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Last Modified: 10/8/2018 Location: FL, PR, USVI Business: Part A

PARD acronyms

Select one of the following letters to view the list of acronyms used by PARD (Provider Audit and Review Department) that begin with that letter.

A B C D E F G H I J K L M N O P Q R S T U V W

A acronyms

A acronym definitions

A&G
Administrative and general
ADR
Automated desk review
AHA
American Hospital Association
AHSEA
Adjusted hourly salary equivalency amount
AICPA
American Institute of Certified Public Accountants
ALJ
Administrative law judge
ALOS
Average length of stay
APC
Ambulatory payment classification
AQCC
Audit Quality and Consistency Committee
ASC
Appeals Support Contractor (Contract with BSBSA)
ASC
Ambulatory surgical center
ASP
Average sales price
ASWS
Approved Standard Workpaper Subcommittee

B

   
BBA
Balanced Budget Act of 1997
BBRA
Balanced Budget Refinement Act of 1999
BCBSA
Blue Cross Blue Shield Association
BIPA
Benefits Improvement and Protection Act of 2000
BLS
Bureau of Labor Statistics

C acronyms

C acronym definitions

CAF
Continuing audit file (also called Permanent File)
CAH
Critical access hospital
CAP
Corrective action plan
CAPD
Continuous ambulatory peritoneal dialysis
CBSA
Core based statistical area (CBSAs replaced MSAs)
CCPD
Continuous cycling peritoneal dialysis
CCR
Cost-to-charge ratio
CCU
Coronary care unit
CEO
Chief Executive Officer
CERT
Comprehensive Error Rate Testing
CFO
Chief Financial Officer
CFR
Code of Federal Regulations
CHOW
Change of ownership
CI
Continuous improvement
CIA
Certified Internal Auditor
CIO
Chief Information Officer
CMA
Certified Management Accountant
CMHC
Community Mental Health Center
CMI
Case mix index
CMS
Centers for Medicare & Medicaid Services
CO
Central office (of CMS)
COB
Coordination of Benefits Contractor
COBRA
Consolidated Omnibus Budget Reconciliation Act
CORF
Comprehensive Outpatient Rehabilitation Facility
CPA
Certified Public Accountant
CPE
Continuing professional education
CPE
Contractor performance evaluation
CPI
Consumer Price Index
CPT
Current Procedural Terminology
CR
Change request
CRC
Cost report control (unit within PARD PARIS that accepts cost reports)
CRNA
Certified registered nurse anesthetist
CROWD
Contractor Reporting of Operational and Workload Data
CTC
Certified transplant center
CWF
Common working file
CY
Calendar year or current year

D

DAB
Departmental Appeals Board (Area which covers Medicaid/Medi-Cal appeals)
DCN
Document control number
DEFRA
Deficit Reduction Act of 1984
DGME
Direct Graduate Medical Education (or GME)
DHHS
Department of Health and Human Services
DME
Durable medical equipment
DMEPOS
Durable medical equipment, prosthetics, orthotics, and supplies
DMERC
Durable medical equipment regional carrier
DNF
Do not forward (initiative)
DOB
Date of birth
DOJ
Department of Justice
DOS
Date of service
DPU
Distinct part unit
DRA
Deficit Reduction Act of 2005
DRG
Diagnosis related group
DSH
Disproportionate share hospital

E

EACH
Essential Access Community Hospital
eChimp
Electronic Change Information Management Portal (CMS distributes CRs and TDLs)
ECR
Electronic cost report
EDC
Enterprise data center
EDI
Electronic data interchange
EDR
Electronic desk review
EHR
Electronic health record
EIP
Enterprise image processing
EKG
Electrocardiogram
EOB
Explanation of benefits
EOMB
Explanation of Medicare benefits
EPO
Erythropoietin
ER
Emergency room
ERA
Electronic remittance advice
ESRD
End-Stage Renal Disease
EWP
Electronic (excel) working papers

F

FAQ
Frequently asked questions
FAR
Federal Acquisition Regulations (regulations governing costing methods for contracts)
FCSO
First Coast Service Options Inc.
FFS
Fee-for-service
FI
Fiscal intermediary (legacy Part A contractors, now replaced by MAC)
FISS
Fiscal Intermediary Standard System
FOIA
Freedom of Information Act
FQHC
Federally Qualified Health Center
FR
Federal Register
FTE
Full-time equivalent
FY
Fiscal year
FYE
Fiscal year end

G

GAAP
Generally Accepted Accounting Principles
GAAS
Generally Accepted Auditing Standards
GAGAS
Generally Accepted Government Auditing Standards
GAF
Geographic adjustment factor
GAO
Government Accountability Office
GAS
Government Auditing Standards
GI
Gastrointestinal
GL
General ledger
GME
Graduate Medical Education (sometimes called DGME)

H

HCFA
Health Care Financing Administration -- former name of CMS
HCPCS
Healthcare Common Procedure Coding System
HCRIS
Healthcare Cost Report Information System
HFMA
Healthcare Financial Management Association
HFS
Health Financial Systems
HHA
Home health agency
HHRG
Home Health Resource Group
HHS
Department of Health and Human Services
HICN
Health insurance claim number
HIGLAS
Healthcare Integrated General Ledger Accounting System (tracks payments to providers)
HITECH
Health Information Technology for Economic and Clinical Health Act
HIPAA
Health Insurance Portability and Accountability Act
HMO
Health maintenance organization
HO
Home office
HOCS
Home Office Cost Statement

