Acronym List Search CMS.gov Acronym List This list explains acronyms found on the cms.hhs.gov web site and other acronyms that are commonly used. This list is not a legal document. Warning: Due to the size of the acronym list, you may experience a long delay if you choose to view All Letters. We recommend limiting your view to a particular letter. Alternatively, you can perform an Acronym Search .

All Letters : Displays the all the acronyms OMB Circular "Major Systems Acquisitions (ADP)" General OMB Circular "Charge Back for ADP Services Provided to Multiple Users" General OMB Circular "Management of Federal Information Resources" General American Association of Hospital Accountants General, Health Care OMB Circular "Policies for Acquiring Commercial or Industrial Products or Services General American Association of Blood Banks General, Health Care Association for Ambulatory Behavioral Healthcare General, Health Care American Association of Colleges of Nursing General, Health Care American Association for Cancer Research Health Care, Medicare Beneficiary Army & Air Force Exchange Services General, Health Care American Academy of Family Physicians General, Health Care Administrative Analysis Grade Evaluation Guide General American Association of Homes for the Aging Health Care, Medicare Beneficiary American Association of Health Plans Health Care, Medicare Beneficiary American Association of Homes & Services for the Aging Health Care, Medicare Beneficiary American Association of Kidney Patients Health Care, Medicare Beneficiary Association of American Medical Colleges General, Health Care American Association of Professional Coders General, Health Care Adjusted Average Per Capita Cost General, Health Care American Academy of Pediatric Dentistry General, Health Care American Association of Physicians for Human Rights General, Health Care Average Annual Rate of Growth General American Association of Retired Persons Health

 Care, Medicare Beneficiary Action Plan by Electronic Claims Transaction Institute General, IT Organization American College of Emergency Physicians General, Health Care Annual Contractor Evaluation Reporting System General American Conference of Government Industrial Hygienists General, Health Care American College of Healthcare Executives General, Health Care PHS Immunization Practice Advisory Committee General American Council of Life Insurance General American College of Obstetricians & Gynecologists General, Health Care Annual Compound Rate of Growth General, IT Organization Advisory Council on Social Security General Administration on Children, Youth & Families Health Care, Medicare Beneficiary Americans with Disabilities Act of 1990 Health Care, Medicare Beneficiary After Date of Award Document General Alcohol, Drug Abuse & Mental Health Administration General, Health Care Contractor, General, Health Care, HIPAA Administrative Simplification, IT Organization, Medicare Beneficiary, State ADAPSO Association of Data Processing Services Organization General, IT Organization Automated DASD Archival Restoration System General, IT Organization Ambulatory Diagnostic Group Hospital Dominant General, Health Care Advance Determination of Medicare Coverage General, Health Care Alcohol, Drug Abuse & Mental Health Services Health Care, Medicare Beneficiary Advanced DOB Information (System) (SSA) General Average Day's Work On Hand General Automatic Earnings Recomputation Operation (MBR) General

, IT Organization Armed Forces Communications & Electronics Association General Aid to Families with Dependant Children (Title IV of the SS Act) Health Care, Medicare Beneficiary American Federation of Electronic Health Care Transactions General, Health Care Association for Electronic Health Care Transactions Health Care Association of Federal Information Resources Management General American Federation of Home Health Agencies General, Health Care American Federation of Information Resources Societies General American Federation of State, County & Municipal Employees General AT&T Global Network Services IT Organization American Guild of Patient Account Managers General, Health Care Association of Health Facility Survey Agencies General, Health Care American Health Information Management Association General, Health Care Agency for Healthcare Research & Quality Health Care, Medicare Beneficiary Agency for Healthcare Research and Quality General, Medicare Beneficiary Adjusted Hourly Salary Equivalency Amount General American Institute of Certified Public Accountants General Association for Information & Image Management (trade association) General, IT Organization Amount of Last Billing Notice General, Health Care Assisted Living Federation of America General, Health Care Automatic Lump Sum Operation (MBR) General, IT Organization Asset Management & Automated Software Distribution System General Academy of Managed Care Pharmacy General, Medicare Beneficiary American Medical Care & Review Association General, Health Care Association of Minority Health Professional Schools General, Health Care acute myocardial infarction (heart attack) Health

 Care Arithmetic Mean of the Logarithm General, IT Organization Access to the NCH Repository (online query to 5% sample) General, Health Care American National Standard Code for Information Interchange General, IT Organization American National Standards Institute Health Data Committee X12 file format 837 General, Health Care American Organization of Nurse Executives General, Health Care Acute Physiology & Chronic Health Evaluation General, Health Care Automated Production Control & Scheduling System (at HDC) General Average Per Diem State Rate General Applied as Hospital Insurance Premiums General, Health Care American Public Human Services Association General, Health Care Advisory Panel on Medicare Education General, Health Care (GHP) Automated Plan Payment System General all payer refined - diagnosis related groups Health Care Aid to the Permanently & Totally Disabled Health Care, Medicare Beneficiary American Public Welfare Association (changed to APHSA) General Actuarial Reduction Factor Program (MBR) General Ad Hoc Reports Management Information System General ARS Telephone Communications Operating Procedures General (mainframe project management software testing tool) General Automated Response Unit (Phone system with automated routing) General American Society of Automation in Pharmacy General, Medicare Beneficiary Automated Standard Application for Payments General Armed Services Board of Contract Appeals General Armed Services Board of Contract/State Assess

ments General American Standard Code for Information Interchange (see ANSCII) General American Society of Clinical Oncology General, Health Care American Society of Consultant Pharmacists General, Health Care American Society of Clinical Pharmacology & Therapeutics General, Health Care Annual State Evaluation Report/State Assessments General American Society of Health Systems Pharmacists General, Medicare Beneficiary American Society of Hospital Pharmacists General, Health Care American Society of Healthcare Risk Management General, Health Care American Society of Internal Medicine General, Health Care Association Society of Industrial Security General Annuity & Survivors Master (OPM file) General Assistant Secretary for Management & Budget General American Society for Medical Technologists General, Health Care American Society of Public Administrators General Assistant Secretary for Planning & Evaluation General Automated System for Transaction Exception Resolution General Association of State & Territorial Health Offices General, Health Care American Society for Testing & Materials General American Society of Transplant Surgeons General, Health Care Architectural & Transportation Barriers Compliance Board General Association of Trial Lawyers of America General Agency for Toxic Substances & Disease Registry (EPA) General, Health Care HDC LMS Robotic Processing software General AntiVirus Emergency Response Team (McAfee) General, Health Care Budget Apportionment Allotment Allowance & Database System General Bureau of

