Acronyms and Glossary - Portal Guide
Acronyms and Glossary
Acronym | Description |
---|---|
ABN | Advance Beneficiary Notice of Noncoverage |
ADR | Additional Documentation Request |
AR | Accounts Receivable |
AWV | Annual Wellness Visit |
BENE | Beneficiary |
CARC | Claim Adjustment Reason Code |
CCN | Claim Control Number or Correspondence Control Number |
CERT | Comprehensive Error Rate Testing |
CMN | Certificate of Medical Necessity |
CMS | Centers for Medicare and Medicaid Services |
CO | Contractual Obligation |
CPT | Current Procedural Terminology |
CY | Calendar Year |
DCN | Document Control Number |
DME | Durable Medical Equipment |
DMEPOS | Durable Medical Equipment, Prosthetics, Orthotics and Supplies |
DOB | Date of Birth |
DOD | Date of Death or Date of Discharge |
DOS | Date of Service |
EDISS | Electronic Data Interchange Support Services |
EFT | Electronic Funds Transfer |
ERA | Electronic Remittance Advice |
ESRD | End Stage Renal Disease |
FCN | Financial Control Number |
FY | Fiscal Year |
HCPCS | Healthcare Common Procedure Coding System |
HETS | HIPAA Eligibility Transaction System |
HIC or HICN | Health Insurance Claim Number (Medicare Number) |
HIPAA | Health Insurance Portability and Accountability Act of 1996 |
HHEH | Home Health Episode History |
HMO | Health Maintenance Organization |
ICD-9 | International Classification of Diseases, Ninth Revision |
ICD-10 | International Classification of Diseases, Tenth Revision |
ICN | Internal Control Number |
IOM | Internet Only Manual |
IPPE | Initial Preventive Physical Examination (Welcome to Medicare) |
IVR | Interactive Voice Response |
LCD | Local Coverage Determination |
MAC | Medicare Administrative Contractor |
MBI | Medicare Beneficiary Identifier (Medicare Number) |
MCO | Managed Care Organization |
MDPP | Medicare Diabetes Prevention Program |
MFA | Multi-Factor Authentication |
MLN | Medicare Learning Network |
MR | Medical Review |
MSP | Medicare Secondary Payer |
MUE | Medically Unlikely Edit |
NCCI | National Correct Coding Initiatives Edits |
NCD | National Coverage Determination |
NDC | National Drug Code |
NMP | Noridian Medicare Portal |
Noridian | Noridian Healthcare Solutions |
NPI | National Provider Identifier |
NPPES | National Plan and Provider Enumeration System |
OIG | Office of Inspector General |
PCC | Provider Contact Center |
PECOS | Provider Enrollment, Chain and Ownership System |
PHI | Protected Health Information |
POS | Place of Service |
PR | Patient Responsibility |
PTAN | Provider Transaction Access Number |
QMB | Qualified Medicare Beneficiary (Medicaid) |
RA | Remittance Advice |
RRB | Railroad Retirement Board |
SMRC | Supplemental Medical Review Contractor |
SNF | Skilled Nursing Facility |
SPR | Standard Paper Remit |
SSNRI | Social Security Number Removal Initiative |
SSPR | Self Service Password Reset |
SSN | Social Security Number |
TIN | Taxpayer Identification Number |
UPIC | Unified Program Integrity Contractor |
Last Updated Wed, 23 Aug 2023 12:43:47 +0000