information System

  • HHA - Home Health Agency

  • HIT - Health Information Technology

  • HMO - Health Maintenance Organization

  • ICF/MR - Intermediate Care Facility for the Mentally Retarded

  • ICU - Intensive Care Unit

  • IME - Indirect Medical Education

  • IPF - Inpatient Psychiatric Facility

  • IPPS - Inpatient Prospective Payment System

  • IRF - Inpatient Rehabilitation Facility

  • LIP - Low Income Patient

  • LOS - Length of Stay

  • LTCH - Long Term Care Hospital

  • MA - Medicare Advantage (previously known as M+C)

  • M+C - Medicare + Choice (also known as Medicare Part C, Medicare Advantage and Medicare HMO)

  • MDH - Medicare Dependent Hospital

  • MIPPA - Medicare Improvements for Patients and Providers Act of 2008

  • MMA - Medicare Prescription Drug Improvement and Modernization Act of 2003

  • MMEA - Medicare and Medicaid Extenders Act of 2010

  • MS-DRG - Medicare Severity Diagnosis-Related Group

  • MSP - Medicare Secondary Payer

  • NF - Nursing Facility

  • NPI - National Provider Identifier

  • NPR - Notice of Program Reimbursement

  • OPPS - Outpatient Prospective Payment System

  • ORF - Outpatient Rehabilitation Facility

  • PCRE - Primary Care Residency Expansion Program

  • PBP - Provider-Based Physician

  • PPS - Prospective Payment System

  • PRM - Provider Reimbursement Manual

  • PS&R - Provider Statistical and Reimbursement Report (or System)

  • PT - Physical Therapy

  • PTO - Paid Time Off

  • RCE - Reasonable Compensation Equivalent

  • RHC - Rural Health Clinic

  • RPCH - Rural Primary Care Hospitals

  • RT - Respiratory Therapy

  • RUG - Resource Utilization Group

  • SCH - Sole Community Hospitals

  • SCHIP - State Children's Health Insurance Program

  • SNF - Skilled Nursing Facility

  • SSI - Supplemental Security Income

  • TEFRA - Tax Equity and Fiscal Responsibility Act of 1982

  • TOPPS - Transitional Corridor Payment for Outpatient Prospective Payment System

  • UPIN - Unique Physician Identification Number

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