Based on the many requests coming into the blog, inquiring minds want to know! So, here’s a list of some of the most common abbreviation used by the Center of Medicare and Medicaid Services (CMS) to describe their many services and programs.
AD: Account Designee. Assigned by the Account Manager
AM: Account Manager. Assigned by the Authorized Representative
AR: Account Representative. Can contractually bind the insurer
COBC: Coordination of Benefits Center. Responsible for receiving MQF and MIR files
COBSW: Coordination of Benefits Secure Web-Site. For RRE registration processing
CP: Conditional Payment
CPR: Conditional Payment Research
CMS: Centers for Medicare & Medicaid Services
CSA: Claim Settlement Allocation
EDI: Electronic Data Interface
LC: Lead Contractor, see MSPRC
MIR: Mandatory Insurer Reporting
MMSEA: Medicare & Medicaid State Children’s Health Insurance Program Extension Act
MQF: Medicare Query Function. Used to determine Medicare eligibility & reporting requirements
MSA: Medicare Set Aside. Allocation
MSP: Medicare Secondary Payer
MSPRC: Medicare Secondary Payer Recovery Contractor. Responsible for recovery of CP
NAIC: National Association of Insurance Commissioners
NGHP: Non-Group Health Plans. Workers’ compensation, liability, auto No-fault, etc.
PIN: Personal Identification Number. For COBSW
RRE: Responsible Reporting Entity
RRE ID: Responsible Reporting Entity Identification
SCHIP: State Children’s Health Insurance Program
TIN: Tax Identification Number
TPA: Third Party Administrator
TPOC: Total Payment Obligation of Claimant
Thank you to Gould & Lamb, LLC, for providing this list of abbreviations. They can be contacted at www.GouldandLamb.com.
Click on these links to try it for yourself.
WC Calculator www.ReduceYourWorkersComp.com/calculator.php
TD Calculator www.ReduceYourWorkersComp.com/transitional-duty-cost-calculator.php
WC 101 www.ReduceYourWorkersComp.com/workers_comp.php
Do not use this information without independent verification. All state laws are different. Consult with your corporate legal counsel before implementing any cost containment programs.
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