Florida Preferred Providers

US Military Acronyms List

AA Administrative Assistant
AAHC American Accreditation Healthcare Commission/URAC
ABC Abridged Benefits of CHAMPUS
ABSR Assistant Beneficiary Service Representative
ACD Automatic Call Distribution
ACM Area Coordination Meeting
ACO Administrative Contracting Officer
ACOR Alternate Contracting Officer’s Representative
ACP American College of Physicians
AD Active Duty
ADA Americans with Disabilities Act
ADAMHA Alcohol, Drug Abuse and Mental Health Administration
ADD Active Duty Dependent
ADFM Active Duty Family Member
ADP Automated Data Processing
ADSM Active Duty Service Member
AEP Appropriateness Evaluation Protocol
AFB Air Force Base
AFDC Aid to Families with Dependent Children
AFPC Armed Forces Policy Council
AH Army Hospital
AHA American Hospital Association
AHP Accountable Health Plan
AIP Analysis Improvement Plan
AIS Automated Information Systems
ALGS Automatic Letter Generating System
ALOS Average Length Of Stay
AM&S Office of Acquisition and Management Support
AMA Against Medical Advice OR American Medical Association
AMC Army Medical Center
AMD Associate Medical Director
ARU Automated Response Unit
ASC Ambulatory Surgical Centers
ASD(HA) Assistant Secretary of Defense for Health Affairs
ASO Administrative Services Only
AVR Automated Voice Response
AWP Average Wholesale Price
      
BAFO Best and Final Offer (Replaced by FPR)
BBP Blood Borne Pathogens
BCAC Beneficiary Counseling Assistance Coordinator
BCBSSC Blue Cross and Blue Shield of South Carolina
BES Best Estimate Submission
BIS Beneficiary Information System
BPA Bid Price Adjustment
BRAC Base Realignment And Closure
BSR Beneficiary Services Representative
BUMED Bureau of Medicine
  
C&CS Office of Communications and Customer Service
CACI Marketing and Education Contractor
CAM Catchment Area Management
CAP Corrective Action Plan
CATCAP Catastrophic Cap
CBC Construction Battalion Center (Navy)
CBHP Choice Behavioral Health Partnership
CBSR Centralized Beneficiary Service Representative
CCDD Catastrophic Cap and Deductible Database
CCHI Center for Corporate Health, Inc.
CCS Crippled Children’s Services
CEBO Central Enrollment and Billings Office
CEIS Corporate Executive Information System
CEO Chief Executive Officer
CF Conversion Factor
CHAMPUS Civilian Health and Medical Program of the Uniformed Service
CHAMPVA Civilian Health and Medical Program of the Veterans Administration
CHAP Community Health Accreditation Program
CHCBP Continued Health Care Benefits Program
CHCS Composite Health Care System
CHIN Community Healthcare Information Network
CIA Corporate Integrity Agreement
CIS Clinical Intake Specialist
CLO Contract Liaison Officer
CM Case Management
CMMS Claims Medical Management System
(formerly CHAMPUS Regional Intermediary System or CRIS)
CMN Certificate of Medical Necessity
CMS Contact Management System OR Center for Medicare and Medicaid Services
COB Coordination of Benefits
COBRA Consolidated Omnibus Budget Reconciliation Act
COE Center of Excellence
CON/CN Certificate of Need
COO Chief Operating Officer
CONUS Continental United States
COR Contracting Officers Representative
CPR Chronological Patient Record
CPS Clinical Preventive Services
CPT-4 Current Procedural Terminology 4th edition
CPU Central Processing Unit
CQMP Clinical Quality Management Program
CRIS CHAMPUS Regional Intermediary System (now known as CHAMPUS Medical Management System)
CRT Cathode Ray Tube
CTI Computer Telephone Interface
CWF Common Working File
CY Calendar Year
           