 Alcohol, Tobacco & Firearms General, Health Care Balanced Budget Act of 1997 Health Care, Medicare Beneficiary Balanced Budget Refinement Act of 1999 (PL 106113) Health Care, Medicare Beneficiary Beneficiary & Earnings Data Exchange System General, Health Care (EDB) Beneficiary Enrollment Retrieval System General, Health Care Part B Extract & Summary System (nee BMAD) General, Health Care Beneficiary Eligibility State Tape (EDB Bene Alpha File) General, Health Care Beneficiary State Totals (from SPACE System) General, Health Care Berenson Eggers Type of Service General Benefits, Improvements & Protection Act of 2000 General, Health Care Binary Synchronous Communication (IBM data communications protocol) General Black Lung Automated Search & Edit Routine General, Health Care Bureau of Labor Statistics (DOL) General Part B Medicare Automated Claims Systems General, Health Care Bureau of Maternal & Child Health & Resources Development General, Health Care Beneficiary's Own Account Number (SSN) General, Health Care Beneficiary Overpayment Control & Management Information System General, Health Care Beneficiary Online Inquiry System (HI/SMI online in HCFA) General, Health Care Best on Open Systems Solutions General Blank

et Purchase Arrangement (or Agreement) General Part B Quality Assurance System General, Health Care Biomedical Research & Development Price Index General, Health Care Bill Review Documentation Summary form General (Part B) Bill Summary Records General, Health Care Beneficiary Database Update Transaction System (HDBUTE) General, Health Care Certificate for Advisory & Assistance Services General Contractor Administrative Budget & Cost Reporting System General Combined A/B Working File (also see CWF) General, Health Care Contractor Administrative, Budget & Financial Management General Contractor & Government Entity Code (formerly FSCM) General California Association of Hospitals & Health Systems General, Health Care Consumer Assessment of Health Plan General, Medicare Beneficiary Consumer Assessments of Health Plans Survey General, Health Care, Medicare Beneficiary CAHSA California Association of Home Services for the Aged General, Health Care California Public Employees Retirement System Health Care, Medicare Beneficiary Common Accounting (or Account) Number General Computer Assisted New Drug Applications General, Health Care Computer Assisted Personal Interviewing (software) General Claims Automated Processing System (SSA MBR) General, Health Care Center for Analytical Review & Education General, Health Care Commission on Accreditation of Rehabilitation Facilities General, Health Care Committee on Academic Science & Engineering Report General Computer Aided (or Assisted) Software Engineering

 General Certification and Survey Provider Enhanced Reporting General, Medicare Beneficiary, State Contractor Audit & Settlement Report (System) General Carrier Alpha State Microfilm/Microfiche System General, Health Care Current Beneficiary Survey (by OACT) General, Health Care Contract Cost Data Reporting System General Coordinating Center for Home & Community Care General, Health Care Consultative Committee on International Telephone & Telegraph General, IT Organization Continuum of Care Residential Center General, Health Care Consultive Committee on International Telegraphy & Telephony General Clinically Detailed Risk Information System for Costs General Catastrophic Drug Insurance (Trust Fund) General, Health Care (Hospital) Charge Description Master (Files) General, Health Care Calendar Days Work on Hand General Computer & Business Equipment Manufacturers Association General Committee for Employees with Disabilities General, Health Care Claim Expansion & Line Item Processing General, Health Care Combined Exchange Record (from the MBR) (nee URIC) General Chief Financial Officer's Act of 1990 General Change of Address System (MBR) General Civilian Health & Medical Programs of the Uniformed Services (Now TRI-CARE) General, Health Care Civilian Health & Medical Program of the Veterans Administration General, Health Care Consumer Assessment of Health Plans Survey General, Health Care Commission on Health Benefits & Integration

 General, Health Care Center for Hospital & Community Care General, Health Care Center for Health Care Law General, Health Care Center for Health Dispute Resolution General, Health Care Center of Health Economics Research (aka HERI) General, Health Care HI Enrollment Cards Operation (HECHICN) General, Health Care Combined Health Insurance & Checkwriting Operations General, Health Care Center for Healthcare Information Management General, Health Care College of Healthcare Information Management Executives Health Care Critical Health Manpower Shortage Area General, Health Care Commercial Industrial Activity (also GCIA) General Competition in Contracting Act (1984) General Customer Information Control System (replaces SSADARS) General (FRC) Center Information Processing System General Correspondence Image Storage, Transmission & Retrieval General Consolidated Information Technology Infrastructure Contract General Community Leaders Assisting the ICA (Insurance Counseling Assistance) in Missouri General Comprehensive Limiting Charge Compliance Program General Clinical Laboratory Improvement Act (of 1965) (Amendments 1988) General, Health Care Clinical Laboratory Interstate Act (or Amendments) General, Health Care (Carrier) Claims Only Entry System General, Health Care Coalition of Labor Union Women General Consolidated Master File of Military Retirees & Annuitants General Community Mental Health Center

 (or Clinic) General, Health Care Continuous Medical (or Medicare) History Sample (or Study) General, Health Care Competitive Medical Plan (under TEFRA) General, Health Care Civil Monitory Penalty Tracking System General Centers for Medicare & Medicaid Services General, Medicare Beneficiary Centers for Medicare and Medicaid Services (HCFA prior to July 1, 2001) Health Care, Medicare Beneficiary Council of Medical Specialty Societies General, Health Care Community Nursing & Ambulatory Care Organization General, Health Care Congress of National Black Churches General Consolidated Omnibus Budget Reconciliation Act (of 1985) Health Care, Medicare Beneficiary Council of Former Federal Employees General Council On Graduate Medical Education General Continual U.S.

