healthcare acronym dictionary 2021 – 2022 edition
TRANSCRIPT
Page 1 | NCPDP Acronym Dictionary
Healthcare Acronym Dictionary2021 – 2022 Edition
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A ..........................................6B ..........................................8C ..........................................8D ........................................10E ........................................11F .........................................13G ........................................13H ........................................14I ..........................................15J .........................................16L .........................................17M .......................................17
N ........................................18O ........................................20P ........................................21Q ........................................22R ........................................23S .........................................23T ........................................25U ........................................25V ........................................26W .......................................26X ........................................26Y ........................................26
Table of Contents
NCPDP Acronym Dictionary | Page 6
4RxRxIIN/RxPCN/RxGroup/RxID
AACAverage Acquisition Cost/Average Allowable Cost
AACPAmerican Association of Colleges of Pharmacy
AAFPAmerican Academy of Family Physicians
AAHSAAmerican Association of Homes and Services for the Aging
AAMAssociation for Accessible Medications
AAPAmerican Academy of Pediatrics
AAPPOAmerican Association of Preferred Provider Organizations
AAPSAmerican Association of Pharmaceutical Scientists
ABNAdvance Beneficiary Notice
ACAAffordable Care Act (PPACA)/American College of Apothecaries
ACOAccountable Care Organization
ACOEMAmerican College of Occupational and Environmental Medicine
ACPEAccreditation Council for Pharmacy Education
ACRAmerican College of Radiology
ADAAmerican Dental Association
ADAPAIDS Drug Assistance Program
ADEAdverse Drug Event
AHAAmerican Hospital Association
AHCAccountable Health Communities
AHCAAmerican Health Care Association
AHIMAAmerican Health Information Management Association
A
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AHIPAmerica’s Health Insurance Plans
AHRQAgency for Healthcare Research and Quality
AIHPAmerican Institute of the History of Pharmacy
AIIMAssociation for Information and Image Management
AJHPAmerican Journal of Health-System Pharmacy
AMAAmerican Medical Association
AMCPAcademy of Managed Care Pharmacy
AMDAAmerican Medical Directors Association
AMDISAssociation of Medical Directors of Information Systems
AMGAAmerican Medical Group Association
AMIAAmerican Medical Informatics Association
ANDAAbbreviated New Drug Application
ANSIAmerican National Standards Institute
AOAAmerican Osteopathic Association
APhAAmerican Pharmacists Association
APIApplication Programming Interface
ASAPAmerican Society for Automation in Pharmacy
ASC X12Accredited Standards Committee X12
ASCIIAmerican Standard Code for Information Interchange
ASCPAmerican Society of Consultant Pharmacists
ASHPAmerican Society of Health-System Pharmacists
ASPROffice of the Assistant Secretary for Preparedness and Response
A
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ASTMAmerican Society of Testing and Materials
ATMAsynchronous Transfer Mode
AWPAny Willing Provider/Average Wholesale Price
BAEBest Available Evidence
BCBSABlue Cross and Blue Shield Association
BCRCBenefits Coordination and Recovery Center
BERBrand Effective Rate
BHPBasic Health Plan
BIBenefits Inquiry/Benefits Investigation/Business Intelligence
BINBank Identifier Number
BLABiologics License Application
BLRBeneficiary Level Report
BOPBoards of Pharmacy
BPCIBiologics Price Competition and Innovation Act of 2009
BPPBenefit and Payment Parameters
BPSBits per Second
BSRBoard of Standards Review (ANSI)
BTCBehind The Counter
BUBilling Unit
BUSNCPDP Billing Unit Standard
BVBenefits Verification
CABCommunity Advisory Board
CAHsCritical Access Hospitals
CAMComplimentary and Alternative Medicine
CAQHCouncil for Affordable Quality Healthcare
CARAComprehensive Addiction and Recovery Act
CBA
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CARCClaim Adjustment Reason Code
CBCPCommon Business Communications Protocol
CBOCongressional Budget Office
CBTCognitive Behaviorial TherapyCCDContinuity of Care Document
CCD+Corporate Credit or Deposit Entry with Addenda Record (CCD+)
C-CDAConsolidated Clinical Document Architecture
CCDSCommon Clinical Data Set
CCHITCertification Commission for Health Information Technology
CDAClinical Document Architecture
CDCCenters for Disease Control and Prevention
CDERCenter for Drug Evaluation and Research (FDA)
CDMAChain Drug Marketing Association
CDSClinical Decision Support
CEFACTUnited Nations Centre for Trade Facilitation and Electronic Business
CERComparative Effectiveness Research
CGMPCurrent Good Manufacturing Practice
CHINCommunity Health Information Network
CHIPChildren’s Health Insurance Program
CHIPSClearing House Interbank Payments System
CHMISCommunity Health Management Information Systems
CHNCooperative Healthcare Networks
CHPControlling Health Plan
C
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CHPAConsumer Healthcare Products Association
CIUClaims Investigative Unit
CLASSClaims Acquisition and Submission System
CLIAClinical Laboratory Improvement Amendments
CMMICenter for Medicare & Medicaid Innovation
CMRComprehensive Medical Review
CMSCenters for Medicare & Medicaid Services
COBCoordination of Benefits
CORE (CAQH)Committee on Operating Rules for Information Exchange
CPFCommunity Pharmacy Foundation
CPIConsumer Price Index/CMS Center for Program Integrity
CPOEComputerized Physician Order Entry
CPRIComputer-based Patient Records Institute, Inc.
