Common Acronyms and Glossary of Terms

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List of Common Acronyms and Glossary of Terms
(Updated 10/7/2014)
AA
AHCI
ACOA
ACPM
ACT
ADA
ADL
ADHD
ADM
AFDC
AIDS
AIMS
ALOC
ALOS
AMA
APD
Appt.
ARC
ARD
ASAM
ASD
ASAP
ASCII
AUPM
Alcoholics Anonymous
Allegheny HealthChoices Inc.
Adult Child of Alcoholic
Average Cost per Member
Assertive Community Treatment
Americans With Disabilities Act
Activities of Daily Living
Attention Deficit Hyperactivity Disorder
Admission
Aid to Families with Dependent Children
Acquired Immune Deficiency Syndrome
Abnormal Involuntary Movement Scale
Alternate Level of Care
Average Length of Stay
Against Medical Advice
Advance Planning Document
Appointment
AIDS-related complex
Accelerated rehabilitation decision
American Society of Addictive Medicine
Autism Spectrum Disorders
As Soon as Possible
American Standard Code for Information Exchange
Average Units per Member
BAL/BAC
BCM
BCBH
BEC
BHEF
BH-MCO
BHoCC
BHRS
Blood Alcohol Level/Blood Alcohol Content
Blended Case Management
Beaver County Behavioral Health
Basic Education Circular
Behavioral Health Encounter File
Behavioral Health Managed Care Organization
Behavioral Health of Cambria County
Behavioral Health Rehabilitation Services (for children and
adolescents)
Twice per day
Bureau of Narcotic Drugs and Devices
Blood Pressure
Borderline Personality Disorder
Bureau of Program Integrity
Brother
Blood Sugar
Behavioral Specialist Consultant
Base Service Unit
Bid
BNDD
B/P
BPD
BPI
Bro.
BS
BSC
BSU
1
C&Y
CAC
CAC
CAFS
CAFAS
CAO
CANS
CAP
CASSP
CAU
CBC
CBT
CC
CCRS
CD
CDA
Cert
CFR
C/FST
CHADD
CIS
CLA
CLIA
CM
CMHC
CNS
C/O
COB
COC
COD
CQI
CRD/LIC
CRC
CRCS
CRF
CRNP
CRR
CSI
CSP
CSR
CRR
CYS
CTB
CTT
CVA
Cx
Children and Youth
Certified Addiction Counselor
Clinical Advisory Committee
Children and Adolescent Family Services
Children and Adolescent Functional Assessment Scale
County Assistance Office
Child and Adolescent Needs & Strengths (assessment tool)
Corrective Action Plan
Child and Adolescent Service System Program
County Administrative Unit
Complete Blood Count
Cognitive Behavioral Therapy/Therapist
Chief Complaint
Consolidated Community reporting System
Chemical Dependency
Cost driver Analysis
Certificate
Code of Federal Regulations
Consumer/Family Satisfaction Team
Children with Attention Deficit Disorders
Client Information System
Community Living Arrangement
Clinical Laboratory Improvement Amendment
Care/Case management/Manager
Community Mental Health Center
Central Nervous System
Complaint Of
Coordination of Benefits
Coordination of Care
Co-Occurring Disorders
Continuous Quality Improvement
Credentials/license
Complaint Review Committee
Capitation Rate Calculation Sheet
Consumer Registry File
Certified Registered Nurse Practitioner
Community Residential Rehabilitation
Consumer Satisfaction Instruments
Community Support Program
Continued Stay Review
Community residential Rehabilitation
Children and Youth Services
Ceased to Breathe
Community Treatment Team
Cerebral Vascular Accident
Cancelled
D&A
DA
DAP
Drug and Alcohol
Drug Abuse
Disability Advocacy Program
2
DEA
Dep
DFA
DHS
DM
DME
DMIRS
DOB
DOI
DOH
DOS
DPW
DSH
DSM
DTS
Dual Dx
DUR
Drug Enforcement Agency
Dependent(s)
Difficulty Falling Asleep
Department of Human Services (formerly DPW)
Distinct Member
Durable Medical Equipment
Data Management and Information Retrieval System
Date of Birth
Department of Insurance
Department of Health
Date of Service
Department of Public Welfare – name change occurred in Nov 2014 to DHS
Disproportionate Share
Diagnostic and Statistical Manual of Mental Disorders
Delirium Tremens
Dual Diagnosis
Drug Utilization Review
ECC
ECF
ECT
ECM
EEG
EIN
EKG
Elig.
