Medicare Basics: Commonly Used Acronyms - Avera Health

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DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid ServicesMedicare BasicsCOMMONLY USED ACRONYMSIf you interact with Medicare, you probablyencounter acronyms on a regular basis. Itcan be difficult sometimes to keep track ofthem all.This resource is a list of Medicare-relatedacronyms. While the list is not all-inclusive, itcontains those acronyms you may encounteron a regular basis in the course of yourdealings with Medicare, and the MedicareLearning Network (MLN) products.What Is an Acronym?An acronym is a word formed from theinitial letters or parts of a name or title.Please note: The information in thispublication applies only to the MedicareFee-For-Service Program (also knownas Original Medicare).Want more information about Medicare?Watch the five-minute Centers forMedicare & Medicaid Services (CMS) “WhatIs Medicare?” video for a high-level overview of the Medicare Program,including basic information about Medicare’s various parts and who it covers.To watch the video, visit https://www.youtube.com/watch?v PamIqQfL 3kon the Internet, or scan the Quick Response (QR) code on the right withyour mobile device.ICN 908999 September 2014Click any letter below to jump to its corresponding acronyms.

Commonly Used AcronymsA Want More Information? Click the highlighted acronyms throughout this document to view more information.ABNAdvance Beneficiary Notice of NoncoverageACOAccountable Care OrganizationADAAmerican Dental AssociationADAAmericans with Disabilities ActADLActivities of Daily LivingALJAdministrative Law JudgeANSIAmerican National Standards InstituteAOAccreditation OrganizationASCAccredited Standards CommitteeASCAmbulatory Surgical CenterASCAAdministrative Simplification Compliance ActAWPAverage Wholesale PriceAWVAnnual Wellness VisitClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 12

Commonly Used AcronymsB Want More Information? Click the highlighted acronyms throughout this document to view more information.BBABalanced Budget Act of 1997CAHCritical Access HospitalCALsCoding Analysis for LabsCARCClaims Adjustment Reason CodeCBConsolidated BillingCCNClaim Control NumberCDCCenters for Disease Control and PreventionCEContinuing EducationCERTComprehensive Error Rate TestingCEUsContinuing Education UnitsCFConversion FactorCFCConditions for CoverageCFRCode of Federal RegulationsCC acronyms continued on the next pageClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 13

Commonly Used AcronymsC Want More Information? Click the highlighted acronyms throughout this document to view more information.CLIAClinical Laboratory Improvement AmendmentsCMEContinuing Medical EducationCMHCCommunity Mental Health CenterCMNCertificate of Medical NecessityCMPCivil Monetary PenaltyCMSCenters for Medicare & Medicaid ServicesCMSCECenters for Medicare & Medicaid ServicesContinuing Education ProgramCOBCoordination of BenefitsCOBRAConsolidated Omnibus Budget Reconciliation ActCOPConditions of ParticipationCORFComprehensive Outpatient Rehabilitation FacilityCPTCurrent Procedural TerminologyCQMClinical Quality MeasureCRChange RequestClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 14

Commonly Used AcronymsD Want More Information? Click the highlighted acronyms throughout this document to view more information.DABDepartmental Appeals BoardDCNDocument Control NumberDDEDirect Data EntryDMEDurable Medical EquipmentDME MAC Durable Medical Equipment MedicareAdministrative ContractorDMEPOS Durable Medical Equipment, Prosthetics, Orthotics,and SuppliesDOBDate of BirthDOEDate of EntitlementDOSDate of ServiceDRGDiagnostic-Related GroupDSHDisproportionate Share HospitalDUAData Use AgreementDVData ValidationClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 15

Commonly Used AcronymsE Want More Information? Click the highlighted acronyms throughout this document to view more information.E/MEvaluation and ManagementEDEmergency DepartmentEDBEnrollment DatabaseEDIElectronic Data InterchangeEFTElectronic Funds TransferEGHPEmployer Group Health PlanEHRElectronic Health RecordEINEmployer Identification NumberEMTEmergency Medical TechnicianEMTALAEmergency Medical Treatment and Active Labor ActEOBExplanation of BenefitsEPEligible ProfessionalEPUBElectronic PublicationEREmergency RoomERAElectronic Remittance AdviceeRxElectronic PrescribingESRDEnd-Stage Renal DiseaseESRD PPS End-Stage Renal Disease Prospective Payment SystemClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 16

