Exploring Episode-Based Approaches for Medicare Performance Measurement, Accountability and Payment Final Report. Abbreviations


Abbreviation Definition
ACEI Angiotensin converting enzyme inhibitor
ACO Accountable care organizations
AMI Acute myocardial infarction
APC Ambulatory payment classification
APU Annual payment update
ARB Angiotensin receptor blocker
ASC Ambulatory surgical center
ASPE Assistant Secretary for Planning and Evaluation
BMI Body mass index
CABG Coronary artery bypass graft
CAD Coronary artery disease
CKD Chronic kidney disease
CMG Case-mix group
CMS Centers for Medicare and Medicaid Services
COPD Chronic obstructive pulmonary disease
COLA Cost of living adjustment
CPI Consumer price index
CPT Current procedural terminology
CT Computed tomography
DHHS Department of Health and Human Services
DRG Diagnosis related group
DSH Disproportionate share
ECT Electroconvulsive therapy
E&M Evaluation and management
ESRD End stage renal disease
ETG Episode treatment group
FEHB Federal employee health benefits
FFS Fee-for-service
GAO Government accountability office
GDP Gross domestic product
GERD Gastroesophageal reflux disease
HCC Hierarchical condition category
HCPCS Healthcare common procedure coding system
HHA Home health agency
HHQI Home health quality initiative
HF Heart failure
HHRG Home health resource group
HOP QDRP Hospital outpatient quality data reporting program
IDS Integrated delivery system
IOM Institute of Medicine
IPPS Inpatient prospective payment system
IRF Inpatient rehabilitation facility
LDL Low-density lipoprotein
LTC Long term care
LTCH Long term care hospital
LVSD Left ventricular systolic dysfunction
MA Medicare Advantage
MCP Monthly capitation payment
MedPAC Medicare payment advisory committee
MEG Medical episode grouper
MDS Myelodysplastic syndrome
MRI Magnetic resonance imaging
MSA Metropolitan statistical area
MS DRG Medicare severity diagnosis related group
MSIS Medicaid statistical information system
MS LTC DRG Medicare severity long term care diagnosis related group
NHQI Nursing home quality initiative
NLA National limitation amount
OASIS Outcome assessment and information set
OME Otis media with effusion
PCI Percutaneous coronary intervention
PHO Physician hospital organization
PN Community acquired bacterial pneumonia
PPS Prospective payment system
PQRI Physician quality reporting initiative
P4P Pay for performance
P4R Pay for reporting
RAP Radiology, anesthesiology, pathology
RHQDAPU Reporting hospital quality data for annual update
RPL Rehabilitation, psychiatric and long term care
RUG Resource utilization group
Rx  HCC Prescription drug hierarchical condition category
SGR Sustainable growth rate
SNF Skilled nursing facility
UI Urinary incontinence
VBP Value-based purchasing

View full report


"report.pdf" (pdf, 1.02Mb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®