(48 Contiguous states & DC, aka: CONTERMINOUS U.S.) General Community Options Program Entry System General Calculation of Overpayment Recovery Timeliness System General, Health Care Council on Wage & Price Stability General General, Health Care, Medicare Beneficiary CPAS Contractor Performance Evaluation Program (or Profile) General Commission on Professional Hospital Activities General, Health Care Consumer Price Index for Prescription Drugs and Medical Supplies General, Medicare Beneficiary Consumer Price Index for Urban Areas General Certification Package for Internal Controls General Contractor Performance Management / Enterprise Information System General, Health Care Cost Plus Percentage of Cost General, Health Care Contractor Purchasing (or Procurement) System Review General Current Procedural Terminology, Version 4 General, Health Care Carrier Quality Assurance System (now Part B QAS) General, Health Care Chronic Renal Disease (aka: ESRD (preferred)) General, Health Care Cost Report Evaluation System subsystem General Civil Rights of Institutionalized Persons Act General Cost Reimbursement Level of Effort General, Health Care Contractor Reporting of Operational & Workload Data General Computer Security Act of 1987 General, IT Organization Customer Service Assessment & Management System General Center for Substance Abuse Prevention General, Health Care Customer Service Call Center (nee SPOC, now CSC Customer Service Center)

 General Computer Security Incident Response Capability General, IT Organization Customer Support for Medicare Modernization IT Organization Customer Service Outstation Team (also OCST) General Abbreviation for Customer Service Representative General, Medicare Beneficiary Civil Service Reform Act of 1978 General Council of State & Territorial Epidemiologists General, Health Care Carrier System Testing Project (or Program) General, Health Care Common Working File (see NCHS) General, Health Care Common Working File / Medicare Secondary Payer General, Health Care Common Working File Part A General, Health Care Common Working File Part B General, Health Care Common Working File Documentation File General, Health Care Common Working File Host Performance Evaluation Program General, Health Care Common Working File Information Database General, Health Care Common Working File Maintenance / Independent Verification & Validation General, Health Care Common Working File Maintenance Contractor General, Health Care CWF Medicare Quality Assurance System General, Health Care Common Working File Quality Assurance System General, Health Care Data Access Diagram (aka: DSD) General Days After Receipt of Order General Direct Access Storage Device (also Global DASD) General, IT Organization (HHS) Deputy Assistant Secretary for Management & Budget General, Health Care Data Base File (also DB/F) General, IT Organization General, Health Care, Medicare Benef

iciary DCAA Data Computer Corporation of America General, IT Organization Debt Collection Improvement Act of 1966 General Designation of Data / Database Administration General Drug Enforcement Administration (or Agency) General, Health Care Department of Energy Acquisition Regulations General Debit & Benefit Conversion Operation (MBR) General Defense Enrollment Eligibility Reporting System (DOD, CHAMPUS) General Deficit Reduction Act of 1984 General Dual Entitlement Maintenance Operation System General Division of Enrollment and Payment Operations IT Organization Data Exchange & Participating Physician Monitoring General Dollar Equivalency System (FTE hrs.

worked x $ paid to employee) General Drug Efficacy Study & Implementation Program General, Health Care Data Facility/Data Set Service (Utility Software) General Death File Limiting State Death (SSA DUMAS National Death Repository) General, Health Care DrugFree Workplace Act of 1988 General Department of Health & Human Services Health Care, Medicare Beneficiary Daily Health Insurance Master Health Insurance Merge General, Health Care Digital Imaging and Communications in Medicine Health Care Departmental Information Management Exchange System General Distributed Index of Rejected Transactions General (DVA) Department of Medicine & Surgery General, Health Care Data Base Management Control Language General, IT Organization DURABLE MEDICAL EQUIPMENT MEDICARE ADMINISTRATIVE CONTRACTOR General Durable Medical Equipment Fee Schedule General, Health Care Durable Medical Equipment Prosthetic, Orthotics & Supplies General, Health Care Durable Medical Equipment Regional Carrier Health Care, Medicare Beneficiary Department of Defense Computer Institute General, IT Organization Date of Entitlement to Hospital Insurance (Medicare Part A) Health Care, Medicare Beneficiary Date of Entitlement to Supplementary Medical Insurance (Medicare Part B) Health Care, Medicare Beneficiary District Office Intermediary Action Cases General District Office/Intermediary Aged Cases (OBSOLETE) General Date of

 Last Billing Action General (Society of Health Systems) Directors of Management Engineering General Dynamic Object Oriented Requirements System General, IT Organization Date of Suspension or Termination General Date of Termination of Hospital Insurance General, Health Care Date of Termination of Supplementary Medical Insurance General, Health Care Denial of Payment New Admissions General Deficit Reduction Act of 1984 General Dictionary/Repository Access Facility & Tools System General Desk Review Artificial Intelligence Network General Diagnostic Related Group (patients with similar illness) General Data Structure Diagram (aka: DAD) General Diagnostic & Statistical Manual of Mental Disorders, 4th Edition General Draft Standard for Trial Use Health Care General, Health Care, IT Organization DUCS Daily Update Control System (HDDUCS) General Daily Update Data Exchange System General Daily Update Master Accounting System (MBR) General Department of Veterans Affairs (nee VA) Health Care, Medicare Beneficiary Disabled Veterans Affirmative Action Program General, Health Care Data Warehouse Access & Retrieval Facility General Disabled & Working Individual (see QDWI) Health Care, Medicare Beneficiary Equal Access to Justice Act General Extended BinaryCoded Decimal Interchange Code General Educational Commission for Foreign Medical Graduates General Enrollment Database (CMS Medicare beneficiary entitlement record) General, Health Care ESRD Data

