|
|
|
|
| ACD |
Automatic Call Distribution |
| ACM |
Area Coordination Meeting |
| ACO |
Administrative Contracting Officer |
| ACOR |
Alternate Contracting Officer’s Representative |
| AD |
Active Duty |
| ADA |
Americans with Disabilities Act |
| ADD |
Active Duty Dependent |
| ADFM |
Active Duty Family Member |
| ADSM |
Active Duty Service Member |
| AFB |
Air Force Base |
| AFDC |
Aid to Families with Dependent Children |
| AGR |
Active Guard Reserve |
| AH |
Army Hospital |
| AHA |
American Hospital Association |
| AHIP |
America Health Insurance Plans |
| AIP |
Analysis Improvement Plan |
| ALGS |
Automatic Letter Generating System |
| ALOS |
Average Length Of Stay |
| AM&S |
Office of Acquisition and Management Support |
| AMA |
Against Medical Advice OR American Medical Association |
| AMC |
Army Medical Center |
| AMD |
Associate Medical Director |
| ASC |
Ambulatory Surgical Centers |
| ASD(HA) |
Assistant Secretary of Defense for Health Affairs |
| ASO |
Administrative Services Only |
| AVR |
Automated Voice Response |
| |
|
| BAFO |
Best and Final Offer (Replaced by FPR) |
| BBP |
Blood Borne Pathogens |
| BCAC |
Beneficiary Counseling Assistance Coordinator |
| BCBSSC |
Blue Cross and Blue Shield of South Carolina |
| BPA |
Bid Price Adjustment |
| BRAC |
Base Realignment And Closure |
| BSR |
Beneficiary Services Representative |
| BUMED |
Bureau of Medicine |
|
|
| C&CS |
Office of Communications and Customer Service |
| C&E |
Compensation and Pension |
| CAP |
Corrective Action Plan |
| CATCAP |
Catastrophic Cap |
| CBSR |
Centralized Beneficiary Service Representative |
| CDR |
Commander |
| CEBO |
Central Enrollment and Billings Office |
| CEO |
Chief Executive Officer |
| CFR |
Code of Federal Regulations |
| CHAMPUS |
Civilian Health and Medical Program of the Uniformed Service |
| CHAMPVA |
Civilian Health and Medical Program of the Veterans Administration |
| CHCBP |
Continued Health Care Benefits Program |
| CHCS |
Composite Health Care System |
| CLO |
Contract Liaison Officer |
| CM |
Case Management |
| CMAC |
CHAMPUS Maximum Allowable Charge |
| CME |
Continuing Medical Education |
| CMN |
Certificate of Medical Necessity |
| CMS |
Contact Management System OR Center for Medicare and Medicaid Services |
| COB |
Coordination of Benefits |
| COBRA |
Consolidated Omnibus Budget Reconciliation Act |
| CON/CN |
Certificate of Need |
| COO |
Chief Operating Officer |
| CONUS |
Continental United States |
| COR |
Contracting Officers Representative |
| CPS |
Clinical Preventive Services |
| CQI |
Continuous Quality Improvement |
| CQMP |
Clinical Quality Management Program |
| CRIS |
CHAMPUS Regional Intermediary System (now known as CHAMPUS Medical Management System) |
| CTI |
Computer Telephone Interface |
|
|
| DAA |
Defense Authorization Act or Designated Accrediting Authority |
| DCAO |
Debt Collection Assistance Officer |
| DD2161 |
Department of Defense Form 2161 (for referrals) |
| DDS |
DEERS Dependent Suffix |
| DEA |
Drug Enforcement Administration |
| DEERS |
Defense Enrollment Eligibility Reporting System |
| DEPSECDEF |
Deputy Secretary of Defense |
| DFAS |
Defense Financial and Accounting Service |
| DHHS |
Department of Health and Human Services |
| DIACAP |
DoD Information Assurance Certification and Accreditation Process |
| DITSCAP |
DoD Information Technology Security Certification and Accreditation Process |
| DM |
Disease Management |
| DMDC |
Defense Manpower Data Center |
| DME |
Durable Medical Equipment |
| DMIS |
Defense Medical Information System |
| DoD |
Department of Defense |
| DOES |
Defense Online Enrollment System |
| DOS |
Date of Service |
| DRG |
Diagnosis Related Groups |
| DSO |
DEERS Support Office |
| DTF |
Dental Treatment Facilities OR Designated Treatment Facilities |
| DVA |
Department of Veterans Affairs |
