Glossary

#

• 340B Drug Pricing Program

A

• Accountable Care Organization (ACO)
• American College of Healthcare Executives (ACHE)
• American Nurses Credentialing Center (ANCC)
• Assisted Living Facility (ALF)

C

• Case Mix Index (CMI)
• Center of Excellence (COE)
• Centers for Medicare and Medicaid Services (CMS)
• Certificate of Need (CON)
• Children’s Health Insurance Program (CHIP)
• Clinically Integrated Network (CIN)
• Community Health Center (CHC)
• Coordinated Care Reward Program
• Current Procedural Terminology (CPT)
• Customer Relationship Management (CRM)

D

• Death by Misadventure
• Diagnosis-Related Group (DRG)

F

• Fee-for-service (FFS)

G

• Global Location Number (GLN)

H

• Health Information Exchange (HIE)
• Healthcare Associated Infections (HAIs)
• Healthcare Common Procedure Coding System (HCPCS)
• Healthcare Data Warehouse
• Healthcare Industry Number (HIN)
• Healthcare Provider
• Home Health Agency (HHA)
• Home Health Care
• Hospice
• Hospital Acquired Conditions (HACs)
• Hospital Referral Region (HRR)

I

• ICD-10
• Integrated Delivery Network (IDN)
• Interoperability

K

• Key Opinion Leader (KOL)

L

• Length of Stay (LOS)
• Long-Term Care Facility

M

• Meaningful Use
• Medical Loss Ratio (MLR)
• Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
• Medicare Severity Diagnosis Related Group (MS-DRG)
• Medicare/Medicaid Provider Number (MPN)
• Mergers & Acquisitions (M&As)
• Merit-based Incentive Payment System (MIPS)

N

• National Provider Identifier (NPI) Standard

O

• Outpatient Care

P

• Patient Journey
• Payer
• Physician Assistant, Certified (PA-C)
• Physician Group
• Physician Preference Item (PPI)
• Population Health
• Primary Diagnosis
• Principal Diagnosis
• Public Use File (PUF)

Q

• Quality Metrics

R

• Regional Purchasing Coalition (RPC)
• Request for Proposal (RFP)
• Rural Health Clinic (RHC)

S

• Secondary Diagnosis
• Skilled Nursing Facility (SNF)

T

• Telemedicine

V

• Value Based Care
• Value-Based Purchasing (VBP) Program