 Entry & Editing System General, Health Care Electronic Data Exchange Federal Work Group General Electronic Data Interchange / Payment & Collection General, Health Care Executive Director, Office of Hearings General Enrollment Eligibility and Verification System IT Organization Electronic File Transfer System (GHP large volume transfer to HDC) General, Health Care Electronic Healthcare Network Accreditation Commission Health Care Abbreviation for Environmental Health & Safety General, Medicare Beneficiary EIA electrical interface standard 232C General Employee Identification Number (aka SUEI) General, Health Care Electronic Memo Acceptance Tracking System (TSO to NCC) General Edit for Multiple Bene Entitlement Records General, Health Care Electronic Media Claims Standard Enforcement Software General Electronic Medicaid Eligibility Verification System General, Health Care Emergency Medical Treatment and Active Labor Act General, Health Care, Medicare Beneficiary ENDOP Electronic Numerical Integrator and Computer General Elimination of Notice of Admission (also EONA) General Enrollment Online Inquiry System (use EDBOIS) General, Health Care Executive Office of Management & Budget General Elimination of Notice of Admission (also ENOA) General Executive Office of the President General Established Populations for Epidemic Logic Studies for the Elderly General, Health Care Eligibility Programs Integrated Computer System General Early & Periodic Screening, Diagnosis & Treatment

 Program (or Services) General, Health Care Employee Retirement Income Security Act of 1974 General Employee Retirement Income Security Act of 1974 (ERISA) General, Medicare Beneficiary Edit & Reformat Maintenance Operation (HMERMA) General Edit & Reject Monthly Accumulation Report System General EDB Enrollment Retrieval New Interactive Edit System General, Health Care ESRD Program Management & Medical Information System General, Health Care EndStage Renal Disease Beneficiary File General, Health Care Electronic Verification of Alleged Number General Federal agency Centralized Trial Balance System General Federation of American Health Systems General, Health Care Fund for Assuring an Independent Retirement General Federal Acquisition Regulations (48 CFR, Ch.

1) General Federal Acquisition Regulation Automated System General Federal Acquisition Streamlining Act of 1994 General Federal Accounting Standards Advisory Board General Federal Accounting Standards Board (or Bureau) General Federation of American Societies for Experimental Biology General, Health Care General, Health Care, Medicare Beneficiary FC Federal Claims Collection Act of 1966 (31USC3711 & 4CFR) General, Health Care Federal Computer Crime Act of 1984 General Federal Coordinating Committee on Breast Cancer General, Health Care First Date of Entitlement to Hospital Insurance (Part A) General, Health Care First Date of Entitlement to Supplementary Medical Insurance (Part B) General, Health Care Federal Computer Performance Evaluation & Simulation Center General Federal Standard Requisitioning & Issue Procedures General Federal Employee Health Benefits Program General, Medicare Beneficiary Federal Employees Pay Comparability Act of 1990 General Federal Erroneous Retirement Coverage Corrections Act of 2000 General Federal Financial Management Improvement Act of 1996 General Fixed Income Index Investment Fund General Federal Government Service Task Force (Congressional caucus) General Federal Health Insurance Benefits Accounts General Freedom of Information & Privacy Office General Fiscal Intermediary Quality Assurance System General, Health Care Federal Information Resources Management Policy Council

 General Federal Information Resources Management Regulations General Federal Information System Controls Audit Manual General Fiscal Intermediary Standard (or Shared) System General, Health Care Financial Management Technical Advisory Group General Federal Managers Financial Integrity Act General, Medicare Beneficiary Federal Managers' Financial Integrity Act of 1992 General Financial Management Service (Treasury Dept.) General Freedom of Information Act of 1966, etc.

Health Care, Medicare Beneficiary Field Office Systems Enhancement (Claims Modernization Project) General Fixed Price with Economic Price Adjustment General Fixed Price with Successive Targets General Fixed Price Level of Effort General Federal Reserve Communication System (Treasury Dept.) General Federal Supply Code for Manufacturers (OBSOLETE now called CAGE) General Field Staff Information & Instruction Series General First State Professional Medical License General Federal Tort Compensation Act of 1988 General Federal Upper Limits (of Medicaid drug pricing) System General, Health Care Fiscal Year End or Ending General Government ComputerBased Payment Related Project General Generally Accepted Government Auditing Standards General General American Medicare Standard System General Government Commercial Industrial Activity (also CIA) General Geographic Cost of Practice Index General Government Securities Investment Fund (GSIF) General Group Health Plan Payment System General, Health Care Government Management & Reform Act of 1994 General Government Online Accounting Link System General Government Owned, Contractor Operated activity General Government Open Systems Interconnection Profile General Group Practice National Provider Indicator General Government Performance & Results Act of 1993 General Geriatric Research, Education & Clinical Center General, Health Care GHP Report Output User Communications Help General General Services Administration Board of Contract Appeals General Hospital Affiliated Ambulatory Surgical Center General, Health Care HCFA Accounting Records Tracking

 System General, Health Care HA Search Alpha Program (Beneficiary Alpha Match/Reinstate Operation) General, Health Care Home Assessment Validation & Entry System General, Health Care Home & Community Based Waiver Program Health Care, Medicare Beneficiary General, Health Care, IT Organization HCCA Health Care Financing Administration (renamed CMS effective July 1, 2001) Health Care, Medicare Beneficiary Health Care for the Homeless General, Health Care Health Care Information Resource Center General, Health Care HC Report SSI Leads Activity Operation General Healthcare Common Procedure Coding System General, Health Care Health Care Quality Improvement Initiative General, Health Care Health Care Quality Improvement Program General, Health Care Healthcare Provider (or Hospice) (or Hospital) Cost Report Information System General, Health Care Handicapped/Disabled (do not use Handicapped, use IWD or PWD) General, Health Care Health Insurance Database Update Program General, Health Care Health Insurance Daily Update Control System General, Health Care Health Insurance Daily Prior Entitlement Merge General, Health Care HD Health Insurance Daily Actions Dispersion System General, Health Care HD Health Insurance Daily Update Program General, Health Care HD Health Insurance Segmented Sort System General, Health Care HI Daily Identification (also see BOIS) General, Health Care HI Daily