|
|
| ECHO |
Extended Care Home System |
| ECS |
Electronic Claims Submission |
| ECT |
Electronic Claims Transmission |
| EDI PN |
Electronic Date Interchange Patient Number |
| EFMP |
Exceptional Family Member Program |
| EFT |
Electronic Funds Transfer |
| EIN |
Employer Identification Number |
| EMC |
Electronic Media Claims (paperless Claims Processing) |
| EOB, EOMB |
Explanation of (Medicare or Medical) Benefits |
| ERISA |
Employee Retirement Insurance Security Act |
| ESRD |
End Stage Renal Disease |
| EWRAS |
Enterprise Wide Referral and Authorization System |
|
|
| FAR |
Federal Acquisition Regulation |
| FAQ |
Frequently Asked Questions |
| FEHBP |
Federal Employee Health Benefit Plan |
| FFS |
Fee-For-Service |
| FI |
Fiscal Intermediary |
| FM |
Family Member |
| FOIA |
Freedom of Information Act |
| FPR |
Final Proposal Revision (replaces BAFO – Best and Final Offer) |
| FTE |
Full-Time Equivalent |
| FY |
Fiscal Year |
|
|
| GAO |
General Accounting Office |
| GIQD |
General Inquiry DEERS |
| GRIP |
Government Required Information Portal |
| GSUS |
Geographically Separated Units 50 miles outside of MTFs |
|
|
| HA |
Health Affairs |
| HAL |
Health Awareness Letter |
| HBA |
Health Benefits Advisor |
| HCF |
Health Care Finder |
| HCFA |
Health Care Financing Administration |
| HCFA-1500 |
Health Care Finance Administration Claim Form |
| HCPCS |
HCFA Common Procedure Coding System |
| HEARD |
Humana Military Enrollment Assignment Rules database |
| HEDIS |
Healthplan Employer Data and Information Systems |
| HHS |
Health and Human Service |
| HIPAA |
Health Insurance Portability and Accountability Act of 1996 |
| HMO |
Health Maintenance Organization |
| HNFS |
Health Net Federal Services |
| HVHS |
Humana Veterans Healthcare Services |
|
|
| ICD-9 |
International Classification of Diseases, 9th Revision |
| ICD-10 |
International Classification of Diseases, 10th Revision |
| ICD-9CM |
International Classification of Diseases, Volume 9 Clinical Modification |
| IEP |
Individualized Educational Program |
| IM/IT |
Information Management/Information Technology |
| IP |
Inpatient |
| IPT |
Integrated Process Team |
| IRR |
Individual Ready Reserves |
| IVR |
Interactive Voice Response |
|
|
| JCAHO |
Joint Commission on Accreditation of Healthcare Organizations |
| JCS |
Joint Chiefs of Staff |
|
|
| KOI |
Key Operational Indicators |
|
|
| LAN |
Local Area Network |
| LCSW |
Licensed Clinical Social Worker |
| LMHC |
Licensed Mental Health Counselor |
| LOA |
Leave of Absence |
| LOD |
Line of Duty |
| LOI |
Letter of Intent |
| LOS |
Length of Stay |
| LPC |
Licensed Professional Counselor |
| LPN |
Licensed Practical Nurse |
| LTAC |
Long Term Acute Care |
| LTC |
Long Term Care |
| LVN |
Licensed Vocational Nurse |
|
|
| MCSC |
Managed Care Support Contractor |
| MH |
Mental Health |
| MHS |
Military Health System |
| MMSO |
Office of Military Health Systems Operations |
| MOD |
Modification |
| MOH |
Medal of Honor |
| MSR |
Medical Service Review |
| MTF |
Military Treatment Facility |
|
|
| NADD |
Non-Active Duty Dependent |
| NADFM |
Non-Active Duty Family Member |
| NAS |
Non-Availability Statement |
| NATO |
North Atlantic Treaty Organization |
| NCQA |
National Council for Quality Assurance |
| NDAA |
National Defense Authorization Act |
| NG |
National Guard |
| NH |
Naval Hospital |
| NICU |
Neonatal Intensive Care Unit |
| NMC |
Naval Medical Center |
| NMFA |
National Military Families Association |
| NPI |
National Provider Identifier |
| NQMC |
National Quality Monitoring Contractor |
|
|
| OASD(HA) |
Office of the Assistant Secretary of Defense (Health Affairs) |
| OCMO |
Office of the Chief Medical Officer |
| OCONUS |
Outside the Continental United States |
| OCR |
Optical Character Recognition |
| OHI |
Other Health Insurance |
| OSHA |