Commonly Used AcronymsF Want More Information? Click the highlighted acronyms throughout this document to view more information.FAQFrequently Asked QuestionFARFederal Acquisition RegulationsFDAU.S. Food and Drug AdministrationFFSFee-For-ServiceFISSFiscal Intermediary Standard (or Shared) SystemFLForm/Field LocationFQHCFederally Qualified Health CenterGAOU.S. Government Accountability OfficeGHPGroup Health PlanGPCIGeographic Practice Cost IndexesGPOU.S. Government Publishing OfficeGPROGroup Practice Reporting OptionGSAU.S. General Services AdministrationGClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 17

Commonly Used AcronymsH Want More Information? Click the highlighted acronyms throughout this document to view more information.HACHospital Acquired ConditionHCPCSHealth Care Common Procedure Coding SystemHETSHealth Insurance Portability and Accountability Act(HIPAA) Eligibility Transaction SystemHH PPSHome Health Prospective Payment SystemHHAHome Health AgencyHHSU.S. Department of Health & Human ServicesHICNHealth Insurance Claim Number (Medicare Number)HIPAAHealth Insurance Portability and Accountability ActHIPPSHealth Insurance Prospective Payment SystemHIVHuman Immunodeficiency VirusHMOHealth Maintenance OrganizationHPSAHealth Professional Shortage AreaHUB Zone Historically Underutilized Business ZoneHVBPHospital Value-Based PurchasingClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 18

Commonly Used AcronymsI Want More Information? Click the highlighted acronyms throughout this document to view more information.IACSIndividuals Authorized to Access CMS Computer ServicesIBTIntensive Behavioral TherapyICD-9International Classification of Diseases, 9th EditionICD-10International Classification of Diseases, 10th EditionIDEInvestigational Device ExemptionIHSIndian Health ServicesIMEIndirect Medical EducationIOMInternet-Only ManualIPFInpatient Psychiatric FacilityIPF PPSInpatient Psychiatric Facility Prospective Payment SystemIPPEInitial Preventive Physical ExaminationIPPSInpatient Prospective Payment SystemIRFInpatient Rehabilitation FacilityIRF PPSInpatient Rehabilitation Facility ProspectivePayment SystemIVRInteractive Voice ResponseJFor a list of Medicare-related acronyms that start with the letter J,visit http://www.cms.gov/apps/acronyms on the CMS website.KFor a list of Medicare-related acronyms that start with the letter K,visit http://www.cms.gov/apps/acronyms on the CMS website.Click any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 19

Commonly Used AcronymsL 10Want More Information? Click the highlighted acronyms throughout this document to view more information.LCDLocal Coverage DeterminationLIDOSLine Item Date of ServiceLOCLevel of CareLOSLength of StayLPNLicensed Practical NurseLTCLong Term CareLTCHLong Term Care HospitalLTCH PPS Long Term Care Hospital Prospective Payment SystemLTRLifetime ReserveClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 1

Commonly Used AcronymsM 11Want More Information? Click the highlighted acronyms throughout this document to view more information.MAMedicare AdvantageMACMedicare Administrative ContractorMCDMedicare Coverage DatabaseMCEMedicare Code EditorMDHMedicare Dependent HospitalMIPPAMedicare Improvements for Patients and Providers ActMLNMedicare Learning Network MMAMedicare Modernization ActMOCMaintenance of CertificationMQSAMammography Quality Standards ActMRMedical ReviewMREPMedicare Remit Easy PrintMS-DRGMedicare Severity-Diagnosis Related GroupMSAMedical Savings AccountMSNMedicare Summary NoticeMSPMedicare Secondary PayerMSSPMedicare Shared Savings ProgramMUEMedically Unlikely EditsClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 1

