Glossary

# | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

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30-Day Readmission Rate

340B Drug Pricing Program

A

Academic Medical Center (AMC)

Accelerated Approval

Accountable Care Organization (ACO)

Accreditation Agency

Active Implantable Medical Device (AIMD)

Addiction Treatment Center

Adjusted Average Per Capita Cost (AAPCC)

Administrative Services Organization (ASO)

Admission-Discharge-Transfer (ADT) Systems

Admitted Carriers

Adverse Drug Event

Affordable Care Act (ACA)

Agency for Healthcare Research and Quality (AHRQ)

All-Patient Diagnosis Related Group (AP-DRG)

All-Payor Claims Database

Alternative Payment Model (APM)

Ambulatory Patient Group (APG)

Ambulatory Payment Classification (APC)

Ambulatory Surgery Center (ASC)

Ambulatory Surgical Center Quality Reporting (ASCQR) Program

American Board of Internal Medicine (ABIM)

American College of Healthcare Executives (ACHE)

American Heart Association

American Hospital Association

American Nurses Credentialing Center (ANCC)

Ancillary Services

Anesthesiologist

Any Willing Provider Laws

Area Health Education Center (AHEC)

Artificial Intelligence (AI)

Artificial Intelligence (AI) in healthcare

Assisted Living Facility (ALF)

Attending Physician

Authorship Position

Autoimmune / Autoimmune Disorder

Average Daily Census (ADC)

Average Length of Stay (ALOS)

B

Balance Billing

Bed Management Software

Bed Utilization

Behavioral Health

Behavioral Risk Factor Surveillance System (BRFSS)

Board Certification

Brand Name Drug

Broad Specialty Care

Bundled Payments

C

Capital Equipment

Capitation Rate

Cardiac Intensive Care Unit (CICU)

Cardiopulmonary Resuscitation (CPR)

Cardiovascular Disease

Care Coordination

Case Mix Index (CMI)

Catastrophic Health Insurance

Catheter-Associated Urinary Tract Infection (CAUTI)

Center for Medicare & Medicaid Innovation (CMMI)

Center of Excellence (COE)

Centers for Devices and Radiological Health (CDRH)

Centers for Disease Control and Prevention (CDC)

Centers for Medicare and Medicaid Services (CMS)

Central Line-Associated Bloodstream Infection (CLABSI)

Certificate of Coverage (CoC)

Certificate of Need (CON)

Chief Medical Officer (CMO)

Chief Nursing Officer (CNO)

Children's Health Insurance Program (CHIP)

Children's Hospital

Chronic Care Management (CCM)

Chronic Disease Management

Chronic Obstructive Pulmonary Disease (COPD)

Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)

Claims Adjudication

Clinical Decision Support (CDS)

Clinical Evaluation Report

Clinical Information Systems (CIS)

Clinical Lab Technician

Clinical Operations (ClinOps)

Clinical Pathway

Clinical Practice Guidelines

Clinical Research

Clinical Research Center

Clinical studies

Clinical Trial Management System (CTMS)

Clinically Integrated Network (CIN)

Cognitive Impairment

Commission on Cancer (CoC)

Communicable Disease

Community Health Center (CHC)

Community Leader

Community-Based Care Transitions Program (CCTP)

Comprehensive Metabolic Panel

Computerized Provider Order Entry (CPOE)

Concierge Medicine

Conditional Marketing Authorisation

Conditions of Participation

Consumable Medical Device

Continuing Care Retirement Community (CCRC) Facilities

Continuing Medical Education (CME)

Continuity of Care

Continuous Glucose Monitor (CGM)

Coordinated Care Reward Program

Coordination of Benefits

Core-Based Statistical Area (CBSA)

Corporate Advisory Boards

Critical Access Hospital (CAH)

Critical Care Medicine

Critical Care Unit

Critical condition

Current Annual Premium

Current Procedural Terminology (CPT)

Customary, Prevailing, and Reasonable

Customer Relationship Management (CRM)

D

Death by Misadventure

Debilitating Illness

Decentralized Clinical Trials (DCT)

Diabetes Education Centers

Diagnosis-Related Group (DRG)

Diagnostic and Statistical Manual of Mental Disorders (DSM)

Diagnostic Radiology

Digital Influencers

Direct Patient Care

Discharge Planning

Disease Management

Do Not Resuscitate (DNR)

Drug Utilization Review (DUR)

Durable Medical Equipment (DME)

E

E-Prescribing/Electronic Prescribing

Echocardiography

Elective Procedures

Electrocardiogram (ECG/EKG)

Electromyogram (EMG)

Electronic Claims Submission (ECS)

Electronic Health Record (EHR)

Electronic Intensive Care Unit (eICU)

Electronic Medical Record (EMR)

Electronic Patient-Reported Outcomes (ePROs)

Emergency Medical Condition

Emergency Medical Services (EMS)

Emergency Medical Technician (EMT)

