Medicare Basics: Commonly Used Acronyms - Avera Health
DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid ServicesMedicare BasicsCOMMONLY USED ACRONYMSIf you interact with Medicare, you probablyencounter acronyms on a regular basis. Itcan be difficult sometimes to keep track ofthem all.This resource is a list of Medicare-relatedacronyms. While the list is not all-inclusive, itcontains those acronyms you may encounteron a regular basis in the course of yourdealings with Medicare, and the MedicareLearning Network (MLN) products.What Is an Acronym?An acronym is a word formed from theinitial letters or parts of a name or title.Please note: The information in thispublication applies only to the MedicareFee-For-Service Program (also knownas Original Medicare).Want more information about Medicare?Watch the five-minute Centers forMedicare & Medicaid Services (CMS) “WhatIs Medicare?” video for a high-level overview of the Medicare Program,including basic information about Medicare’s various parts and who it covers.To watch the video, visit https://www.youtube.com/watch?v PamIqQfL 3kon the Internet, or scan the Quick Response (QR) code on the right withyour mobile device.ICN 908999 September 2014Click any letter below to jump to its corresponding acronyms.
Commonly Used AcronymsA Want More Information? Click the highlighted acronyms throughout this document to view more information.ABNAdvance Beneficiary Notice of NoncoverageACOAccountable Care OrganizationADAAmerican Dental AssociationADAAmericans with Disabilities ActADLActivities of Daily LivingALJAdministrative Law JudgeANSIAmerican National Standards InstituteAOAccreditation OrganizationASCAccredited Standards CommitteeASCAmbulatory Surgical CenterASCAAdministrative Simplification Compliance ActAWPAverage Wholesale PriceAWVAnnual Wellness VisitClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 12
Commonly Used AcronymsB Want More Information? Click the highlighted acronyms throughout this document to view more information.BBABalanced Budget Act of 1997CAHCritical Access HospitalCALsCoding Analysis for LabsCARCClaims Adjustment Reason CodeCBConsolidated BillingCCNClaim Control NumberCDCCenters for Disease Control and PreventionCEContinuing EducationCERTComprehensive Error Rate TestingCEUsContinuing Education UnitsCFConversion FactorCFCConditions for CoverageCFRCode of Federal RegulationsCC acronyms continued on the next pageClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 13
Commonly Used AcronymsC Want More Information? Click the highlighted acronyms throughout this document to view more information.CLIAClinical Laboratory Improvement AmendmentsCMEContinuing Medical EducationCMHCCommunity Mental Health CenterCMNCertificate of Medical NecessityCMPCivil Monetary PenaltyCMSCenters for Medicare & Medicaid ServicesCMSCECenters for Medicare & Medicaid ServicesContinuing Education ProgramCOBCoordination of BenefitsCOBRAConsolidated Omnibus Budget Reconciliation ActCOPConditions of ParticipationCORFComprehensive Outpatient Rehabilitation FacilityCPTCurrent Procedural TerminologyCQMClinical Quality MeasureCRChange RequestClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 14
Commonly Used AcronymsD Want More Information? Click the highlighted acronyms throughout this document to view more information.DABDepartmental Appeals BoardDCNDocument Control NumberDDEDirect Data EntryDMEDurable Medical EquipmentDME MAC Durable Medical Equipment MedicareAdministrative ContractorDMEPOS Durable Medical Equipment, Prosthetics, Orthotics,and SuppliesDOBDate of BirthDOEDate of EntitlementDOSDate of ServiceDRGDiagnostic-Related GroupDSHDisproportionate Share HospitalDUAData Use AgreementDVData Vali
COMMONLY USED ACRONYMS If you interact with Medicare, you probably encounter acronyms on a regular basis. It can be difficult sometimes to keep track of them all. This resource is a list of Medicare-related acronyms. While the list is not all-inclusive, it contains those acronyms you may encounter on a regular basis in the course of your
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Combating Medicare Parts C & D Fraud, Waste & Abuse Training ADAPTED FROM THE WEB-BASED TRAINING COURSE ON THE MEDICARE LEARNING NETWORK (MLN) Acronyms The following acronyms are used throughout the course: ACRONYM TITLE TEXT CFR Code of Federal Regulations CMS Centers for Medicare & Medicaid Services
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