ACI |
Advancing Care Information |
ASP |
Application Service Provider |
API |
Application Programming Interface |
CAL |
Client Access License |
C-CDA |
Consolidated Clinical Data Architecture |
CCD |
Continuity of Care Document |
CCR |
Continuity of Care Record |
CIN |
Clinical Interoperability Network (sometimes written as “Surescripts CIN” since we go through the Surescripts Clinical Interoperability Network) |
CHADIS |
Child Health and Development Interactive System |
CLIA |
Clinical Laboratory Improvements Amendment (provider performing laboratory tests must have a CLIA certificate in order to receive reimbursement from federal programs) |
CMS |
Centers for Medicare and Medicaid |
CPT |
Current Procedural Terminology
These are procedure codes.
NOTE: This is a registered trademark. |
CQM |
Clinical Quality Measure |
EGHP |
Employer Group Health Plan |
EOB |
Explanation of Benefits |
EOMB |
Explanation of Medical Benefits |
EPCS |
Electronic Prescription of Controlled Substances. This is a DEA-regulated certification that helps to reduce fraud and abuse of controlled substances like prescription opioids. |
ERA |
Electronic Remittance Advice |
HCPCS |
Healthcare Common Procedure Coding System
These are procedure codes. |
HIPAA |
The Health Insurance Portability and Accountability Act of 1996 |
ICD-10-CM |
International Classification of Diseases, 10th Revision, Clinical Modification
These are diagnosis codes. |
IMO |
Intelligent Medical Objects. The company specializes in developing, managing, and licensing medical vocabularies. |
LGHP |
Large Group Health Plan |
MACRA |
Medicare Access and CHIP Reauthorization Act |
MIPS |
Merit-based Incentive Payment System |
MSO |
Management Services Organization |
NPI |
National Provider Identifier |
NQF |
National Quality Forum |
PACS |
Picture archiving and communication system |
PCMH |
Patient-Centered Medical Home |
PHO |
Public Health Organization |
PI |
This can actually be one of two abbreviations. Practice Insight or Promoting Interoperability. Practice Insight is our preferred clearinghouse for submitting insurance claims and retrieving eligibility information. Promoting Interoperability is one of four categories in the Quality Payment Program track of the Merit-based Incentive Payment System through Medicare. |
PQRS |
Physician Quality Reporting System. This program is no longer active. |
QIN |
Quality Innovation Network |
QIO |
Quality Improvement Organization |
QPP |
Quality Payment Program |
RBRVS |
Resource-based relative value scale. RBRVS is a schema used to determine how much money medical providers should be paid. |
SNOMED CT |
Systemized Nomenclature of Medicine – Clinical Terms |
SQL |
Structured Query Language |
TCP/IP |
Transmission Control Protocol/Internet Protocol |
THIN |
The Health Information Network
This is a clearinghouse, although MicroMD does not treat this as a traditional clearinghouse. |
TSO |
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UNC |
Universal Naming Convention |