IRS Tax Form for Miscellaneous Income
Association of American Medical Colleges
Adjusted Average Per Capita Cost
Administrative Appeal Unit
Able Bodied Adults Without Dependents
Angiotensin-Converting Enzyme (ACE Inhibitors)
Administration for Children & Families
ACF/Office of Family Assistance
Advisory Committee on Immunization Practices
1) Ambulatory Care Sensitive 2) Conduent, Inc.
1) American Dental Association 2) Americans with Disabilities Act
Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder
Activities of Daily Living
American Group Practice Association
American Hospital Association
Agency for Health Care Policy Research
American Hospital Formulary Service
Acquired Immunodeficiency Syndrome
American Medical Association
Ambulatory Surgical Center
Acute Myocardial Infarction
Average Manufacturer Price
American National Standards Institute
HIPAA Electronic Transaction Standard
American Pharmaceutical Association
Ambulatory Payment Classifications
American Public Human Services Association
Adult Psychiatric Services
Aid to the Permanently and Totally Disabled
American Public Welfare Association
1) Accounts Receivable 2) Authorized Representative
Advanced Registered Nurse Practitioner
Ambulatory Surgical Center
American Standard Code for Information Interchange
American Society of Hospital Pharmacists
American Society of Internal Medicine
Administrative Services Organization
Automated Voice Response System
Beneficiary Earnings Exchange Record
Bureau of Labor Statistics
Bureau of National Affairs
1) Basis of Eligibility 2) Basis of Estimate
1) Behavior Patterns 2) Benefit Plan
Benign Prostatic Hyperplasia
Consumer Assessments of Health Plans Study
Comprehensive AIDS Resources Emergency Act
Cancer Screening & Tracking System
Community Access To Child Health
Congressional Budget Office
1) Care Coordination 2) Cervical Cancer
Child Care Development Block Grant
Centers for Disease Control & Prevention
Compact Disk Read-Only Memory
Current Dental Terminology
Code of Federal Regulations
Civilian & Medical Program of Uniformed Services
Continued Health Care Benefit Program
Children's Health Insurance Program
Community for Health Purchasing Alliance
Center for Health Plans & Providers
Catastrophic Illness Program
Clinical Laboratory Improvements Amendment
Certificate of Medical Necessity
Centers for Medicare and Medicaid Services
Medicaid Program Budget Report
Annual Report on Home and Community
Annual EPSDT Participation Report
Quarterly Medicaid Statement of Expenditures for the Medicaid Assistance Program
Center for Medicaid & State Operations
Coordination of Benefits Agreement
Coordination of Benefits Contractor
Consolidated Omnibus Budget Reconciliation Act
Cost of Living Adjustment
Computer Output Laser Disk
Computer Output Laser Disk - Enterprise Report Management
Certified Public Accountant
Center for Research in Ambulatory Health Care Administration
Correspondence Record Number
Children with Severe Disabilities
Child Support Enforcement
Community Supported Living Arrangements
Child Support Performance & Incentive Act of 1998
1) Customer Service Request 2) Customer Service Representative
Child Welfare League of America
Department of Administrative Services
1) Doing Business As 2) Database Administrator
Disability Determination Unit
Defense Enrollment Eligibility Reporting System
1) Drug Effectiveness Source 2) Data Encryption Standard
Drug Effectiveness Source Identifier
Department of Health and Human Services
Disease-Modifying Anti-Rheumatic Drug
Durable Medical Equipment
Division of Motor Vehicles
1) Doctor of Osteopathy 2) District Office
1) Deficit Reduction Act 2) Department of Revenue
Diagnostic Related Group(ing)
Electronic Benefit Transfer
Electronic Claims Capture
Elderly & Chronically Ill
Electronic Claims Management
Electronic Claims Submission
Electronic Data Interchange
Electronic Data Processing
Electronic Data Sharing Gateway
1) Electronic Funds Transfer 2) Electronic File Transfer
Explanation of Medical Benefits
Explanation of Prescriptions
Exclusive Provider Organization
Early and Periodic Screening, Diagnosis and Treatment Services
Employment Retirement Income Security Act
Enrollment Tracking System
Federal Assistance Financing Branch
Family Assistance Program
Frequently Asked Question(s)
Food & Drug Administration
1) First Date of Service 2) From Date of Service
Federal Employees' Compensation Act
Federal Employee Health Benefits Program
Federal Employer Identification Number
Federal Fiscal Year - Extends from October 1 through September 30 of the following calendar year
Federal Fiscal Year Quarter
First Health Services Corporation
Federal Information Processing Standards
Federal Maximum Allowable Cost
Federal Medical Assistance Payment or Percentage
Federally Qualified Health Centers
Family Service Specialist
File Transfer Protocol (Secure Socket)
Group Health Association of America
Also known as Coordination of Benefits Agreement (COBA)
Geographical Information System
Hospital Based Rural Health Clinic
Health Care Financing Administration
Health Care Provider Code
Health Care Prepayment Plan
Health Care Quality Improvement Program
Health Plan Employer Data and Information System
Health and Human Services
Health Insurance Association of America
1) Health Insurance Control Number (Medicare ID Number) 2) Health Insurance Claim 3) Hierarchical Ingredient Code
Health Insurance Claim Number
Health Insurance Portability and Accountability Act of 1996
