Acronyms and Glossary - Portal Guide
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Acronyms and Glossary
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| 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