healthcare acronym dictionary 2021 – 2022 edition

| 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 |

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


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


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


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


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

http://www.hipaa-dsmo.org/


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

http://www.hipaa-dsmo.org/

http://www.ansi.org/


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

http://www.deadiversion.usdoj.gov/ecomm/e_rx/index.html


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

http://www.justice.gov/ag/foia.htm


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

http://www.gsa.gov

http://www.gsa.gov

http://www.hhs.gov


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

http://www.hitsp.org/


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

http://www.ifpw.com/

http://www.incits.org

http://www.incits.org

http://ismp.org/


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


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

http://www.healthit.gov/policy-researchers-implementers/meaningful-use

http://www.naic.org/


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

http://www.ncpdp.org/news_hipaa_snip.aspx

http://www.ncvhs.hhs.gov


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

http://www.npcnow.org

http://www.cms.gov/Regulations-and-Guidance/HIPAA-Administrative-Simplification/NationalProvldentStand

http://www.nubc.org/

http://www.cms.hhs.gov

http://www.healthit.gov/


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


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


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


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


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


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

http://www.va.gov/

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THE 2021-2022 HEALTHCARE ACRONYM DICTIONARY IS SPONSORED BY:

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healthcare acronym dictionary 2021 – 2022 edition

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