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Resources for Home Health, Hospice & Private Duty

Useful links and glossary information for home health, hospice and private duty agencies.

Governmental / Insurance Home Health & Hospice Links:

National Home Health, Hospice and Private Duty Associations:

State Home Health Associations:


Glossary of Home Health, Hospice and Healthcare Terms:

ACHC - Accreditation Commission for Health Care

ADA - American Diabetic Association

ALF - Assisted living facility

ALJ - Administrative Law Judge

APIC - Association for Professional in Infection Control

CDC - Centers for Disease Control and Prevention

CDE - Certified Diabetic Educator

CEU - Continuing Education Unit

CM - Case Manager

CMN - Certification of Medical Necessity

COP - Condition Of Participation

CPO - Care Plan Oversight

CRTT - Certified Respiratory Therapy Technician

CWF - Common Working File

DHHS - Department of Health and Human Services

DME - Durable Medical Equipment

DP - Discharge Planner

DSS - Department of Social Services

DX - Diagnosis

E&M - Evaluation & Management

EDI - Electronic Data Interchange

ET - Enterostomal Therapist

FC - Final Claim

FFS - Fee for Service

FI - Fiscal Intermediary

FMR - Focus Medical Review

FR - Federal Register

HCFA - Health Care Financing Administration

HCPCS - Health Care Procedure Coding System

HHL - Home Health Line

HHQI - Home Health Quality Initiative

HHRGs - Home Health Resource Groups

HHS - Health and Human Services

HI# - Health Insurance (Medicare) Number

HIPAA - Health Insurance Portability and Accountability Act

HIPPS - Health Insurance Prospective Payment System

HL-7 - Health Level-7 HV - Home Visit

IPS - Interim Payment System

JCAHO - Joint Commission on Accreditation of Health Care Organization

L & C - Licensing and Certificate

LCSW - Licensed Clinical Social Worker

LMRP - Local Medical Review Policies

LOS - Length of Stay

LTC - Long Term Care

MDS - Minimum Data Set

MEDPAC - Medicare Payment Advisory Commission

MQIS - Medicare Quality Indicator System

MSP - Medicare Secondary Payor

NAHC - National Association of Home Care

NASW - National Association of Social Workers

NHPCO - National Hospice and Palliative Care Organization

NOE - Notice Of Election

NPI - National Provider Identifier

OASIS - Outcomes and Assessment Information Set

OBQI - Outcome Based Quality Improvement

OBQM - Outcome Based Quality Management

OIG - Office Of Inspector General

ORT - Operation Restore Trust

OSHA - Occupational Safety and Health Standards

PA - Physician Assistant

PCP - Primary Care Provider

PDCA - cycle Plan-Do-Act-Check

PDN - Private Duty Nursing

PEP - Partial Episode Payment

PHI - Protected Health Information

PI - Performance and Improvement

PIM - Program Integrity Manual

POC - Plan of Care

POS - Point Of Service

POT - Plan of Treatment

PPS - Prospective Payment System

QA - Quality Assurance

QCHF - Quality Care Health Foundation

QI - Quality Improvement

QIO - Quality Improvement Organization

RCF - Residential Care Facility

RECERT - Re-certification

RHHI - Regional Home Health Intermediary

RRT - Registered Respiratory Therapist

SCIC - Significant Changes In Condition

SHP - Strategic Healthcare Program

SN - Skilled Nurse

SNF - Skilled Nursing facility

SOC - Start Of Care

STARK - Physician Self-Referral Law

TCM - Targeted Case Management

TPA - Third Party Administrators

TPL - Third Party Liability

UB - Uniform Bill

UGS - United Government Services

UR - Utilization Review

VNAA - Visiting Nurse Association of America