CPSCharacters per Second
CPTCurrent Procedural Terminology
CQMClinical Quality Measures
CRSChange Request System
CSACanadian Standards Association/Controlled Substances Act
CSGCouncil of State Governments
CWFCommon Working File
DataQNCPDP Pharmacy Database
DAWDispense as Written
DDRCMS Drug Data Reporting
DEADrug Enforcement Administration
CD
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DERFData Element Request Form
DESData Encryption Standard
DESIDrug Efficacy Study Implementation
DHSDepartment of Homeland Security
DIRDirect and Indirect Remuneration
DISAData Interchange Standards Association, Inc.
DMBData Maintenance Ballot
DMEDurable Medical Equipment
DMERCDurable Medical Equipment Regional Carriers
DMRDirect Member Reimbursement
DODDepartment of Defense
DRADeficit Reduction Act
DRRDrug Regimen Review
DSAData Sharing Agreement
DSCSADrug Supply Chain Security Act
DSHEADietary Supplement Health and Education Act
DSMDisease State Management
DSMODesignated Standards Maintenance Organization
DSTUDraft Standard for Trial Use
DTADigital Therapeutics Alliance
DTTUDraft Transaction for Trial Use
DTxDigital Therapeutics
DUEDrug Use Evaluation
DURDrug Use Review/Drug Utilization Review
EBCDICExtended Binary Coded Decimal Interchange Code
ECeCommerce
DE
NCPDP Acronym Dictionary | Page 12
ECLExternal Code List
ECRSElectronic Correspondence Referral System
EDEmergency Department
EDIElectronic Data Interchange
EDIFACTElectronic Data Interchange for Administration, Commerce, & Transportation
EFTElectronic Funds Transfer
EGWPEmployer Group Waiver Plan
EHBEssential Health Benefits
eHIeHealth Initiative
EHIElectronic Health Information
EHNACElectronic Healthcare Network Accreditation Commission
EHPEssential Health Benefits Package
EHRElectronic Health Record
EMCElectronic Medical Claims
EMRElectronic Medical Record
EOBExplanation of Benefits
EPEligible Provider
ePAElectronic Prior Authorization
EPAPEmergency Prescription Assistance Program
EPCISElectronic Product Code Information ServicesEPCSElectronic Prescribing of Controlled Substances
EPOExclusive Provider Organization
ERAElectronic Remittance Advice
eRxElectronic Prescribing
ESRDEnd Stage Renal Disease
EUAEmergency Use Authorization
E
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FAFunctional Acknowledgment
FARsFederal Acquisition Regulations
FASBFinancial Accounting Standards Board
FDAFood and Drug Administration
FDASIAFood and Drug Administration Safety and Administration Act
FEMAFederal Emergency Management Agency
FFPFederal Financial Participation
FFSFee-For-Service
FHIRFast Healthcare Interoperability Resources
FIPSFederal Information Processing Standards
FIRFinancial Information Reporting (NCPDP Standard)
FMIFood Marketing Institute
FOIAFreedom of Information Act
FQHCFederally Qualified Health Center
FRFinal Rule or Federal Register
FROIFirst Report of Injury
FSAFlexible Spending Account
FULFederal Upper Limit
GAAPGenerally Accepted Accounting Principles
GAASGenerally Accepted Auditing Standards
GAOGeneral Accounting Office
GDUFAGeneric Drug User Fee Act
GERGeneric Effective Rate
GLNGlobal Location Number
GMPGood Manufacturing Processes
GOSIPGovernment Open Systems Interconnection Profile
GF
NCPDP Acronym Dictionary | Page 14
GPhASee AAM
GPIGeneric Product Identifier
GPOGroup Purchasing Organization
GS1 (Global)Formerly known as European Article Numbering (EAN) Association
GS1-USUS Affiliate of GS1 Formerly known as Uniform Code Council
GSAGeneral Services Administration
GTINGlobal Trade Item Number
GUDIDGlobal Unique Device Identification Database
HCIdeaNCPDP Prescriber Database
HCPHealthcare Provider
HCPCSHealthcare Common Procedure Coding System
HDMAHealthcare Distribution Management Association
HEDICHealth Electronic Data Interchange Corporation
HEDISHealthcare Effectiveness Data and Information Set
HHSDepartment of Health and Human Services
HIAAHealth Insurance Association of America
HIBCCHealth Industry Business Communications Council
HICNHealth Insurance Claim Number (HICN)
HIDAHealth Industry Distributors Association
HIEHealth Information Exchange
HIMSSHealthcare Information and Management Systems Society
HINHealth Industry Number
