Arm Acronyms Flashcards
ARM
Area Reimbursement Manager
ACA
Affordable Care Act
RV
Re-verification
ICD
International Classification of Disease
PCS- Procedural coding system for billing and infusion
CM- Office based codes
CIO
Clinically Integrated Organization
ACO
Accountable Care Organization
PPACA
Patient Protection Affordable Care Act
MHC
Managed Heatlhcare
EMR
Electronic Medical Records
PHI
Patient Health Information
IDS
Integrated Delivery System
CDI
Clinical Documented Improvement
NCD
National Coverage Decisions (Medicare codes)
LCD
Local Coverage Decisions (Medicare code)
SAD
Self Administered Drug
BSE
Biologic Step Edit
LIS
Low Income Subsidy
SCC
Site Care Coordinator
PCC
Patient Care Coordnator
HEOR
BMS
Health Economic Outcome Research (BMS)
ADSA
BMS
Area Director of Strategic Accounts
SPP
Specialty Pharmacy Provider
NDC
National Disease Code
HCPCS
Health Care Procedural Coding System
PBM
Pharmacy Benefits Manager
HAQ
Healthcare Assessment Questionnaire
DAS
Disease Activity Score
BI
Benefits Investigation
BV
Benefits Verification
DFFS
Discounted Fee for Service
DSH
Disproportionate Share Pricing
IPPS
Hospital
Inpatient Prospective Payment Service
P4P
Pay-for Performance
GPO
Group Purchasing Organizations
CMS
Center for Medicare and Medicaid Services
MS-DRG
Medicare Severity-Diagnostic Related Group
DRG
Diagnostic Related Group
ASP
Average Sales Price
AWP
Average Wholesale Price
WAC
Wholesale Acquisition Cost
DSO
Business
Days Sales Outstanding
EHR
Electronic Health Records
PM
Practice Manager
COGPF
Business
Cost of Goods Paid For
GDP
Business
Gross Domestic Product
RAC
Recovery Audit Contractor (Medicare audits)
PQRS
Physicians Quality Reporting System (Medicare P4P)
PA
Prior Authorization
QL
Quantity Limits
ST/SE
Step Therapy/Step Edit
LCA
Least Costly Alternative
MA-A
Medicare Advantage
OOP
Out of Pocket
OPP
Orencia Purchasing Program
CDHP
Consumer Directed Health Plan
HMO
Health Maintenance Organization
PPO
Preferred Provider Organization
POS
Point of Service
HSA
Health Savings Account (individual owned)
HRA
Health Reimbursement Account (employee owned)
FFS
Fee for Service
HDHP
High Deductible Health Plan
IPA
Independent Practice Association
EHB
Essential Health Benefits
HCRA
Health Care Reform Act
MOOP
Maximum Out of Pocket
CGDP
Coverage Gap Discount Program
HCRL
Health Care Reform Law
LEP
Late Enrollment Period
MMA
Managed Medical Assistance
PDP
Prescription Drug Plan
TrOOP
True Out of Pocket
FPL
Federal Poverty Limit
CHIP
Children’s Health Insurance Program
QHP
Qualified Health Plan
SPAP
State Pharmacy Assistance Program
AHIP
America’s Health Insurance Plan
MAC
Medicare Administrative Contractor
MAO
Medicare Advantage Organization
HIPPA HITECH
Health Information Technology for Economic & Clinical Health
(HIPPA Electronic enforcement)