Occupational Safety and Health Administration |
| OTC |
Over-the-Counter |
|
|
| P&R |
Personnel and Readiness |
| Part A |
Medicare Part A |
| Part B |
Medicare Part B |
| PAS |
Patient Appointing Services |
| PCC |
Patient Care Coordinator |
| PCM |
Primary Care Manager |
| PCS |
Permanent Change of Station |
| PERR |
Provider Education/Relations Representative (See also PR) |
| PFPWD |
Program for Persons with Disabilities (replaced by ECHO – Extended Health Care Option) |
| PGBA |
Palmetto Government Benefits Administrators |
| PhD |
Doctorate of Philosophy |
| PHI |
Protected Health Information (individually identifiable) |
| PIA |
Procurement Integrity Act |
| PIMS |
Provider Information Number |
| PIN |
Provider Identification Number |
| PMPM |
Per Member Per Month |
| POS |
Point of Service |
| PPO |
Preferred Provider Organization |
| PRAF |
Patient Referral Authorization Form |
| PTSD |
Post Traumatic Stress Disorder |
|
|
| QIT |
Quality Improvement Team |
|
|
| RAPIDS |
Real-Time Automated Processing Identification System |
| RC |
Reserve Component |
| RCFM |
Reserve Component Family Member |
| REA |
Request for Equitable Adjustment |
| RFP |
Request for Proposal |
| ROFR |
Right of First Refusal |
| RTC |
Residential Treatment Centers |
|
|
| SHCP |
Supplemental Health Care Program |
| SNF |
Skilled Nursing Facility |
| SPOC |
Service Point of Contact |
| SSA |
Social Security Administration |
| SSN |
Social Security Number |
| STAR FORCE |
Skilled, Trained and Ready - Focused on Reserve Components, Enhanced |
| STF |
Specialized Treatment Facility |
|
|
| TAO |
TRICARE Area Office |
| TAMP |
TRICARE Assistance Management Program |
| TDEFIC |
TRICARE Dual Eligible Fiscal Intermediary Contract |
| TDP |
TRICARE Dental Program |
| TDY |
Temporary Duty |
| TED |
TRICARE Encounter Data |
| TEOB |
TRICARE Explanation of Benefits (Formerly CEOB) |
| TFL |
TRICARE for Life |
| TIN |
Tax Identification Number |
| TIP |
TRICARE Information Portal |
| TLAC |
TRICARE Latin America and Canada |
| TMA |
TRICARE Management Activity (formerly called OCHAMPUS) |
| TMAC |
TRICARE Maximum Allowable Charge |
| TNEX |
TRICARE Next (Generation of Contracts) |
| TOM |
TRICARE Operations Manual |
| TOP |
TRICARE Overseas Program |
| TOPS |
TRICARE Operational Performance Standards |
| TPA |
Third-Party Administrator |
| TPL |
Third Party Liability |
| TPM |
TRICARE Policy Manual |
| TPR |
TRICARE Prime Remote |
| TPRADFM |
TRICARE Prime Remote Active Duty Family Member |
| TRIAP |
TRICARE Assistance Program |
| TRDP |
TRICARE Retiree Dental Program |
| TRM |
TRICARE Reimbursement Manual |
| TRO |
TRICARE Regional Office |
| TROS |
TRICARE Regional Office South |
| TRS |
TRICARE Reserve Select |
| TRSDP |
TRICARE Selected Reserve Dental Program |
| TSC |
TRICARE Service Center |
| |
|
| UB-92 |
Uniform Billing form – 1992 |
| UCCI |
United Concordia |
| UM |
Utilization Management |
| UPIN |
Universal (Unique) Physician Identification Number |
| URAC |
Utilization Review Advisory Committee(See AAHC) |
| USA |
United States Army |
| USAF |
United States Air Force |
| USCG |
United States Coast Guard |
| USERRA |
Uniformed Services Employment and Re-Employment Rights Act |
| USFHP |
Uniformed Services Family Health Plan |
| USMC |
United States Marine Corps |
| USN |
United States Navy |
| USPHS |
U.S. Public Health Service |
| USUHS |
Uniformed Services University of the Health Sciences |
|
|
| VA |
Veterans Administration/Affairs |
| VISN |
Veterans Integrated Service Network |
| VRU |
Voice Response Unit |
|
|
| WC |
Worker's Compensation |
| WIC |
Women, Infants, and Children |
| WII |
Wounded, Ill and Injured |
| WNAP |
Warrior navigation and Assistance Program |
| WPS |
Wisconsin Physicians Service |
| |
|
| YTD |
Year-to-date |
| |
|
| Zip Code |
Zone Plan Improvement Code |