Commonly Used AcronymsN 12Want More Information? Click the highlighted acronyms throughout this document to view more information.NCCINational Correct Coding InitiativeNCDNational Coverage DeterminationNCPDPNational Council for Prescription Drug ProgramsNPNurse PractitionerNPCNational Provider CallNPINational Provider IdentifierNPPESNational Plan and Provider Enumeration SystemNQFNational Quality ForumNUBCNational Uniform Billing CommitteeNUCCNational Uniform Claim CommitteeOCEOutpatient Code EditorOIGOffice of Inspector GeneralOPPSOutpatient Prospective Payment SystemOPTOutpatient Physical TherapyOTOccupational TherapyOTAFObligated to Accept as Payment in FullOClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 1

Commonly Used AcronymsP 13Want More Information? Click the highlighted acronyms throughout this document to view more information.PAPhysician AssistantPACEProgram of All Inclusive Care for the ElderlyPAPPositive Airway PressurePECOSProvider Enrollment Chain and Ownership SystemPFFSPrivate Fee-For-ServicePFSPhysician Fee SchedulePHIProtected Health InformationPINPersonal/Provider Identification NumberPMDPower Mobility DevicePOAPresent on AdmissionPOCPlan of CarePOSPlace of ServicePPOPreferred Provider OrganizationPPPSPersonalized Preventive Plan ServicesPPSProspective Payment SystemPQRIPhysician Quality Reporting InitiativePQRSPhysician Quality Reporting SystemPSCProgram Safeguard ContractorPTPhysical TherapyPTANProvider Transaction Access NumberClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 1

Commonly Used AcronymsQ 14Want More Information? Click the highlighted acronyms throughout this document to view more information.QDCQuality-Data CodeQDWIQualified Disabled and Working IndividualsQIQualifying IndividualQIOQuality Improvement OrganizationQMBQualified Medicare BeneficiariesQRURQuality and Resource Use ReportsRARemittance AdviceRAPRecovery Audit ProgramRARCRemittance Advice Remark CodeRHCRural Health ClinicRNRegistered NurseRNHCIReligious Nonmedical Health Care InstitutionRRBRailroad Retirement BoardRRCRural Referral CenterRTPReturn to ProviderRVURelative Value UnitRClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 1

Commonly Used AcronymsS 15Want More Information? Click the highlighted acronyms throughout this document to view more information.SAState Survey AgencySBIRTScreening, Brief Intervention, and Referral to TreatmentSCHSole Community HospitalSCHIPState Children’s Health Insurance ProgramSLMBSpecified Low-Income Medicare BeneficiariesSLPSpeech Language Pathologist/PathologySMESubject Matter ExpertSNFSkilled Nursing FacilitySNF PPS Skilled Nursing Facility Prospective Payment SystemSNPSpecial Needs PlanSOMState Operations ManualSSASocial Security ActSSOShort-Stay OutlierClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 1

Commonly Used AcronymsT 16Want More Information? Click the highlighted acronyms throughout this document to view more information.TCMTransitional Care ManagementTOBType of BillUFor a list of Medicare-related acronyms that start with the letter U,visit http://www.cms.gov/apps/acronyms on the CMS website.VFor a list of Medicare-related acronyms that start with the letter V,visit http://www.cms.gov/apps/acronyms on the CMS website.Click any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 1

Commonly Used AcronymsW 17Want More Information? Click the highlighted acronyms throughout this document to view more information.WAWorking AgedWBTWeb-Based TrainingWCWorkers’ CompensationWEDIWorkgroup for Electronic Data InterchangeXFor a list of Medicare-related acronyms that start with the letter X,visit http://www.cms.gov/apps/acronyms on the CMS website.YFor a list of Medicare-related acronyms that start with the letter Y,visit http://www.cms.gov/apps/acronyms on the CMS website.ZZPICZone Program Integrity ContractorClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 1