Emergency Medicine

Emergency Operations Plan (EOP)

Emergency Physician

Emergency Services

Emerging Expert or "Rising Star"

Emotional Health

Employer-Sponsored Health Insurance

Episode of Care

Evidence-Based Medicine

Excluded Services

Experimental Studies

External Experts

F

Family Medicine

FDA Advisory Committees

Federal/Government Hospital

Federally Qualified Health Center (FQHC)

Fee-for-service (FFS)

Food and Drug Administration (FDA)

For-Profit Hospital

G

Gastroenterology

Gastroesophageal Reflux Disease (GERD)

General Ledger Software

General Practice

Genetic Testing

Genomic Sequencing

Geriatrics/Geriatric Medicine

Global Location Number (GLN)

Group Purchasing Organization (GPO)

H

Habilitation Services

Health and Human Services (HHS)

Health Economics and Outcomes Research (HEOR)

Health Information Exchange (HIE)

Health Information Service Provider (HISP)

Health Information Technology (HIT)

Health Insurance

Health Insurance Network

Health Insurance Portability and Accountability Act (HIPAA)

Health Insurance Premium

Health Insurance Purchasing Cooperative (HIPC)

Health Maintenance Organization (HMO)

Health Outcomes

Health Plan Employer Data and Information Set (HEDIS)

Health Professional Shortage Area (HPSA)

Health Screening

Health Services Manager

Health Technology Assessment (HTA)

Health-Related Quality of Life (HRQL)

Healthcare Associated Infections (HAIs)

Healthcare Common Procedure Coding System (HCPCS)

Healthcare Compliance

Healthcare Cost and Utilization Project Quality Indicators (HCUP QIs)

Healthcare Cost Reporting Information System (HCRIS)

Healthcare Data Warehouse

Healthcare Ecosystem

Healthcare Industry Number (HIN)

Healthcare Paraprofessional

Healthcare Provider

Healthcare Reimbursement

Hierarchal Condition Categories (HCCs)

Hill-Burton Act

HIPAA Breach Notification Rule

Home and Community-Based Services (HCBS)

Home Health Agency (HHA)

Home Health Care

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

Hospital Information System

Hospital Readmissions Reduction Program (HRRP)

Hospital Referral Region (HRR)

Hospital Revenue

Hospital Value-Based Purchasing (VBP) Program

Hospital-Acquired Condition (HAC) Reduction Program

Hospital-Acquired Conditions (HACs)

Hospitalization

Human Factors Assessment

Hybrid Operating Room

I

Immuno-oncology

Implantable Medical Device

In Vitro Diagnostics

Incident Reporting

Independent Hospital

Indian Health Service (IHS)

Infant Incubators

Infection Prevention and Control (IPC)

Infection Surveillance System

Infectious Disease

Informed Consent

Inpatient Claim

Inpatient Procedure

Institutional Long-Term Care

Instructional Healthcare Directive

Integrated Delivery Network (IDN)

Intensive Care Unit (ICU)

Intermediate Care Facility (ICF)

Internal Medicine

Interoperability

Interventional Radiology

Intravenous (IV)

J

Joint Commission

Journal Editorial Board

Journal Impact Factor

K

Key Opinion Leader (KOL)

L

Laboratory and Diagnostic Medical Equipment

Laboratory Information System (LIS)

Learning Management System

Length of Stay (LOS)

Licensed Practical Nurse (LPN)

Long-Term Care Facility

Long-term Care Insurance (LTCI)

M

Machine Learning

Magnet Hospital Status

Magnetic Resonance Imaging (MRI)

Major Depressive Disorder (MDD)

Major Unusual Incidents (MUIs)

Managed Care Organization (MCO)

Management Service Organization (MSO)

Medical Affairs

Medical Charting System

Medical Guidelines

Medical Loss Ratio (MLR)

Medical Malpractice Insurance

Medical Necessity

Medical Records Specialist

Medical Research Center

Medical Science Liaison (MSL)

Medical Societies

Medical Subject Headings (MeSH)

Medically Underserved Populations

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

Medicare Advantage

Medicare Cost Report (MCR)

Medicare Part A

Medicare Part B

Medicare Part C

Medicare Part D

Medicare Rural Hospital Flexibility (Flex) Program

Medicare Severity Diagnosis Related Group (MS-DRG)

Medicare Shared Savings Program (MSSP)

Medicare/Medicaid Provider Number (MPN)

Medication Reconciliation

Mental Health Services

Mental Healthcare

Mental Illness/Impairment

Mergers & Acquisitions (M&As)

Merit-based Incentive Payment System (MIPS)

Minimally Invasive Surgery

Mobile Health (mHealth)

N

National Drug Code (NDC)

National Institutes of Health (NIH)

National Patient Safety Goals (NPSG)

National Provider Identifier (NPI) Standard

Neighborhood Health Center

Neonatal Intensive Care Unit (NICU)