DCAA Defense Contracting Audit Agency
DCAO Debt Collection Assistance Officer
DCP Data Collection Period
DD2161 Department of Defense Form 2161 (for referrals)
DEERS Defense Enrollment Eligibility Reporting System
DEPSECDEF  Deputy Secretary of Defense
DG Defense Guidance
DHHS Department of Health and Human Services
DHP Defense Health Program
DITSCAP DoD Information Technology Security Certification and Accreditation Process
DM Disease Management
DMCA Defense Management Contracting Agency
DMDC Defense Manpower Data Center
DME Durable Medical Equipment
DMERC Durable Medical Equipment Regional Carrier
DMIS Defense Medical Information System
DMPA Defense Medical Programs Activity
DNA Dynamic New Alliance
DO Doctor of Osteopathy
DoD Department of Defense
DOES Defense Online Enrollment System
DRB Defense Resources Board
DRG Diagnosis Related Groups
DSO DEERS Support Office
DTF Dental Treatment Facilities OR Designated Treatment Facilities
DUR Drug Utilization Review
DVA Department of Veterans Affairs
  
E/M Evaluation of Management Services (Codes), CPT Codes
EBC Enrollment Based Capitation
ECHO Extended Care Home System
ECS Electronic Claims Submission
ECT Electronic Claims Transmission
EFMP Exceptional Family Member Program
EFT Electronic Funds Transfer
EHHC ECHO Home Health Care
EHP Employee Health Program
EIN Employer Identification Number
EMC Electronic Media Claims (paperless Claims Processing)
EOB, EOMB Explanation of (Medicare or Medical) Benefits
EOC Explanation of Check
ERISA Employee Retirement Insurance Security Act
ESRD End Stage Renal Disease
EWRAS Enterprise Wide Referral and Authorization System
    
FAMS Fraud and Abuse Management System
FAR Federal Acquisition Regulation
FASB Federal Accounting Standards Board
FEHBP Federal Employee Health Benefit Plan
FEP Federal Employee Program
FFS Fee-For-Service
FI Fiscal Intermediary
FOIA Freedom of Information Act
FOIO Freedom of Information Office
FPR Final Proposal Revision (replaces BAFO – Best and Final Offer)
FRC Federal Records Center
FTE Full-Time Equivalent
FY Fiscal Year
  
GAAP Generally Accepted Accounting Principles
GAO General Accounting Office
GHAA Group Health Association of America
GIQD General Inquiry DEERS
GPCI Geographic Practice Cost Index
GSUS Geographically Separated Units 50 miles outside of MTFs
  
HAL Health Awareness Letter
HBA Health Benefits Advisor
HCF Health Care Finder
HCFA Health Care Financing Administration
HCFA-1500 Health Care Finance Administration Claim Form
HCPCS HCFA Common Procedure Coding System
HCSR Health Care Service Record
HEDIS Healthplan Employer Data and Information Systems
HHA Home Health Agency OR Home Health Aide
HHC Home Health Care
HHS Health and Human Service
HINN Hospital Issued Notices on Non-Coverage
HIPAA Health Insurance Portability and Accountability Act of 1996
HMHS Humana Military Healthcare Services
HMO Health Maintenance Organization
HMSI Health Management Strategies International
HPA&E Office of Health Program Analysis and Evaluation
HRA Health Risk Appraisal
HVHS Humana Veterans Healthcare Services
          
ICD-9CM International Classification of Diseases, Volume 9 Clinical Modification
ICN Internal Control Number (Claims)
IEP Individualized Educational Program
IIHI Individual Identifiable Health Information
IM/IT Information Management/Information Technology
IP Inpatient
IPA Individual Practice Association
IPS Individual Pricing Summary
IPT Integrated Process Team
IVR Interactive Voice Response
  
JCAHO Joint Commission on Accreditation of Healthcare Organizations
JCS Joint Chiefs of Staff
JIEP Joint Intelligence Estimate for Planning
JPAM Joint Program Assessment Memorandum
  