EMA
EMC
EOB
EPS
EPSDT
ER
ERISA
ETOH
EVS
Ex.
Electronic Claims Capture
Extended Care Review
Electroconvulsive Therapy
Electronic Claims Management
Electroencephalogram
Employee Identification Number
Electrocardiogram
Eligibility
Early Morning Awakening
Electronic Media Claims
Explanation of Benefits
Extraparamydial Symptoms
Early and Periodic Screening, Diagnosis and Treatment
Emergency Room
Employee Retirement Income Security Act (1974)
Alcohol
Eligibility Verification System
Example
F2F
FA
Fac.
FAC
Fam.
Fam Hx.
FBA
FBMHS
FCBHA
FFS
FFT
FQHC
FTE
Face to Face
Fiscal Agent
Facility
Family Advisory Committee
Family
Family History
Functional Behavioral Assessment
Family Based Mental Health Services
Fayette County Behavioral Health Administration
Fee for Service
Functional Family Therapy
Federally Qualified Health Center
Full-Time Employee
3
FTP
F/U
FUH
Fx.
File Transfer Process
Follow Up
Follow Up after Hospitalization
Fracture
GA
GAF
GAAP
GF
GM
GME
GRP
GTC
General Assistance
Global Assessment of Functions
Generally Accepted Accounting Principles
Grandfather
Grandmother
Graduate Medical Education
Group
General Terms and Conditions
HC
HC-SE
HC-SW
HEDIS
HH/HWH
HHS
HI
HIO
HIPAA
HIV/AIDS
HMO
HPI
Hr
Hs
HTN
H
HWH
Hx
Health Choices
Health Choices South East
Health Choices South West
Healthcare Effectiveness Data and Information Set Standards
Halfway House
U.S. Department of Health and Human Services
Homicidal Ideation
Health Insuring Organizations
Health Insurance Portability and Accountability Act
Human Immunodeficiency Virus/ Acquired Immune Deficiency
Syndrome
Health Maintenance Organization
History of Present illness
Hour
Bedtime
Hypertension
Husband
Halfway House
History
IBS
ICD
ICF
ICM
ICSI
ICF/MR
ID
IDDM
IE
IEA
IFB
IM
IMD
Ind.
Info.
IN-NET
Irritable Bowel Syndrome
International Classification of Diseases or Impulse Control Disorder
Intermediate Care Facility
Intensive care manager
Integrated Children’s Services Initiative
Intermediate Care Facilities for Person with mental retardation
Identification
Insulin Dependent Diabetes Mellitus
Independent Evaluator (Beaver County)
Independent enrollment Assistance (Program)
Invitation for Bid
Intramuscular
Institutes for Mental Disease
Individual
Information
In-Network
4
IOP
IP
IP
IPRO
IRR
ISP
ISPT
IV
IVF
Intensive Outpatient Program
Independent Prescriber
Inpatient
Island Peer Review Organization
Inter-rater Reliability
Individualized Service plan
Interagency Service Planning Team
Intravenous
Intravenous Fluids
JCAHO
JDC
Joint Commission on the Accreditation of Healthcare Organizations
Juvenile Detention Center
L
LAAM
LCD
LCP
LCSW
Li
LM
LOC
LOS
LOT
LSD
LTSR
LTC
Left
Levo-Alpha-Acetyl-Methadol
Last day Covered
Licensed Clinical Psychologist
Licensed Clinical Social worker
Lithium
Left Message
Level of Care
Length of Stay
Level of treatment
Lysergic acid diethylamine
Long Term Structured Residential
Long Term Care
MA
MAID
MAMIS
MBE/WBE
MCO
M.D.
MDD
Med Dir
Med eval.
Med rec
Mem
MFCC
Mg.
MGF/MGM
MH
MISA
MO
MPL
MSE
MST
MSW
MT
Medical Assistance
Medical Assistance Identification Number
Medical Assistance Management Information System
Minority Business Owner/Women Business Owner
Managed Care Organization
Medical Doctor
Major Depressive Disorder
Medical Director
Medical Evaluation
Medical Record
Member
Marriage, Family and Child Counselor
milligram
Maternal grandfather/maternal grandmother
Mental Health
Mental Illness and Substance Abuse
Mother
Minimum Participating Levels
Mental Status Exam
Multisystemic Therapy
Masters in Social Work
Mobile Therapy
5
NCQA
NDC
NCE
NKA
NMP
Non-cert.