Commonly Used AcronymsResourcesFor a complete list of Medicare-related acronyms, visit http://www.cms.gov/apps/acronyms on the CMS website.For a glossary of terms, visit http://www.cms.gov/apps/glossary on the CMS website.This fact sheet was current at the time it was published or uploaded onto the web. Medicare policychanges frequently so links to the source documents have been provided within the document foryour reference.This fact sheet was prepared as a service to the public and is not intended to grant rights or imposeobligations. This fact sheet may contain references or links to statutes, regulations, or other policymaterials. The information provided is only intended to be a general summary. It is not intended to takethe place of either the written law or regulations. We encourage readers to review the specific statutes,regulations, and other interpretive materials for a full and accurate statement of their contents.The Medicare Learning Network (MLN), a registered trademark of CMS, is the brand name for officialinformation health care professionals can trust. For additional information, visit the MLN’s web page athttp://go.cms.gov/MLNGenInfo on the CMS website.Your feedback is important to us and we use your suggestions to help us improve our educationalproducts, services and activities and to develop products, services and activities that better meet youreducational needs. To evaluate Medicare Learning Network (MLN) products, services and activities youhave participated in, received, or downloaded, please go to http://go.cms.gov/MLNProducts and in theleft-hand menu click on the link called ‘MLN Opinion Page’ and follow the instructions. Please send yoursuggestions related to MLN product topics or formats to MLN@cms.hhs.gov.Check out CMS on:TwitterLinkedIn YouTubeClick any letter below to jump to its corresponding acronyms, or click the HOMEto return to page 1 18

ABN: Advance Beneficiary Notice of NoncoverageAn ABN is a notice that a health care professional gives a Medicare beneficiary when furnishing anitem or service for which he or she expects Medicare to deny coverage. Medicare requires healthcare professionals issue ABNs in specific instances. For more information, visit -Items/CMS1236637.html on the CMS website.Click here to return to the A sectionClick here to return to page 1

ACO: Accountable Care OrganizationACOs are groups of doctors, hospitals, and other health care providers, who come together to givecoordinated high quality care to their Medicare patients. For more information, visit ce-Payment/ACO on the CMS website.Click here to return to the A sectionClick here to return to page 1

ADA: American Dental AssociationFor more information, visit http://www.ada.org on the Internet.Click here to return to the A sectionClick here to return to page 1

ADA: Americans with Disabilities ActFor more information, visit http://www.ada.gov on the Internet.Click here to return to the A sectionClick here to return to page 1

ADL: Activities of Daily LivingADLs are activities you usually do during a normal day such as getting in and out of bed, dressing,bathing, eating, and using the bathroom.Click here to return to the A sectionClick here to return to page 1

ASC: Ambulatory Surgical CenterAn ASC is a place other than a hospital that does outpatient surgery. For more information on ASCs,visit -Items/CMS1243656.html on the CMS website.Click here to return to the A sectionClick here to return to page 1

ASCA: Administrative Simplification Compliance ActRead the ASCA at s/ASCALaw.pdf on the CMS website.Click here to return to the A sectionClick here to return to page 1

AWV: Annual Wellness VisitMedicare covers the AWV, a preventive wellness visit that provides Personalized Prevention PlanServices (PPPS) at no cost to the beneficiary. For more information, visit -Items/CMS1246474.html on the CMS website.Click here to return to the A sectionClick here to return to page 1

CAH: Critical Access HospitalGenerally, a CAH is a small facility that gives limited outpatient and inpatient hospital services topeople in rural areas. For more information, visit -Items/CMS1243364.html onthe CMS website.Click here to return to the C sectionClick here to return to page 1

CB: Consolidated BillingMedicare’s CB rules require a Skilled Nursing Facility (SNF) to submit all Medicare claims for theservices that its residents receive (except for specifically excluded services). For more information,visit dBilling on the CMS website.Click here to return to the C sectionClick here to return to page 1

CDC: Centers for Disease Control and PreventionFor more information, visit http://www.cdc.gov on the Internet.Click here to return to the C sectionClick here to return to page 1

CERT: Comprehensive Error Rate TestingThe CERT Program calculates the national Medicare Fee-For-Service (FFS) improper payment rateas an indicator of how claims errors in the Medicare FFS Program impact the Medicare Trust Fund.For more information, visit rograms/CERT on the CMS website.Click here to return to the C sectionClick here to return to page 1

CLIA: Clinical Laboratory Improvement AmendmentsCLIA establishes quality standards for all non-research laboratory testing performed on humans. AllU.S. laboratories that perform these tests must be certified by CMS. For more information, ions-Items/CMS1243307.html on the CMS website.Click here to return to the C sectionClick here to return to page 1

