Acronyms Flashcards
HMO
Healthcare maintenance Organization
PPO
Preferred provider organization
MCO
Managed care organization
DEERS
Defense enrollment eligibility reporting system
PBM
Pharmacy benefits, manager
NPPES
National plan provider enumeration system
NPI
International provider identifier
DEA
Drug enforcement administration
PCN
Process control number
NCPDP
National Council for prescription drug program
HRSA
Health resources and services administration
AMP
Average manufacturer price
OPAIS
Office of pharmacy affairs, information system
TPA
Third-party administrator
OPA
Office of pharmacy affairs
NDC
National drug code
Pharmacy Therapeutic Committee
PTM
Benefits identified number
BIN
The nations largest independent health care accreditation organization and establishes quality standards for entire healthcare industry
URAC ~.
utilization review accreditation commission
The joy commissioned we Kwai to identifiers:
A patient’s full name, date of birth or medical identification
Its is an independent not for profit organization created in 1951 that a credit more than 20,000 US healthcare program an organization it is a goal and mission art to ensure quality healthcare for patient prevent harm and improve patient advocacy,
The standers focus on important patient, individual, or resident care and organization functions that are essential to providing safe, high-quality care
TJC The Joy commission
The organization with Responsible for creating health And safety guidelines for US hospital and health care facility including introduction and enforcing clinical and Quality programs
CM S Center of Medi-cal and Medicare services
What does Tjc do..?
It
is to continuously improved health care for the public in collaborator with other skin holders by evaluating healthcare organizations and inspiring them to excel in providing stuffed infected care of highest quality in value
Det Norse Veritas
dNV It is an accredited icertification buddy.
NOI number must be to bill the Medicare then the provider Transaction Access Number iis use authenticate the provider when using MAC.
PTAN is the medicare only number issued to provider by Medicare administration, contractor (M A C) upon enrollment to Medicare