Net Patient Revenue (NPR)

Network Provider

Neuropathic Pain

Non-Invasive Procedure

Non-Physician Provider

Noncommunicable Disease

Nonprofit Hospital

Nosocomial Infection

Nuclear Medicine

Nurse Practitioner (NP)

Nurse Scheduling Software

Nursing Informatics

O

Observational Studies

Obstetrical Systems

Obstetrics and Gynecology

Occupational Health Services

Occupational Safety & Health Administration (OSHA)

Occupational Therapist

Oncology Information System

Open Payments Data

Operating Room (OR)

Operating Room Management System

Organ Transplant

Orthopedic Centers

Out-of-Network Co-Insurance

Out-of-Network Copayment

Out-of-Pocket Limit

Outpatient Care

Outpatient Center

Outpatient Claim

Outpatient Procedure

Over-The-Counter (OTC)

P

Pain Management

Palliative Care

Patient Journey

Patient Mortality Rate

Patient Origination

Patient Population

Patient Reported Experience Measures (PREMs)

Patient Safety Officer

Patient Safety Organization (PSO)

Patient-Centered Care

Personal Protective Equipment (PPE)

Pharmacogenomics

Physical Therapist

Physician Assistant, Certified (PA-C)

Physician Burnout

Physician Group

Physician Payments Sunshine Act

Physician Payments Sunshine Act (Sunshine Act)

Physician Practice Management

Physician Practice Management Group

Physician Preference Item (PPI)

Physician Quality Reporting System

Physician Specialist

Physician Specialty

Picture Archiving and Communication System (PACS)

Plastic Surgery

Point-of-Service Plan (POS)

Population Health

Post-Acute Care

Posttraumatic Stress Disorder (PTSD)

Practice Management System (PMS)

Pre-Existing Condition

Precision Medicine

Preferred Provider

Preferred Provider Organization (PPO)

Premarket Approval (PMA)

Prescription Drug Coverage

Prescription Drugs (Rx)

Press Ganey Survey

Preventive Care

Preventive Medicine

Primary Care Provider

Primary Diagnosis

Principal Diagnosis

Principal Investigator

Private Practice

Protected Health Information (PHI)

Psychiatric Disorder

Psychiatric Hospital

Public Use File (PUF)

Q

Qualified Health Information Network (QHIN)

Qualified Medical Interpreter

Quality Improvement

Quality Improvement Organization (QIO)

Quality Metrics

Quality Payment Program (QPP)

R

Rapid Response System

Rapid Response Team

Real-Time Location Solution

Real-World Data/Real-World Evidence

Referral Network

Referring Physician

Regional Purchasing Coalition (RPC)

Registered Nurse (RN)

Rehabilitation Services

Remote Patient Monitoring (RPM)

Renal Dialysis Center

Request for Proposal (RFP)

Request for Quotation (RFQ)

Respiratory Syncytial Virus (RSV)

Respiratory Therapy

Restricted Funds

Revenue Cycle Management (RCM)

Revenue Leakage

Risk Adjustment Factor

Risk Management

Risk Retention Group (RRG)

Robotic Surgery Devices

Rural Health Clinic (RHC)

S

Secondary Diagnosis

Serviceable Addressable Market (SAM)

Serviceable Obtainable Market (SOM)

Share of Voice (SoV)

Short-Term Acute Care Hospital (STAC)

Skilled Nursing Care

Skilled Nursing Facility (SNF)

Sleep Disorder Center

Slow-Release Medicine

Social Determinants of Health (SDOH)

Social Health Maintenance Organization (SHMO)

Social Security Disability Insurance (SSDI)

Social Services Block Grant (SSBG) Services Program

Sole Community Hospital

Specialty Pharmacy

Sports Medicine

Staffing Shortage

Standard Analytical Files

Standard of Care

Strategic Sourcing

Surgical Medical Device

Surgical Site Infection (SSI)

Surrogate Endpoint

T

Teaching Hospital

Telediagnostics

Telestroke (Stroke Telemedicine)

Terminal Condition

Thoracic Services

Total Addressable Market (TAM)

Total Quality Management

Transfusion Management System 

Transitional Care

Transitional Care Unit

Trauma Registry Software

Trauma/Burn ICU

U

Uncompensated Care

Unique Device Identifier (UDI)

Unit Dose Packaging System

Unmet Medical Needs

Urgent care facility

Usual, Customary, and Reasonable Charges

Utilization Review

V

Value Based Care

Value-Based Purchasing (VBP) Program

Vascular Access

Veterans' Health Services Programs

Video Remote Interpreting (VRI)

Virtual Primary Care

Visiting Nurse Association (VNA)

Vital Signs Monitor

Vocational Rehabilitation

W

Wall-Mounted Workstation

Wearable Medical Devices

Workers' Compensation Program

Workstation on Wheels

World Health Organization (WHO)

Wound Care Clinic

X