Health Insurance Premium Payment
1) In-Home Services 2) Health Information Standards
Human Immunodeficiency Virus
Health Maintenance Organization
Health Professional Shortage Area
Human Resource Profile Code
Human Resources and Services Administration
Hypertext Markup Language
Hypertext Transfer Protocol
Hypertext Transfer Protocol over Secure Socket
Instrumental Activities of Daily Living
Incurred But Not Reported
Inpatient Part B Crossover
International Classification of Diseases
Intermediate Care Facility
Individuals with Disability Education Act
State Income and Eligibility Verification System
1) In-Home Services 2) Indian Health Services
Institution of Mental Disease
Immigrations and Naturalization Services
Institution of Mental Disease
Intensive Outpatient (treatment)
1) Inpatient 2) Internet Protocol 3) In-process
International Pharmaceutical Abstracts 2) Individual Practice Association
1) Internal Revenue Service 2) Identical, Related or Similar Drugs
Internet Service Provider/Application Service Provider
Independent Verification and Validation
Child Welfare Services Foster Care Title IV-E
Integrated Voice Response System
Jobs Opportunities and Basic Skills Training Program
Job Training Partnership Act
Limited English Proficiency
1) Line Item 2) Line Number
1) Limited Liability Company 2) Legal Liable County
1) Last Name 2) Line Number
Medical Assistance/Medicaid Identification
Medical Assistance Payments
Maintenance Assistance Status
Medicare Beneficiary Database
Medicare Beneficiary Identifier
Medicare Catastrophic Coverage Act
Managed Care Organization
Major Diagnostic Category
Medicaid Identification Number
Medicaid Information Technology Architecture
Medicare Modernization Act
Medicaid Management Information System
Medicare & Medicaid Patient Program Protection Act
Monthly Obligation Balance
Medicare Qualified Government Employee
Medicaid Quality Incentive Program
Mammography Quality Standards Act
1) Mental Retardation 2) Member Representative
M-State Children's Health Insurance Program
Meds Solutions, Incorporated
Medicaid Statistical Information System
Management Service Organization
Medical Service Questionnaire
Manufacturer's Suggested Retail Price
National Association Board of Pharmacies
National Association of Chain Drug Stores
National Association for Home Care
National Association of Insurance Commissioners
National Association of Medicaid Directors
National Council for Prescription Drug Programs
National Committee for Quality Assurance
National Committee on Vital Health Statistics
National Electronic Child Support Resource System
National Medicaid EDI HIPAA workgroup
Non-Emergency Medical Transportation
Nursing Facility - A long-term care facility licensed under State law and certified by Medicare to provide skilled and intermediate levels of care
Nursing Facility Quality Assessment
National Library of Medicine
National Medical Support Notice
1) National Payer ID 2) National Provider Information Number
Non-Steroidal Anti-Inflammatory Drug
National Uniform Billing Committee
National Uniform Claim Committee
Omnibus Budget Reconciliation Act
Omnibus Consolidated Appropriations Act
Obsessive Compulsive Disorder
Optical Character Recognition
Office of Disease Prevention and Health Promotion
Office of Inspector General
Office of Management and Budget
Outpatient Prospective Payment System/APC Ambulatory Payment Class
Office of Research and Analysis
Program of All-inclusive Care for the Elderly
Patient Access to Responsible Care Act of 1997
Primary Care Case Management
Primary Care Physician(s)
Public Employee Retirement System
Protected Health Information
Physician-Hospital Organization
Personal Identifiable Information
Personal Identification Number
1) Physician Incentive Plan 2) Periodic Interim Payment
Private Non-Medical Institution
Point of Contact - The single person representing an organization who is the point of contact for all questions or comments
1) Place of Service 2) Point of Service
Performance Partnership Grant
Provider Pricing Indicator
Preferred Provider Organization
Physician Payment Review Commission
Personal Responsibility and Work Opportunity Recon Act
Qualified Disabled Working Individual
Qualified Medicare Beneficiary
Qualified Working Disabled Individual
Resident Assessment Validation and Entry
Recipient Explanation of Medical Benefits
Railroad Retirement Board
Robert Wood Johnson Foundation
Statewide Automated Child Welfare Information System
State Children's Health Insurance Program
State Healthcare Clearinghouse
Survey of Income Program Participation
Specified/Special Low Income Medicare Beneficiary
State Maximum Allowable Cost
State Medicaid Directors' Association
Standard Metropolitan Statistical Areas
Social Security Administration
Social Security Disability Insurance
Supplemental Security Income
Temporary Assistance for Needy Families
Transaction Control Number
Transmission Control Protocol/Internet Protocol
Telecommunication Device for Deaf
1) To Date of Service 2) Through Date of Service
Tax Equity and Fiscal Responsibility Act
Third Party Liability Accident and Trauma
CMS standard hospital and nursing home paper billing form
Unemployment Insurance Benefits
Universal Provider Number
1) Uninterruptible Power Supply 2) United Parcel Service
Universal Provider Number
Universal Resource Locator
World Wide Web Consortium
Request for Taxpayer Identification Number
Extensible Markup Language