 Master Update Processing System General, Health Care Health Insurance Retrieve Inactive Master System General, Health Care HD Monthly Sequential Read Program General HE Health Insurance Enrollment Cards Operation General, Health Care Health Plan Employer Data and Information Set General, Medicare Beneficiary Healthplan Employer Data Information Sets Health Care, Medicare Beneficiary Home Health Advanced Beneficiary Notice General, Health Care Home Health Prospective Payment System General, Health Care General, Health Care, Medicare Beneficiary HHQIS Home Health Quality Indicator System General, Health Care (Department of) Health & Human Services (also DHHS) Health Care, Medicare Beneficiary Department of Health and Human Services General, Medicare Beneficiary Health & Human Services Acquisition Regulation (48 CFR, Ch.3) General, Health Care Home Health Services & Staffing Association General, Health Care Health Insurance Association of America General, Health Care Hospital Insurance Benefits (Part A) Health Care, Medicare Beneficiary Health Insurance Benefits Rights & Responsibilities General, Health Care Health Insurance Claim number used by CMS General, Medicare Beneficiary Health Insurance Claim Account Number (Medicare Number) General, Health Care Hospital International Classification of Diseases Adapted General, Health Care Health Insurance Claim Number (Medicare Number) General, Health Care HI Daily Actions Dispersion System General, Health Care Health Insurance Flexibility and

 Accountability General, Health Care Health Insurance Information, Counseling & Assistance Program General, Health Care Health Insurance Master Billing Exception Process General, Health Care (OHPS) Management Information Control System General (AHA's) Healthcare Information & Management Systems Society General, Health Care Health Insurance Portability & Accountability Act of 1996 Health Care, Medicare Beneficiary Healthcare Integrity & Protection Data Bank General, Health Care Health Insurance Prospective Payment System General, Health Care Health Insurance Prospective Payment System, a CMS payment code system General, Medicare Beneficiary Health Insurance Query A (Part A inquiry data) General, Health Care Health Insurance Online Query Response General, Health Care Health Insurance Reinstating Alphabetic Master General, Health Care HI Reduction Data (30 QC field on MBR) General Health Insurance Reform Task Force General, Health Care Health Information Systems (3M Inc.) General, Health Care Health Insurance Screening & CrossReferencing (HMHISAC) General, Health Care HCFA Information Systems Development Guide General, Health Care Health Insurance Skeleton Eligibility Writeoff General, Health Care Handbook of Information Security Management General Healthcare Informatics Standards Planning Panel General, Health Care Health Insurance Segmented Sort System (HDHISS) General, Health Care Health Insurance System Test Module General, Health Care Health

 Insurance Utilization Master (or Microfilm) General, Health Care Health Insurance Utilization Records Processing System General, Health Care HI Direct Billing Operations (SOBER) General Health Insurance Central Office Inquiries General, Health Care HM Edit & Reformat Maintenance Operation General HM Health Insurance Screening & CrossReferencing Operation General, Health Care CMS Medicare Outpatient Data Review General, Health Care Health Insurance Master Weekly Health Insurance Merge General, Health Care HI Premium Amount Collectable (MBR / BCM) General, Health Care HCFA Part B Standard System General, Health Care Health Professional (or Personnel) Shortage Area General, Health Care (AHAs) Hospital Research & Educational Trust General, Health Care Health Resources & Services Administration (formerly HRA, formerly PHS) General, Health Care Health Resources and Services Administration General, Medicare Beneficiary HI Updating Provider Files Operations General (Department of ) Housing & Urban Development General Integrated Computer Aided Software Engineering General, IT Organization Individuals Authorized Access to CMS Computer Services IT Organization Instrumental Activities of Daily Living Health Care, Medicare Beneficiary Interagency Committee on Computer Support of Handicapped Employees General, IT Organization International Classification of Diseases 9th Edition Clinical Modification General, Health Care International Classification of Diseases Adapted for the U.S.

General, Health Care Intermediate Care Facility for Mental Retardation General, Health Care Intermediate care facilities for the mentally retarded General, Medicare Beneficiary Information Center Management System (Cullinet) General Institute for Computer Sciences & Technology General, IT Organization Intrusion Detection Software (or System) General, IT Organization Interim Final Rule with Comment General Inspector General Act Amendments of 1988 General Integrated General Ledger Accounting System General Internal Job Stream Action (MBR) General Intervening Medical Care Analysis System General, Health Care Immediate Payment Critical Case Process (MBR) General Integrated (or Improved) Management of Personnel Administration thru Computer Technology General, IT Organization Instruction Manual for Renal Providers General, Health Care Immigration Nursing Relief Act of 1989 General, Health Care Immigration & Naturalization Service's Systematic Alien Verification for Entitlements General Intern & Resident to Bed (ratio) General, Health Care Immigration Reform & Control Act of 1986 General Information Resource Management Program (or Plan) General, IT Organization Internal Revenue Service Acquisition Procedure General Information Strategy Council (senior management team) General International Society for Clinical Laboratory Technology General, Health Care Integrated Software Federal Users Group General, IT Organization Interconnection System Operation (OSI Model) General, IT Organization Information Systems Work

group (also ISWG) General, IT Organization Information Technology Investment Review Board General, IT Organization Information Technology Management Reform Act of 1996 General, IT Organization Initial Three Percent Investigation List General Incurred But Unreported Claims Reserve General Joint Applications Design (or Development) General Journal of the American Medical Association General, Health Care Joint Commission on Accreditation of Health Care Organizations General, Health Care Joint Commission for Accreditation of Health Organizations General, Medicare Beneficiary Joint Commission on Accreditation of Health Care Organizations (JCHACO) General, Medicare Beneficiary Joint Financial Management Improvement Program General Justification for Other than Full & Open Competition General Locality Adjusted Reduced Prevailing Amount General, Health Care Locality Area Reduced Prevailing Allowance General, Health Care LockBox Bank Remittance System (DB) General Report SSI Leads Activity Operation (HCLEACON) General List of Excluded Individuals & Entities General Low Income Home Energy Assistance General Logical Observation Identifiers, Names and Codes ™ Health Care Locality (or Locally) Prevailing Charge General, Health Care Long Term Care Insurance Advisory Council General, Health Care Medicare + Choice National Standard Format General, Health Care Medicare Advantage (formerly Medicare+Choice) General, Medicare Beneficiary Medicare Advantage Benefit Stabilization Fund IT