Non-Par.
NWBHP
National Committee for Quality Assurance
National Drug Code
Non-Continuous Eligibility
No Known Allergy
Non-money payment
Non-certification
Non-Participating
Northwest Behavioral Health Partnership (NW 3)
OAR
OBRA
OCYF
OD
OIP
OMA
OMAP
OMHSAS
OMR
OP
OOA
OON
OOPA
OTC
OTR
Outpatient Authorization Form
Omnibus Budget Reconciliation Act
Office Children, Youth and Families
Overdose
Other Insurance Paid
Office of Medical Assistance
Office of Medical Assistance Programs
Office of mental Health and Substance Abuse Services
Office of Mental Retardation
Outpatient
Out of Area
Out of Network
Out of network provider authorizations
Over the counter
Outpatient Treatment Report (aka treatment plan)
PA
PAC
Par,
PCIS
PCN
PCP
PCPC
PDA
PDR
PE &O
PEPS
PFC
PHI
PH-MCO
PGF/PGM
PHP
PIN
PIP
PMH
PMPM
POM
POS
POSNet
Pre-cert.
PRN
Peer Advisor
Provider Advisory Committee
Participating
Patient Census Information System
Penicillin
Primary Care Provider/Practitioner
Pennsylvania Client Placement Criteria
Pennsylvania Department of Aging
Physician Desk Reference
Prevention, Education and Outreach
Program Evaluation Performance Summary
Provider Field Coordinator
Protected Health Information
Physical Health Managed Care Organization
paternal grandfather/paternal grandmother
Prepaid Health Plan or Partial Hospitalization
Parents Involved Network
Performance Improvement Plan
Past Medical History
Per member Per month
Performance Outcome Measures
Point of Service
Pennsylvania Open Systems Network
Pre-certification
As needed
6
Prov
Psych
P/T
PT.
PR
PRTF
Provider
Psychiatry
part-time
Patient
Peer Review
Psychiatric Residential Treatment Facility
QA/QI/QM
QARI
qd
qhs
QIAAG
QMC
QOCC
qod
QSF
Quality Assurance/Quality Improvement/Quality Management
Quality Assurance Reform Initiative
every day
every night
Quality Improvement Activity Advisory Group
Quality Management Committee
Quality of Care Committee
every other day
Quarterly Status File
RC
RCA
RFP
RPT
R/O
ROI
RTF
RTO
Rx
Rxn
Resource Coordination
Root Cause Analysis
Request for Proposals
Report
Rule Out
Release of Information
Resident Treatment Facility
Return to Office
Prescription
Relaxed
S&S
SA
SAP
SBHM
SBP
SBT
SCD
SERB
SGA
SI
SMH
SMM
SNF
SNU
SO
Soc Hx.
SOP
SPR
SSA
SSDI
SSI
SSN
Signs and Symptoms
Substance Abuse
Statutory Accounting Principles
Southwest Behavioral Health Management (SW 6)
State Blind Pension
Strength Based Treatment
Sleep Continuity Disturbance
Socially Economically Restricted Business
Second Generational Atypical Antipsychotics
Suicidal Ideation
State Mental Hospital
State Medicaid Manual
Skilled Nursing Facility
Special Needs Unit
Significant Other
Social History
Structured Outpatient Program
System Performance review
Social Security Administration
Social Survey Disability Insurance
Supplemental Security Income
Social security Number
7
SSRI
STAP
SUR
SURS
Sw
SVC
Selective Serotonin reuptake inhibitor
Summer Therapeutic Activities Program
Surveillance and Utilization Review
Surveillance and Utilization Review System
South west
Service
TAAG
TANF
TAT
TB
TCA
THC
Tid
Ther.
TMACT
TPL
TSS
TTY
Tx.
Transition Age Advisory Group
Temporary Assistance to Needy families
Turnaround Time
tuberculosis
Tricyclic antidepressants
marijuana
three times per day
Therapeutic
Tool for Measurement of Assertive Community Treatment
Third party Liability
Therapeutic Staff Support
Text telephone and typewriter
Treatment
UDS
UM
UPIN
UR
Urinary Drug Screen
Utilization Management
Unique Physician Identification Number
Utilization Review
VBH
VO
VM
Value Behavioral Health
ValueOptions
Voicemail
w/
w/o
W/U
WNL
With
Without
Work up
Within normal limits
YTD
Year to Date
8
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