CMHC: Community Mental Health CenterA CMHC is an entity that provides partial hospitalization services under Medicare Part B. Formore information, visit yHealthCenters.html on the CMS website.Click here to return to the C sectionClick here to return to page 1

CMS: Centers for Medicare & Medicaid ServicesCMS is the Federal agency responsible for administering the Medicare, Medicaid, the StateChildren’s Health Insurance Program (SCHIP), Health Insurance Portability and Accountability Actof 1996 (HIPAA), Clinical Laboratory Improvement Amendments (CLIA), and several other healthrelated programs. For more information about CMS and its programs, visit http://www.cms.gov onthe CMS website.Click here to return to the C sectionClick here to return to page 1

CORF: Comprehensive Outpatient Rehabilitation FacilityA CORF provides multidisciplinary rehabilitation services at a single location in a coordinated fashion.For more information, refer to ce/Manuals/Downloads/bp102c12.pdf on the CMS website.Click here to return to the C sectionClick here to return to page 1

CPT: Current Procedural TerminologyA medical code set for physician and other services, maintained and copyrighted by the AmericanMedical Association (AMA), and adopted by the Secretary of the U.S. Department of Health & HumanServices (HHS) as the standard for reporting physician and other services claims.Click here to return to the C sectionClick here to return to page 1

CQM: Clinical Quality MeasureFor more information, visit .html on the CMS website.Click here to return to the C sectionClick here to return to page 1

DAB: Departmental Appeals BoardFor more information, visit http://www.hhs.gov/dab on the Internet.Click here to return to the D sectionClick here to return to page 1

DME: Durable Medical EquipmentDME is medical equipment ordered by a health care professional for use in the home. For moreinformation on DME in Original Medicare, visit ical-Equipment-DME-Center.html on the CMS website.Click here to return to the D sectionClick here to return to page 1

DME MAC: Durable Medical Equipment Medicare Administrative ContractorDME MACs administer durable medical equipment benefits in a specific jurisdiction. To find yourlocal DME MAC contact information, visit rograms/Review-Contractor-DirectoryInteractive-Map on the CMS website.Click here to return to the D sectionClick here to return to page 1

DMEPOS: Durable Medical Equipment, Prosthetics, Orthotics, and SuppliesFor more information, visit ce-Payment/DMEPOSFeeSched on the CMS website.Click here to return to the D sectionClick here to return to page 1

DRG: Diagnostic-Related GroupThe DRG is a classification system that groups patients according to diagnosis, type of treatment,age, and other relevant criteria. Under the prospective payment system, Medicare pays a set fee fortreating patients in a single DRG category, regardless of the actual cost of care for the individual.Click here to return to the D sectionClick here to return to page 1

DSH: Disproportionate Share HospitalDSHs have a disproportionately large share of low-income patients and receive payment adjustmentsto help meet DSH needs. For more information, visit -Items/CMS1243366.html on theCMS website.Click here to return to the D sectionClick here to return to page 1

E/M: Evaluation and ManagementFor more information, visit Items/CMS1243514.html on the CMS website.Click here to return to the E sectionClick here to return to page 1

EMTALA: Emergency Medical Treatment and Active Labor ActEMTALA ensures public access to emergency services regardless of ability to pay. For moreinformation, visit ation/EMTALA on theCMS website.Click here to return to the E sectionClick here to return to page 1

ERA: Electronic Remittance AdviceERA is an electronic format for explaining the payments of health care claims. For moreinformation, visit ingEDITrans/Remittance.htmlon the CMS website.Click here to return to the E sectionClick here to return to page 1

ESRD: End-Stage Renal DiseaseESRD is permanent kidney failure that requires a regular course of dialysis or a kidney transplant. Formore information, visit Renal-Disease-ESRDCenter.html on the CMS website.Click here to return to the E sectionClick here to return to page 1

ESRD PPS: End-Stage Renal Disease Prospective Payment SystemESRD PPS is the Medicare payment system to ESRD facilities for outpatient maintenance dialysisservices furnished to Medicare beneficiaries with ESRD. For more information, visit Items/CMS1243661.html on the CMS website.Click here to return to the E sectionClick here to return to page 1

FDA: U.S. Food and Drug AdministrationFor more information, visit http://www.fda.gov on the Internet.Click here to return to the F sectionClick here to return to page 1