 Organization Medicare Advantage Prescription Drug Plans General, Medicare Beneficiary Medical Assistance to Aged, Blind & Disabled General, Health Care Maximum Allowable Cost (or Charge) General, Health Care Medicare Alternate Claim Entry System General, Health Care Manual Adjustments Credits & Awards Program (MBR) General Medicare Automated Data Retrieval System General, Health Care MBR Master File Duplication Detection Operation General Abbreviated MBR File in MAFDUDE Operation General Major Automated Information Systems Acquisition Review Committee General Menu-driven Access to 100% Near-Line Claims Files System (NCH) General Medicare A Provider Services Assistants General, Health Care Mechanized Assignment & Record Keeping (System) General Medicare Advantage and Prescription Drug System IT Organization Medicare Beneficiary Customer Service Program General, Health Care (Medicare or Medicaid) Home & Community Based Services Waivers System General, Health Care Monthly Bill & Payment Records Processing System General Maximum Direct Record Scans (searches) General Medicare Catastrophic Coverage Act of 1988 (PL 100360) General, Health Care Managed Care Online Information System (GHP) General, Health Care Medicare Catastrophic Coverage Repeal Act of 1989 (PL 101234) General,

 Health Care Medicare Contractor Integrated General Ledger Accounting System General, Health Care Medical Care Component of the Consumer Price Index General, Health Care Medicare (Part A) Claims Processing System (Veritus) General, Health Care Medicare Contractor Systems Information Database General, Health Care Medicare Contractor Standard Systems Medical Review General, Health Care Medicare Contractor Workload Reporting (System) General, Health Care Medicare Dependent Small Rural Hospital General, Health Care Medicare/Medicaid Automated Survey Reporting System General, Health Care Medicare Expanded Choice Act of 1987 General, Health Care Medicare Catastrophic Coverage Act of 1988 (also MCCA) General, Health Care Medicare Budget Allocation Process System General, Health Care Medical Aid (State administered health insurance program) General, Health Care Medicare Gap (Medicare complementary insurance program) General, Health Care Medicaid Eligibility Determination & Information Retrieval System General, Health Care Medicaid Statistical Information (Reporting) System (now MSIS) General, Health Care Medicaid Eligibility Quality Control (System) General, Health Care Medicare & Multiple Employer Welfare Associations General, Health Care Medicare Fraud & Abuse Information Coordinator General, Health Care Medicare Focused Medical Review Status Report General, Health Care Medical Geographical Classification Review Board General, Health Care Medicare Geographic Classification Review Board Contractor, General,

 Health Care Medical Insurance (Part B or SMI) Health Care, Medicare Beneficiary Midwestern Consortium (Chicago & Kansas City HIROs) General, Health Care (Intermediary) Medicare Internal Data Entry System General, Health Care Miscellaneous Information Reference PostEntitlement System (SSA MBR) General, Health Care Month or Minutes (i.e., mmddyyyy) General Medicare Modernization Act (of 1999) General, Health Care Medicaid Managed Care Information Tracking System General, Health Care Medicare Managed Care Quality Improvement General, Health Care Month-Month/Day-Day/Century-Century/Year-Year (i.e., 02/26/2001) (also MMDDYYYY) Health Care, Medicare Beneficiary Medicare Management & Open Review Program General, Health Care Mixed Model Plan (GPP/IPP combination) General, Health Care Mirtel OnLine Inquiry System (HCFA access to RRB Database) General, Health Care Maintenance Operations Protocol Loader Daemon General Mistaken Payment Recovery Tracking System General, Health Care Medicare Physician Fee Schedule Data Base General, Health Care Medicare Physician Identification & Eligibility Registry (or Record) General, Health Care Medicare Physician Identification & Eligibility System General, Health Care Medicare Quality Assurance (CWF

 data validation) General, Health Care Mammography Quality Standards Act of 1992 General, Health Care Medicare Regulatory & Contractor Reform Act of 2001 General, Health Care Medical Review System Version 1 (aka: Part B Medical Review Savings Reporting System) General, Health Care Mortality Review Technical Advisory Group General, Health Care Metropolitan Statistical Area (for PPS) General Message Switching Centers (SSA ARS/SSADARS) General, Health Care Medicare Supplemental Health Insurance Programs General, Health Care Medicaid Statistical Information System (formerly MedStat) General, Health Care Modernized Systems Operations Manual (SSA) General, Health Care Medicare Secondary Payer Functional Quality Assurance (Steering Committee) General, Health Care Medicare Secondary Payer Litigation Support General, Health Care Medicare Secondary Payor Payment Module General, Health Care Medicare Secondary Payer Quality Assurance General, Health Care Medicare Systems / State & County (Reimbursement) General, Health Care Medicare UPdate Processors for Enrollment Transactions (nee NEWDUP) General, Health Care (HI) Maintenance Update Processing System General National Association of Activity Professionals General National Association of Addiction Treatment Providers General, Health Care National Association of Boards of Pharmacy General, Health Care National Association of Chain Drug Stores General, Health