I

I&Rs
Interns and resident
ICD-9
International Classification of Diseases, Ninth Edition
ICD-10
International Classification of Diseases, Tenth Edition
ICU
Intensive Care Unit
IDTF
Independent Diagnostic Testing Facility
IME
Indirect Medical Education
IPF
Inpatient psychiatric facility
IPPS
Inpatient Prospective Payment System
IOM
Internet-only manuals
IQC
Internal quality control
IR
Interim rate
IRB
Intern/resident bed
IRF
Inpatient rehabilitation facility
IRF-PI
Inpatient rehabilitation facility – patient assessment instrument
IRIS
Interns and Residents Information System
ISO
International Standardization Organization
IT
Information technology

J

JCAHO
Joint Commission for the Accreditation of Health Care organizations
JOA
Joint operating agreement
JSM
Joint Signature Memorandum – replaced by TDL

K

KPMG
KPMG CompuMax – cost reporting software

L

LCC
Lower of cost or charges, (or lower of reasonable cost or customary charges)
LCD
Local Coverage Determination
LIP
Low Income Patient
LOS
Length of stay
LTC
Long-term care
LTCH
Long term care hospital
LUPA
Low utilization payment adjustment

M

M+C
Medicare +Choice (Part C)
MA
Medicare Advantage (Part C)
MAC
Medicare administrative contractor
MACJ1
MAC jurisdiction 1 (J1 will become JE)
MCE
Medicare code editor
MCR
Medicare cost report file created by HFS program
MDH
Medicare dependent hospital
MedPac
Medicare Payment Advisory Commission
MIP
Medicare Integrity Program
MMORP
Medicare Management Operations Review Program (maintained by BCBSA)
MRI
Magnetic resonance imaging
MSA
Metropolitan statistical area (outdated - replaced with CBSA)
MSP
Medicare secondary payer
MSTAR
Multi-user System for Tracking Audit and Reimbursement (Obsolete, see STAR)

N

NF
Nursing facility
NPI
National provider identifier
NPR
Notice of program reimbursement

O

OASIS
Outcome and assessment information set
OBRA
Omnibus Budget Reconciliation Act
OCE
Outpatient code editor
OCR
Original cost report
OFM
Office of Financial Management
OGC
Office of General Counsel (legal branch of CMS)
OIG
Office of Inspector General (investigative branch of CMS)
OMB
Office of Management and Budget (governmental agency which approves forms)
OMNI
Optimization Modernization through Networking and Innovation
OPO
Organ procurement organization
OPPS
Outpatient prospective payment system
OR
Operating room
OSCAR
Online survey certification and reporting
OT
Occupational therapy
OTC
Organ transplant centers

P

PAI
Patient assessment instrument
PARD
Provider Audit and Reimbursement Department
PARIS
Provider Audit Reimbursement Integrated Services
PECOS
Provider Enrollment Chain and Ownership System
PHI
Protected health information
PHP
Partial hospitalization program
PIP
Periodic interim payment (method to pay providers biweekly, rather than by claim)
PIP
Performance improvement plan
PPO
Preferred provider organization
PPS
Prospective payment system
PRA
Per resident amounts
PRRB
Provider Reimbursement Review Board
PRM
Provider Reimbursement Manual
PSC
Program Safeguards Contractors
PS&R
Provider Statistics & Reimbursement report (summary of paid claims for cost report)
PSF
Provider-specific file
PT
Physical therapy
PY
Prior year

Q

QIO
Quality Improvement Organization
QMB
Qualified Medicare beneficiary
QMS
Quality Management System

R

RA
Remittance advice
RAC
Recovery audit contractor
RAC
Reimbursement Advisory Committee
RFP
Request for proposal
RHC
Rural health clinic
RHHI
Regional home health and hospice intermediary
RN
Registered nurse
RNPR
Revised Notice of Program Reimbursement
RO
Regional office
ROE
Return on equity
RPCH
Rural primary care hospitals
RRC
Rural referral center
RT
Respiratory therapy
RUG
Resource utilization group (PPS method of paying SNFs)

S

SAS
Statement on Auditing Standards
SCH
Sole-community hospital
SCHIP
State Children’s Health Insurance Program
SME
Subject matter expert
SNF
Skilled Nursing Facility
SOW
Scope of work
SOW
Statement of work
SSA
Social Security Administration
SSI
Supplemental Security Income
SSN
Social Security Number
STAR
System for Tracking Audit and Reimbursement

T

TDL
Technical Direction Letter (replaced JSM) – CMS directions to FI/MAC
TEFRA
Tax Equity and Fiscal Responsibility Act
TIN
Tax Identification Number
TOPS
Transition Outpatient Payments
TS
Tentative settlement

U

UB
Uniform billing
UDR
Uniform Desk Review
UFMS
Unified Financial Management System
UPIN
Unique Physician Identification Number

V

VA
Veterans Administration

W

WBT
Web-based training
WI
Wage Index
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