In this climate of texting and wanting quick results for everything from ordering your lunch, to ordering medical tests, to attending a meeting with a speaker who uses a lot of acronyms that you are expected to know, let’s save some time and offer you a reference tool so you aren’t going to “Dr. Google” when trying to be present in your education as a medical professional.

Webinar Acronyms –Reference Tool

• AAP – Advanced and Accelerated Payments (from Medicare)
• ACO – Accountable Care Organization
• ADR – Additional Documentation Request
• APP – Advanced Practice Provider
• AKS – Anti-Kickback Statute
• APP – Cash Payment Applications
• CAA – Consolidations Appropriations Act 2022
• CARC – Claim Adjusted Reason Codes
• CERT – Comprehensive Error Rate Testing
• CF – Conversion Factor
• CY – Calendar Year
• CMS – Centers for Medicare and Medicaid
• DOJ – Department of Justice
• EOB – Explanation of Benefits
• FCA – False Claim Act
• FWA – Fraud Waste & Abuse
• GAO – provides fact-based, nonpartisan information to Congress. Often called the “congressional watchdog,”
• HHS – Health Human Services
• HIMS – Health information Management Service
• HIPAA – Health Insurance Portability & Accountability Act.
• IDR – Independent Dispute Resolution (NSA)
• LCD – Local Coverage Determination
• MAC – Medicare Administrative Contractor
• MedPAC – Medicare Payment Advisory Commission
• MMA – Medicare Modernization Act
• MPFS – Medicare Physician Fee Schedule
• MSN – Medicare Summary Notice
• MSO – Management Service Organization
• NCD – National Coverage Determination
• NPP – Non-Physician Practitioner
• NSA – No Surprise Act
• OCR – Office of Civil Rights
• OIG – Office of Inspector General
• PAYGO – federally mandated “pay-as-you-go” deficit control budget rules
• PE – Private Equity (firms)
• PHE – Public Health Emergency
• ePHI – Protected Health Information (electronic)
• POS – Place of Service
• QHP – Qualified Health Care Professional
• QPA – Qualifying Payment Amount (re: NSA IDR)
• PRF – Provider Relief Funding
• RAC – Recovery Audit Contractors
• RARC – Remittance Advice Remark Codes
• RCM – Revenue Cycle Management
• RPM – Remote Patient Monitoring
• RY – Reporting Year
• SMRC – Supplemental Medical Review Contractor
• TPE – Target Probe Educate
• ZPIC/UPIC – Zone/Unified Program Integrity Contractor

Make sure you have this handy when you are needing to reference a particular regulatory guidance, speak to a physician, or listen in to an educational webinar. This will assist so you are not in the dark.