 Care National Automated Clearing House Association General National Association of Community Health Centers General, Health Care National Association of Children's Hospitals & Related Institutions General, Health Care National Advisory Committee on Rural Health General, Health Care National Adult Day Services Association General, Health Care National Association of Education for Young Children General National Association for Home Care General, Health Care National Association of Health Data Organizations General, Health Care National Association of Hispanic Federal Executives General National Association of Insurance Commissioners General, Health Care National Alliance for Infusion Therapy General, Health Care National Association for Medical Directors of Respiratory Care General, Health Care National Association of Medical Equipment Suppliers General, Health Care National Alliance for the Mentally Ill General, Health Care National Academy of Public Administration General National Association of Public Hospitals General, Health Care National Association of Psychiatric Health Systems General, Health Care National Association of Rehabilitation Agencies General, Health Care National Association of Retail Druggists General, Health Care National Association of Rehabilitation Facilities General, Health Care National Association of Retired Federal Employees General National Association of State Budget Officers General National Association of State Information Resource Executives General National Association of State Information Systems General National Association of Long Term Care Ombudsman Program General, Health Care National Association of State Medicaid Directors General, Health Care National Association of State O

mbudsman Programs General, Health Care National Association for Welfare Research & Statistics General National Board of Medical Examiners General, Health Care National Coalition for Adult Immunization General, Health Care National Coalition for Assisted Living General, Health Care National Certification Council for Activity Professionals General National Council of Clinical Laboratory Services General, Health Care National Citizen's Coalition for Nursing Home Reform General, Health Care National Council on Graduate Medical Education General, Health Care National Claims History Beneficiary Program Liability General, Health Care North Carolina Healthcare Information and Communications Alliance Health Care National Council on Health Laboratory Services General, Health Care National Claims History Processing Reports General National Claims History Quality Assurance General National Center for Health Statistics Health Care National Center for Health Statistics (or Studies) General, Health Care National Claims History System (CWF) General National Center for Health Services & Research General, Health Care National Claims History Statistical Tabulation System General National Committee for Information Technical Standards General, IT Organization National Coalition on Nursing Home Reform General, Health Care National Change of Address (SSA & USPS) Health Care, Medicare Beneficiary National Council on the Aging General, Health Care National Coordination Office for Computing, Information & Communications General, IT Organization National Council for Prescription Drug Programs General, Medicare Beneficiary National Council of Prescription Drug Programs General, Health Care

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4 (establishes SSA as independent agency) Health Care, Medicare Beneficiary Social Security Board (now SSA) General, Health Care Second State Issuing Professional Medical License General, Health Care Social Security Office (also DO) General, Health Care Second State Professional Medical License General, Health Care System Technical Advisory Group (aka STAG) General Short Format State Magnetic Tape File (HIM) General (Medicaid) Systems Test for Alternative Reimbursement General, Health Care System for Tracking Audit & Reimbursement General (Performance Management System application monitoring tool) General Standard Unique Employer Identifier (HCFA0047F) (aka EIN) General Surveillance & Utilization Review (aka S/UR) General Surveillance & Utilization Review Subsystem (S/URS) General State Verification & Exchange System (SSA) General, Health Care Software Development Capability Maturity Model General State Welfare BuyIn Enrollment Profile System General State Wage Information Collection Agency General OCO systems support application system code General Title I of the Social Security Act (Grants for OldAge Assistance & Medical Assistance for Aged) General, Health Care Title X of the Social Security Act (Aid to the Blind) General, Health Care Title XIV of the Social Security Act (Grants to States for Aid to

 the Disabled General, Health Care Title XVI of the Social Security Act (SSI) General, Health Care Title XVIII of the Social Security Act (Medicare) General, Health Care Title XIX of the Social Security Act (MAA (Medicaid)) General, Health Care Title II of the Social Security Act (SS benefits) General, Health Care Title IV of the Social Security Act (AFDC) General, Health Care Time Account Adjustment (Schedule or Report) General Transfer, Automate, Contract Out and/or Terminate Project General Technical Advisory (or Assistance) Group General Technical & Miscellaneous Revenue Act of 1988 General Temporary Assistance for Needy Families General (OWTDS) Training Assistance Services Cadre General Terminations & Attainments Validation & Enforcement of Returned Notices General Transaction Branch, DMOS (formerly GPABS or PM) General Telecommunications Device for the Deaf Health Care, IT Organization, Medicare Beneficiary TDEA Third Party Entitlement Date for Hospital Insurance General, Health Care Third Party Entitlement Date for Supplementary Medical Insurance General, Health Care Tax Equity & Fiscal Responsibility Act of 1982 (PL97248) General Transcutaneous Electrical (or Electronic) Nerve Stimulator General Treasury Financial Communications Systems (aka F

EDWIRE) General Task Force for Standard Systems General Trailblazers Health Enterprises, Inc.

(MD component of TX BC/BS) General, Health Care Tactical Intelligence and Related Activities General Test of Intermediary Prospective Payment System General, Health Care Technical (or Technology) Information Services General, IT Organization Grants to States for old age assistance & medical assistance for the aged Health Care, Medicare Beneficiary Federal old age, survivors & disability insurance benefits (OASDI) Health Care, Medicare Beneficiary Grants to States for aid & services to needy famlies with children (AFDC) Health Care, Medicare Beneficiary Grants to States for aid to the blind (AB) Health Care, Medicare Beneficiary Grants to States for aid to the permanently & totally disabled (DI) Health Care, Medicare Beneficiary Grants to States for medical assistance programs (MAA)(Medicaid) Health Care, Medicare Beneficiary TITLE XVI Grants to States for aid to the aged, blind and disabled (ABD) & Supplemental Security Income (SSI) Health Care, Medicare Beneficiary What NICE is NICE stands for The National Institute for Health and Care Excellence. It is an independent organisation, set up by the Government in 1999. NICE decides which drugs and treatments are available on the NHS in England and Wales.

The All Wales Medicines Strategy Group also makes some decisions for the NHS in Wales. Generally they follow NICE decisions. Scotland and Northern Ireland have separate organisations to make decisions. The government developed NICE to get rid of the post code lottery, which meant that some drugs and treatments were available in some parts of the country, but not in others. NICE aims to give independent advice about which treatments should be available on the NHS in England and Wales. And to make sure that people have the same access to treatment and care wherever they live. NICE’s main responsibilities are to Assess new drugs and treatments as they become available Provide evidence based guidelines on how particular conditions should be treated Provide guidelines on how public health and social care services can best support people Provide information services for those managing and providing health and social care NICE considers whether a treatment Benefits patients Will help the NHS meet its targets, for example by improving cancer survival rates Is value for money or cost effective Once NICE issues its guidance, NHS trusts must find the money to make those drugs or treatments available. NICE doesn’t give any extra money, or advise on how to find the money.