KO Contracting Officer
KOI Key Operational Indicators
  
LA Lead Agent
LAN Local Area Network
LCSW Licensed Clinical Social Worker
LMHC Licensed Mental Health Counselor
LOA Leave of Absence
LOI Letter of Intent
LOS Length of Stay
LPC Licensed Professional Counselor
LPN Licensed Practical Nurse
LTAC Long Term Acute Care
LTC Long Term Care
LVN Licensed Vocational Nurse
  
MBO Management by Objectives
MCAS Marine Corps Air Station
MCB Marine Corps Base
MCS Managed Care Support
MCSC Managed Care Support Contractor
MD Doctorate of Medicine
MDC Major Diagnostic Categories
MFE Multi-faceted Evaluation
MFS Medicare Fee Schedule
MHSO Office of Military Health Systems Operations
MHS Military Health System
MHSS Military Health Services System
MLR Medical Loss Ratio
MMSO Office of Military Health Systems Operations
MOD Modification
MOH Medal of Honor
MOU Memorandum of Understanding
MPS Managed Prescription Services
MSR Medical Service Review
MTF Military Treatment Facility
   
NADD Non-Active Duty Dependent
NADFM Non-Active Duty Family Member
NAS Non-Availability Statement
NATO North Atlantic Treaty Organization
NCQA National Council for Quality Assurance
NDAA National Defense Authorization Act
NDC National Drug Code
NDMS National Disaster Medical System
NEC Not Elsewhere Classified (ICD-9CM code)
NED National Enrollment Database
NH Naval Hospital
NICU Neonatal Intensive Care Unit
NMC Naval Medical Center
NMFA National Military Families Association
NMHCC National Managed Health Care Congress
NNW Non-Network
NOAA National Oceanic and Atmospheric Administration
NOS Not Otherwise Specific (ICD-9CM code)
NPDB National Practitioner Data Bank
NPI National Provider Identifier
NQMC National Quality Monitoring Contractor
NSC National Security Council
NW Network
   
OASD(HA) Office of the Assistant Secretary of Defense (Health Affairs)
OCONUS Outside the Continental United States
OCR Optical Character Recognition
OGP Other Government Programs
OHI Other Health Insurance
OLA Office of the Lead Agent
OOA Out of Area
OPI CHAMPUS Office of Program Integrity
OPM Operations Procedures Manual
OSD Office of the Secretary of Defense
OSHA Occupational Safety and Health Administration
OTR Outpatient Treatment Report
   
PACU Post Anesthesia Care Unit
Part A Medicare Part A
Part B Medicare Part B
PAS Patient Appointing Services
PAT Pre-Admission Testing OR Performance Assessment Tool
PCC Patient Care Coordinator
PCM Primary Care Manager
PCMBN Primary Care Manager by Name
PCO Procuring Contracting Officer
PCP Primary Care Provider
PDM Program Decision Memorandum
PDMS Provider Data Management System
PERR Provider Education/Relations Representative (See also PR)
PFPWD Program for Persons with Disabilities (replaced by ECHO – Extended Health Care Option)
PGBA Palmetto Government Benefits Administrators
PhD Doctorate of Philosophy
PHI Protected Health Information (individually identifiable)
PHP Psychiatric Partial Hospitalization Programs
PI Program Integrity
PIA Procurement Integrity Act
PIN Provider Identification Number
PIO Procurement Integrity Officer
PIP Periodic Interim Payment
PMPM Per Member Per Month
POC Place of Care
POD Physician Organized Delivery System
PODS Processing Operations and Dedicated Services (PGBA/Claims)
POM Program Objectives Memorandum
POS Point of Service
POT Place of Treatment OR Plan of Treatment
PPBES Planning, Programming, Budgeting, and Execution System
PPO Preferred Provider Organization
PQI Potential Quality Indicator
PRAF Patient Referral Authorization Form
PRO Peer Review Organization
PR Provider Representative (See also PERR)
PSDA Patient Self Determination Act
PSRO Professional Standards Review Organization
     
