Encounter Data Acronyms
A
ACA - Affordable Care Act
ANSI - American National Standards Institute
ASCA - Administrative Simplification Compliance Act
C
CAS -Claims Level Adjustment Segment
CEM - Common Edits and Enhancement Module
CMP - Competitive Medical Plan
COTS - Commercial Off-the-Shelf
CPT - Current Procedural Terminology
D
DME - Durable Medical Equipment
DMEPOS - Durable Medical Equipment Prosthetics, Orthotics, and Supplies
E
EDCWF - Encounter Data Common Working File
EDDPPS - Encounter Data DME Processing and Pricing Sub-System
EDFES - Encounter Data Front-End System
EDFESC - Encounter Data Front-End System Contractor
EDI - Electronic Data Interchange
EDIPPS - Encounter Data Institutional Processing and Pricing Sub-System
EDPPPS - Encounter Data Professional Processing and Pricing Sub-System
EDPS - Encounter Data Processing System
EDPSC - Encounter Data Processing System Contractor
EDS - Encounter Data System
EODS - Encounter Operational Data Store
F
FFS - Fee-For-Service
FISS - Fiscal Intermediary Standard System
FS - Fee Schedule
FTP - File Transfer Protocol
H
HCPC - HCFA Common Procedure Code
HCPCS - Healthcare Common Procedure Coding System
HCPP - Health Care PrePayment Plan
HIPAA - Health Insurance Portability & Accountability Act of 1996
HIPPS - Health Insurance Prospective Payment System
HMO - Health Maintenance Organization
I
IG Edits - Implementation Guide Edits
I/OCE - Integrated/Outpatient Code Editor
M
MA - Medicare Advantage
MAO - Medicare Advantage Organization
MCE - Medicare Code Editor
MCS - Multi-Carrier System
MUE - Medically Unlikely Edits
N
NCCI - National Correct Coding Initiative
NPI - National Provider Identifier
NPPES - National Plan and Provider Enumeration System
NUCC - National Uniform Claim Committee
O
OASIS - Outcome and Assessment Information Set
P
PACE - Program for All-Inclusive Care for the Elderly
PDE - Prescription Drug Event
POS - Place of Service
PPACA - Patient Protection and Affordable Care Act
PPS - Prospective Payment System
R
RAPS - Risk Adjustment Processing System
S
SNF - Skilled Nursing Facility
T
TOB - Type of Bill
TOS - Type of Service
V
VMS - ViPS Medicare System
W
WPC - Washington Publishing Company