When making decisions, NICE asks for expert advice from Medical and other health professionals Patients, carers and people using social care services Patient and carer support organisations Drug companies How NICE works The Department of Health (DH) for England and NHS England decide which topics NICE will look at. NICE divides its guidance into 5 main areas Health technology – specific medicines, treatments and procedures Clinical practice – how doctors and nurses should treat diseases and conditions Public health – preventing illness and health promotion Social care - services to help people with daily life at home, in care homes or day centres Quality standards – statements designed to drive quality improvements within a particular area of care NICE's decisions are made by independent committees or groups. These always include patient or public members (lay members), academics and researchers. How NICE makes a decision NICE make decisions on whether a drug or treatment should be available based on Evidence – NICE reviews each treatment or new technique Cost effectiveness – including the quality-of-life-adjusted-year (QALY) Contributions from patient organisations, health professionals, experts, and other interested parties A QALY is a tool that takes into account how a treatment affects Quantity of life Quality of life Quantity of life means how long someone lives for.

Quality of life is more about how the treatment affects you. It includes How well you are Whether you can work Whether you can care for yourself Unfortunately, NICE decisions only tend to make the news if they turn a drug down. It's worth knowing that they approve the majority of drugs they assess. NICE now has a fast track procedure. This aims to make reviews of new treatments and medical techniques available more quickly. All drugs need a licence before doctors can prescribe them on the NHS. With the fast track procedure, NICE can look at some drugs while they are still in the licensing stage, rather than waiting until after they are licensed. This means that NICE can make a decision very quickly after the drug has been licensed. We have more information about drug licensing . The NHS should use NICE guidance as soon as it is published. Your doctors will still use their knowledge and skills to decide the best treatment for you. Your local area NHS should find the money to fund NICE guidance, usually within 3 months of it being published. When NICE issues clinical practice guidance, the NHS and health professionals have to decide whether they are already meeting the requirements in the guidance, or need to change the treatment and care they provide.

Wales The All Wales Medicines Strategy Group (AWMSG) also make decisions about which medicines should be available within the NHS in Wales. Like NICE, the AWMSG is a group of specialist doctors, pharmacists, other health professionals, patients and drug company representatives. The AWMSG work with NICE and don’t usually review a medicine if NICE are planning to look at it in the next 12 months. If the AWMSG say that a medicine should not be available and then later NICE decides it should be, the NICE decision is the one that is followed. Scottish Medicines Consortium (SMC) The SMC advises the NHS Health Boards about medicines in Scotland. The advice aims to make sure that people have the same access to treatment wherever they live in Scotland. We have more information about the SMC and how it works . Northern Ireland The Department of Health, Social Services and Public Safety (HPSS) in Northern Ireland agreed in July 2006 to link to NICE. This means that they look at any guidance issued by NICE and decide if it is relevant for Northern Ireland.

If NICE’s guidance isn’t relevant, or if the HPSS decide it’s only partly relevant, they advise on any changes that need to be made. The HPSS are likely to approve most NICE guidance. The Department usually makes a decision shortly after NICE has made their decision. Appeals Patient organisations can comment on a piece of guidance while NICE are still developing it. There is also an appeals process and those with an interest can appeal against a decision. NICE call these interested parties stakeholders. Companies that make any of the treatments for that particular condition Health service providers Statutory organisations, such as the Department of Health and National Assembly for Wales You have to be a registered stakeholder to be able to appeal to NICE. And there are rules about what can be appealed. Getting drugs before a NICE decision Your doctor can prescribe a drug for you while NICE are looking at it if your local NHS clinical commissioning group agrees that they can. Once NICE makes a decision, it replaces any decision made locally. NICE don’t licence drugs or new devices. The Medicines and Healthcare products Regulatory Agency (MHRA) does this. Your local NHS decides whether a drug or device should be prescribed.

NICE looks at them If there is uncertainty about whether they should be prescribed To make sure you have access to treatment and care wherever you live You may be able to get funding for a drug that NICE hasn't yet assessed through the Cancer Drugs Fund . What to do if you can't get a drug It's always best to talk to your specialist about your treatment first. There may be good reasons why you aren’t having a particular treatment. If it's a drug that NICE have approved, read the guidance to check exactly who it says should have the drug or treatment. It may be that the guidance says that you should have the drug only after another treatment has not worked, or is no longer working. NICE writes versions of their decisions for the public, which can be easier to read. You can find them on the NICE website . Points to consider include Is this the best treatment for your cancer at this particular time? Are there any reasons why you shouldn’t have the treatment, for example side effects? If it is a drug that NICE have not approved, you need to talk to your specialist about it.

If your doctor agrees that the treatment may help to control your cancer, they can make an individual funding request application to your local clinical commissioning group (CCG). The CCGs have some money set aside for these claims. It will probably take some time and effort, but people do sometimes succeed in getting treatments funded this way. Or your doctor can apply to the cancer drugs fund. You may also find it helpful to contact a patient organisation, as they can often offer help and support. They may know of other people who have gone down this route. The Cancer Drugs Fund You may be able to get funding from the Government's Cancer Drugs Fund . The aim of the fund is to cover treatment costs for patients for drugs that have not yet been approved by NICE. You will have to go through your own specialist, who will make an application for you. After doing all this, if you still believe you aren’t getting the right treatment, contact the Patient Advice and Liaison Service (PALS) . There will be one within your local hospital. They may be able to help you resolve the problem. In Scotland, you need to contact the Patient Advice and Support Service . In Northern Ireland, the Patient and Client Council .

And in Wales, you can contact your local Community Health Council . If it still isn’t sorted out, you can contact your local authority. They should provide (or commission locally) an independent advocacy service which covers the NHS as well as social care and mental health services.

Question: In the medical organization NICE, for what does the letter C stand?
Answer: Clinical