acronyms

UME-21 MEDICAL AND HEALTH CARE ACRONYMS AND ABBREVIATIONS

AACP   American Association of Colleges of Pharmacy

AAFP American Academy of Family Physicians

AAHA American Association of Homes for the Aging

AAHC Accreditation Association for Ambulatory Health Care

AAHP American Association of Health Plans

AAMA American Academy of Medical Administrators

AAMC Association of American Medical Colleges

AAPCC Adjusted average per capita cost

AAPHO American Association of Physician Hospital Organizations

AAPPO American Association of Preferred Provider Organizations

ACR Adjusted community rating

ADHC Adult Day Health Center

AGPA American Group Practice Association

AHA  American Hospital Association

AHCPR Agency for Health Care Policy and Research

AMCP  Academy of Managed Care Pharmacy

AMCPA American Managed Care Pharmacy Association

AMCRA American Managed Care and Review Association

AMHO Association of Managed Healthcare Organizations

ASO  Administrative Services Only

BC/BS Blue Cross/Blue Shield

CAHPS Consumer Assessments of Health Plans Study

CBO Congressional Budget Office

CMI Case-Mix Index

CMSA Case Management Society of America

CMP  Competitive Medical Plan

COBRA Consolidated Omnibus Budget Reconciliation Act

CON  Certificate of Need

COPC Community Oriented Primary Care

CPR Computerized Patient Record

CPT  Current Procedural Terminology

CRVS  California Relative Value Studies

CSI Computerized Severity Index

CVO   Credentialing Verification Organization

DRG  Diagnosis-Related Group

EPO  Exclusive Provider Organization

FQHC Federally Qualified Health Center

GME  Graduate Medical Education

HCFA   Health Care Financing Administration

HCPP  Health Care Prepayment Plan

HEDIS Health Plan Employer Data and Information Set

HHS Health and Human Services, Department of

HIPAA Health Insurance Portability and Accountability

HMO  Health Maintenance Organization

IDS  Integrated Delivery Systems

IPA  Independent Practice Association

JCAHO Joint Commission on Accreditation of Healthcare Organizations

LOS  Length of Stay

MedPAR Medicare Provider Analysis and Review File

MSO  Management Services Organization

NCQA   National Committee for Quality Assurance

PCCM Primary Care Case Management

PCP  Primary Care Provider or Physician

PHO Physician-Hospital Organization

PMPM Per Member Per Month

POS  Point of Service

PPO  Preferred Provider Organization

PPRC Physician Payment Review Commission

PPS  Prospective Payment System

ProPAC Prospective Payment Assessment Commission

RBRVS Resource-Based Relative Value Scale

SCH  Sole Community Hospital

SMI Supplementary Medical Insurance

SNF  Skilled Nursing Facility

TPA Third Party Administrators

TQM  Total Quality Management

UR Utilization Review

URAC Utilization Review Accreditation Commission

WEDI  Workgroup on Electronic Data Interchange

Please contact Dr. Mark T. O'Connell cmoconnell@miami.edu or Dr. Eugene F. Provenzo, Jr. provenzo@miami.eduwith questions or comments. ©Copyright 2000 University of Miami, School of Medicine.  All rights reserved