HIPAAHealth Insurance Portability and Accountability Act of 1996
GH
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HISHospital Information System
HISBHealthcare Informatics Standards Board
HITHealth Information Technology
HITECHHealth Information Technology for Economic and Clinical Health
HITPCHealth IT Policy Committee
HITSCHealth IT Standards Committee
HITSPHealthcare Information Technology Standards Panel
HL7Health Level 7
HMOHealth Maintenance Organization
HPIDHealth Plan Identifier
HPMSHealth Plan Management System
HRAHealth Reimbursement Account
HRPHigh-Risk Pool
HRSAHealth Resources and Services Administration (U.S.)
HSAHealth Savings Account
HSCHealth Standards Collaborative
HSCAHealthcare Supply Chain Association
HTTPHypertext Transfer Protocol
HTTPSHypertext Transfer Protocol Secure
IAIABCInternational Association of Industrial Accident Boards and Commissions
ICDInternational Classification of Diseases
ICFIntermediate Care Facility
IEDIInteractive Electronic Data Interchange
IEEEInstitute of Electrical and Electronic Engineers
HI
NCPDP Acronym Dictionary | Page 16
IFPWInternational Federation of Pharmaceutical Wholesalers
IFRInterim Final Rule
IHNIntegrated Health Network
IHSIndian Health Service
IHTSDOInternational Health Terminology Standards Development Organisation
IIDIndividuals with Intellectual Disabilities
IINIssuer Identification Number
INCITSInterNational Committee for Information Technology Standards
INDAInvestigational New Drug Application
INNInternational Nonproprietary Name
IoTInternet of Things
IPInternet Protocol
IPAIndependent Practice Association
IPGInteroperability Proving Ground
IPMSInterpersonal Messaging System
ISDNIntegrated Services Digital Network
ISMPInstitute for Safe Medication Practices
ISOInternational Standards Organization
ISPInternet Service Provider
ITU-TInternational Telecommunication Union, Standardization Sector
JCALSJoint Computer-Aided Acquisition and Logistics System
JCPPJoint Commission of Pharmacy Practitioners
JEDIJoint Electronic Data Interchange
JI
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JSONJavaScript Object Notation
JWTJSON Web Token
LANLocal Area Network
LDDLimited Distribution Drug
LEIEList of Excluded Individuals/Entities
LISLow Income Subsidy
LOCLevel Of Care
LOELevel of Effort
LRCLongitudinal Redundancy Check
LTCLong Term Care
LTCPALong Term Care Pharmacy Alliance
LTPACLong Term and Post Acute Care
MAMedicare Advantage
MACMaximum Allowable Cost
MAGIModified Adjusted Gross Income
MAOManaged Advantage Organization
MA-PDMedicare Advantage Prescription Drug Plan
MARxMedicare Advantage Prescription Drug System
MBDMedicare Beneficiary Database
MBIMedicare Beneficiary ID
MDRIMedicaid Drug Rebate Initiative
MDRPMedicaid Drug Rebate Program
MDUFAMedical Device User Fee Amendments
MEDMedicare Exclusion Database/Morphine Equivalent Dosing
MEDPACMedicare Payment Advisory Commission
LJ
M
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MGMAMedical Group Management Association
MIMEMultipurpose Internet Mail Extensions
MMAMedicare Modernization Act
MMEMorphine Milligram Equivalents
MMISMedicaid Management Information Systems
MMPMedicare-Medicaid Plan
MOUMemorandum of Understanding
MPRMedication Possession Ratio
MSAMedical Savings Account/Medicare Set-Aside
MSPMedicare Secondary Payer
MSSPMedicare Shared Savings Program
MTMMedication Therapy Management
MTUSMedical Treatment Utilization Schedule
MUMeaningful Use
NAACNet Average Allowable Cost
NABPNational Association of Boards of Pharmacy
NACDSNational Association of Chain Drug Stores
NACHANational Automated Clearinghouse Association
NADACNational Average Drug Acquisition Cost
NADONA/LTCNational Association of Directors of Nursing Administrators in Long Term Care
NAICNational Association of Insurance Commissioners
NAMDNational Association of Medicaid Directors
NASLNational Association for the Support of Long Term Care
MN
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NASPANational Alliance of State Pharmacy Associations
NAWNational Association of Wholesale-Distributors
NCCINational Council on Compensation Insurance/National Correct Coding Initiative
NCHSNational Center for Health Statistics (U.S.)