FFS: Fee-For-ServiceFFS is a payment method where health care items and services are paid for individually. InMedicare, Part A and Part B services are paid by Medicare using the FFS method. For moreinformation, visit r-Service-Providers-Center.htmlon the CMS website.Click here to return to the F sectionClick here to return to page 1

FQHC: Federally Qualified Health CenterAn FQHC is a health center approved by the Federal government to give low cost health care. Formore information, visit Items/CMS1243405.html on the CMS website.Click here to return to the F sectionClick here to return to page 1

GAO: U.S. Government Accountability OfficeThe GAO works for Congress to investigate how the Federal government spends taxpayer dollars.For more information, visit http://www.gao.gov on the Internet.Click here to return to the G sectionClick here to return to page 1

GPO: U.S. Government Publishing OfficeFor more information, visit http://www.gpo.gov on the Internet.Click here to return to the G sectionClick here to return to page 1

GPRO: Group Practice Reporting OptionCMS created a GPRO for the Physician Quality Reporting System (PQRS) so that group practicesparticipating in the GPRO that satisfactorily report data on PQRS measures for a particular reportingperiod may earn a PQRS incentive payment. For more information, visit tient-Assessment-Instruments/PQRS/Group Practice ReportingOption.html on the CMS website.Click here to return to the G sectionClick here to return to page 1

GSA: U.S. General Services AdministrationFor more information, visit http://www.gsa.gov on the Internet.Click here to return to the G sectionClick here to return to page 1

HAC: Hospital Acquired ConditionFor more information, visit Items/CMS1243355.html on the CMS website.Click here to return to the H sectionClick here to return to page 1

HCPCS: Health Care Common Procedure Coding SystemThe HCPCS is a set of procedure codes used to bill CMS for specific items and services not includedin the Current Procedural Terminology (CPT) code set. For more information, visit http://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo on the CMS website.Click here to return to the H sectionClick here to return to page 1

HH PPS: Home Health Prospective Payment SystemFor more information, visit Items/CMS1243662.html on the CMS website.Click here to return to the H sectionClick here to return to page 1

HHA: Home Health AgencyAn organization that gives home care services, like skilled nursing care, physical therapy,occupational therapy, speech therapy, and personal care by home health aides.Click here to return to the H sectionClick here to return to page 1

HHS: U.S. Department of Health & Human ServicesHHS is the U.S. government’s principal agency for protecting the health of all Americans andproviding essential human services. For more information, visit http://www.hhs.gov on the Internet.Click here to return to the H sectionClick here to return to page 1

HPSA: Health Professional Shortage AreaHPSAs are geographic areas that lack sufficient health care providers to meet the health careneeds of the population. For more information, visit -Items/CMS1246598.html on theCMS website.Click here to return to the H sectionClick here to return to page 1

HVBP: Hospital Value-Based PurchasingThe HVBP Program is a CMS initiative that rewards acute care hospitals for the quality of carethey provide to people with Medicare. For more information, visit Items/CMS1255514.htmlon the CMS website.Click here to return to the H sectionClick here to return to page 1

ICD-9: International Classification of Diseases, 9th EditionFor more information, visit gnosticCodes onthe CMS website.Click here to return to the I sectionClick here to return to page 1

ICD-10: International Classification of Diseases, 10th EditionFor more information, visit http://www.cms.gov/Medicare/Coding/ICD10 on the CMS website.Click here to return to the I sectionClick here to return to page 1

IOM: Internet-Only ManualThe IOMs are CMS program issuances, day-to-day operating instructions, policies, and proceduresbased on statutes, regulations, guidelines, models, and directives. To access the IOMs, visit ce/Manuals/Internet-Only-Manuals-IOMs.html on theCMS website.Click here to return to the I sectionClick here to return to page 1

IPF PPS: Inpatient Psychiatric Facility Prospective Payment SystemIPF PPS provides payment for

COMMONLY USED ACRONYMS If you interact with Medicare, you probably encounter acronyms on a regular basis. It can be difficult sometimes to keep track of them all. This resource is a list of Medicare-related acronyms. While the list is not all-inclusive, it contains those acronyms you may encounter on a regular basis in the course of your