QA Quality Assurance (synonymous with Quality Management)
QIT Quality Improvement Team
QM Quality Management
  
RACO Regional Area Contracting Officer
RBRVS Resource Based Relative Value System (Scale)
RC Reserve Component
REA Request for Equitable Adjustment
RFP Request for Proposal
RM Office of Resource Management
RMD Regional Medical Director
RO Regional Office
ROM Rough Order of Management
ROPO Report of Performance Observation
ROR Right of Refusal
RRA Regional Review Authority
RRB Railroad Retirement Board
RTC Residential Treatment Centers
RVS Relative Value Study (Schedule or Scales)
RVU Relative Value Unit Services
  
SHCP Supplemental Health Care Program
SNF Skilled Nursing Facility
SO Second Opinion
SPOC Service Point of Contact
SSAC Source Selection Advisory Council
SSEB Source Selection and Evaluation Board
SSI Supplemental Security Income
SSN Social Security Number
STAR FORCE Skilled, Trained and Ready - Focused on Reserve Components, Enhanced
STSF Specialized Treatment Service Facility
STS Specialized Treatment Services
SUDRF Substance Use Disorder Rehabilitation Facility (SUDRF)
  
TAC TRICARE Allowable Charge
TAMP Transitional Assistance Management Program
TDEFIC TRICARE Dual Eligible Fiscal Intermediary Contract
TDP TRICARE Dental Program
TED TRICARE Encounter Data
TEFRA Tax Equity and Fiscal Responsibility Act
TEOB TRICARE Explanation of Benefits (Formerly CEOB)
TFL TRICARE for Life
TIN Tax Identification Number
TITLE 10 CHAMPUS
TITLE 18 Medicare
TITLE 19 Medicaid
TITLE 5 Maternal and Child Health
TITLE I Hill Burton
TMA TRICARE Management Activity (formerly called OCHAMPUS)
TMAC TRICARE Maximum Allowable Charge
TMCS Total Managed Care System
TMOP TRICARE Mail Order Pharmacy
TOM TRICARE Operations Manual
TOPS TRICARE Operational Performance Standards
TOS Type of Service
TPC Third Party Collections
TPL Third Party Liability
TPM TRICARE Policy Manual
TPO Treatment, Payment and Operations
TPR TRICARE Prime Remote
TPRADFM TRICARE Prime Remote Active Duty Family Member
TRAC TRICARE Regional Advisory Committee
TRIDDE TRICARE Direct Data Entry
TRM TRICARE Reimbursement Manual
TRO TRICARE Regional Office
TROS TRICARE Regional Office South
TRS TRICARE Reserve Select
TRSDP TRICARE Selected Reserve Dental Program
TSC TRICARE Service Center
TSO TRICARE Support Office
            
UB-92 Uniform Billing form – 1992
UCR Usual, Customary, and Reasonable
UHDDS Uniform Hospital Discharge Data Set
UIC Unit Identification Code
UM Utilization Management
UPIN Universal (Unique) Physician Identification Number
UR Utilization Review
URAC Utilization Review Advisory Committee(See AAHC)
USA United States Army
USAF United States Air Force
USCC Unified and Specified Combatant Commands
USCG United States Coast Guard
USFHP Uniformed Services Family Health Plan
USMC United States Marine Corps
USN United States Navy
USPHS U.S. Public Health Service
USTF Uniformed Services Treatment Facility
USUHS Uniformed Services University of the Health Sciences
  
VA Veterans Administration/Affairs
VIP Voluntary Insurance Plan
VRU Voice Response Unit
  
WC Worker's Compensation
WHO World Health Organization
WPA Written Prior Authorization
WPS Wisconsin Physicians Service

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