NCINational Cancer Institute
NCPANational Community Pharmacists Association
NCPDPNational Council for Prescription Drug Programs
NCPDP SNIPNCPDP Strategic National Implementation Process
NCPONational Conference of Pharmaceutical Organizations
NCQANational Committee for Quality Assurance
NCSLNational Conference of State Legislatures
NCVHSNational Committee on Vital and Health Statistics
NDANew Drug Application
NDCNational Drug Code
NDEDICNational Dental EDI Council
NGANational Governors Association
NGHPNon Group Health Plan
NHRICNational Health Related Items Code
NIHNational Institutes of Health (U.S.)
NISTNational Institute of Standards and Technology
NLMNational Library of Medicine
NMEHNational Medicaid EDI HIPAA
NMHCCNational Managed Health Care Congress
N
NCPDP Acronym Dictionary | Page 20
NPANational Pharmacists Association
NPCNational Pharmaceutical Council
NPINational Provider Identifier
NPORNon Plan of Record
NPPESNational Plan and Provider Enumeration Systems
NPRMNotice of Proposed Rulemaking
NTFHRNational Task Force on Healthcare Reform
NUBCNational Uniform Billing Committee
NUCCNational Uniform Claim Committee
OASISOrganization for the Advancement of Structured Information
OBRA-90Omnibus Budget Reconciliation Act
OCCOther Coverage Code (NCPDP Data Element)
ODGOfficial Disability Guidelines
OEIDOther Entity Identifier
OESSOffice of eHealth Standards and Services
OFROffice of the Federal Register
OGCOffice of General Counsel
OHIOther Health Insurance
OIGOffice of Inspector General
OLTPOnline Transaction Processing
OMBOffice of Management and Budget
OMGObject Management Group
ONCOffice of the National Coordinator for Health Information Technology
ONC-ACBsONC-Authorized Certification Bodies
NO
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ONDCPOffice of National Drug Control Policy
OOPOut-of-Pocket
ORDUROnline Realtime Drug Utilization Review
OSIOpen Systems Interconnection
OTCOver the Counter
OUDOpioid Use Disorder
P&TPharmacy and Therapeutics Committee
PAPrior Authorization
PACPredictive Acquisition Cost
PAPPatient Assistance Program
PBMPrescription/Pharmacy Benefit Manager
PCIPPre-existing Condition Insurance Plan
PCMAPharmaceutical Care Management Association
PCMHPatient Centered Medical Homes
PCUGMA-PD Plan Communication User Guide
PDCPortion of Days CoveredPDEPrescription Drug Event (file)
PDMAPrescription Drug Marketing Act
PDMPPrescription Drug Monitoring Program
PDPPrescription Drug Plan
PDUFAPrescription Drug User Fee Act
PFFSPrivate Fee-For-Service
PHIProtected Health Information
PHITCPharmacy HIT Collaborative
PHOPhysician Hospital Organization
PHRPersonal Health Record
OP
NCPDP Acronym Dictionary | Page 22
PhRMAPharmaceutical Research and Manufacturers of America
PHSPublic Health Service
PIProduct Identifier
PIHPPrepaid Inpatient Health Plan
PINPersonal Identification Number
PLROPatient Liability Reduction Due to Other Payer Amount
PoPCPrinciples of Proper Conduct
PORPlan of Record
POSPoint of Sale/Point of Service
PPAPartnership for Prescription Assistance
PPACAPatient Protection and Affordable Care Act
PPIProducer Price Index
PPOPreferred Provider Organization
PPSProfessional Pharmacy Services/Prospective Payment System
PPSNPublic Packet Switched Network
PQAPharmacy Quality Alliance
PQASPrior Quarter Adjustment Statement
PRBProcedures Review Board
PROPatient Reported Outcomes
PSAOPharmacy Services Administration Organization
PSTNPublic Switched Telephone Network
PTCBPharmacy Technician Certification Board
QAQuality Assurance
QHPQualified Health Plan
QUICQuantity Unit Information Communication
PQ
