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Other functions include monitoring professional ethics and supervising continuing medical education for physicians.
APCs – Ambulatory Payment Classifications AR – Accounts Receivable (AR) is the area that funds are paid to reimburse Medicaid.
CHIRPA – Comprehensive Health Insurance Risk Pool Association CIM – Carrier Information Module (CIM) data on insurance companies with whom Medicaid beneficiaries have medical coverage.
CLIA – Clinical Laboratory Improvement Congress passed the Clinical Laboratory Improvement Amendments (CLIA) in 1988 establishing quality standards for all laboratory testing to ensure the accuracy, reliability and timeliness of patient test results regardless of where the test was performed.
CCM – Certified Case Manager CCO – Coordinated Care Organizations CDC – The Centers for Disease Control (CDC) is an institution of epidemiological science that monitors and investigates health and disease in this country and serves as a resource for the world community.
Inpatient days are calculated by subtracting day of admission from day of discharge, so persons entering and leaving a hospital on the same day have a length of stay of zero.ARRA – American Recovery and Reinvestment Act ARS – Automated Response System ASC – An Ambulatory Surgical Center (ASC) is a licensed facility that is used mainly for performing outpatient surgery, has a staff of physicians, has continuous physician and nursing care by registered nurses and does not provide for overnight stays.AWP – Any Willing Provider BBA – The Balanced Budget Act (BBA) signed into law by the President on Aug.ADS – Alternate Delivery System (ADS) health services that are more cost-effective than inpatient, acute-care hospitals, such as skilled and intermediary nursing facilities, hospice programs and in-home services.AFDC – Aid to Families with Dependent Children (AFDC) is a program administered and funded by Federal and State governments to provide financial assistance to needy families.