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RARCRemittance Advice Reason Code
RCMRevenue Cycle Management
REMSRisk Evaluation and Mitigation Strategies
resQNCPDP Pharmacy Credentialing Resource
RESTRepresentational State Transfer
RESTfulAn API or other web service which complies with the REST architecture
RFIDRadio Frequency Identification
RHCRural Health Clinic
RORegional Office
ROSIReconciliation of State Invoice
RPMRemote Patient Monitoring
RRBRailroad Retirement Board
RTBReal-Time Benefits
RTBTReal-Time Benefit Tool
RTDSRecommended Transaction Data Sets
RTPBReal-Time Prescription Benefit
RTSRefill Too Soon/Return To Stock
S&I FrameworkStandards and Interoperability Framework (ONC)
SADPStand Alone Dental Plans
SAGStakeholder Action Group
SAMSystem for Award Management
SAPState Assistance Programs
SCCSubmission Clarification Code (NCPDP Data Element)
SCOStandards Charter Organization
SR
NCPDP Acronym Dictionary | Page 24
SCOTUSSupreme Court of the United States
SDLCSynchronous Data Link Control
SDOStandards Development Organization
SDOHSocial Determinants of Health
Senate HELP CommitteeHealth, Education, Labor, & Pensions Committee
SHOPSmall Business Health Option Program
SigAbbreviation for “signatura;” physician’s directions
SMAState Medicaid Agencies
SMESubject Matter Expert
SMHPState Medicaid Health Information Technology Plan
SNASystem Network Architecture
SNOMED CTSystematized Nomenclature of Medicine – Clinical Terms
SNPSpecial Needs Plan
SNSStrategic National Stockpile
SOAPSimple Object Access Protocol
SOPStandard Operating Procedures
SPAPState Pharmacy Assistance Program
SPLStructured Product Labeling
SSISupplemental Security Income
SSNSocial Security Number
SSOStandard Setting Organization
STCSubmission Type Code (NCPDP data element)
STUStandard for Trial Use
SUPPORT ActSubstance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act
S
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SWPSuggested Wholesale Price
T3POSTransaction Processing Protocol for Point of Sale
TAGTechnical Advisory Group
TIMEThe Individual Member Excellence (Award)
TINTax Identification Number
TLSTransport Layer SecurityTPTrading Partner
TPAThird Party Administrator/Trading Partner Agreement
TPSPThird Party Service Provider
TrOOPTrue Out of Pocket
TSTSTransaction Switching and Transport Service
UCCUniversal Code Council (see GS1-US)
UCFUniversal Claim Form
UCFTFUniform Claim Form Task Force
UCRUsual, Customary, and Reasonable
UDIUnique Device Identifier
UMSUniversal Medication Schedule
UN/EDIFACTUnited Nations Electronic Data Interchange for Administration, Commerce, and Transportation
UNIDUnique National Identifier
UNSMUnited Nations Standard Message
UOMUnit of Measure
UPCUniform Product Code
UPIUniversal Patient Identifier
UPINUnique Physician Identification Number
URACUtilization Review Accreditation Commission
UT
NCPDP Acronym Dictionary | Page 26
URIUniform Resource Identifier
UROUtilization Review Organization
USANUnited States Adopted Names
USCDIU.S. Core Data for Interoperability
USHIKUnited States Health Information Knowledgebase
USPUnited States Pharmacopeial Convention
VADepartment of Veterans Affairs
VANValue Added Network
VDSAVoluntary Data Sharing Agreement
VHAVeterans Health Administration
VSACValue Set Authority Center
W3CWorld Wide Web Consortium
WACWholesale Acquisition Cost
WCRIWorkers’ Compensation Research Institute
WEDIWork Group for Electronic Data Interchange
WSDLWeb Services Description Language
XMLExtensible Markup Language
XSDXML Schema Definition
YTDYear to Date
WVU
XY
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