ICRs Glossary of Terms, Acronyms and Abbreviations
|Acronym||Term / Definition|
|A&G||Administrative and General|
|ADHC||Adult Day Health Care Program|
|ALC||Alternate Level of Care
Alternate Level of Care services shall mean those services provided by a hospital to a patient for whom it has been determined that inpatient hospital services are not medically necessary, but that post-hospital extended care services are medically necessary, consistent with utilization review standards, and are being provided by the hospital and are not otherwise available.
|ALOS||Average Length of Stay
The average number of days patients are in the hospital.
|AQE||Accessibility, Quality, and Efficiency|
|BDCC||Bad Debt and Charity Care
Care provided by facilities for which no direct payment is received.
|CAH||Critical Access Hospitals
Small, rural hospitals which are needed in their area for health care services.
|CCG||Cost Center Group|
|CCU||Coronary Care Unit|
|CFR||Code of Federal Regulations|
|CMHC||Community Mental Health Center|
|CMS||Centers for Medicare & Medicaid Services|
|CORF||Comprehensive Outpatient Rehabilitation Facility|
|CPEP||Comprehensive Psychiatric Emergency Program|
|CRNA||Certified Registered Nurse Anesthetist|
|DME||Direct Medical Education
Direct medical education salaries and fringe benefit costs incurred by hospitals for the supervising and teaching physicians as well as the Interns and Residents (I&R) in the teaching program.
|EHR||Electronic Health Records|
|ESRD||End Stage Renal Disease|
|FQHC||Federally Qualified Health Center|
|FTE||Full Time Equivalent|
|GME||Graduate Medical Education
Graduate Medical Education program in hospitals for teaching and supervising interns and residents. Direct GME costs shall mean the reimbursable salaries, fringe benefits, non-salary costs and allocated overhead for residents, fellows, and supervising physicians.
|HHA||Home Health Agency|
|HIT||Health Information Technology|
|HMO||Health Maintenance Organization|
|I & Rs||Interns and Residents|
|ICU||Intensive Care Unit|
|IME||Indirect Medical Education
Indirect medical education costs incurred by hospitals for the teaching programs; Indirect costs shall mean an estimate of the costs associated with additional ancillary intensiveness of medical care, more aggressive treatment regimens, and increased availability of state-of-the-art testing technologies resulting from the training of residents and fellows.
|IPF||Inpatient Psychiatric Facility|
|IRF||Inpatient Rehabilitation Facility|
|LOS||Length of Stay
The number of days a patient is in the hospital.
|MMTP||Methadone Maintenance Treatment Program|
|MRI||Magnetic Resonance Imaging|
|NPI||National Provider Identifier|
|NYCRR||New York Codes, Rules & Regulations|
|OASAS||Office of Alcohol and Substance Abuse Services|
|OHIP||Office of Health Insurance Programs|
|OLTC||Other Long Term Care|
|OMH||Office of Mental Health|
|OOT||Outpatient Occupational Therapy|
|OPT||Outpatient Physical Therapy|
|OSP||Outpatient Speech Pathology|
|PHL||Public Health Law|
|PHSP||Prepaid Health Service Plan|
|RCC||Ratio of Cost to Charges|
|RTR||Worker Recruitment, Training, and Retention|
|RUG||Resource Utilization Group|
|SCHIP||State Children’s Health Insurance Program|
|SNF||Skilled Nursing Facility|
|SPARCS||Statewide Planning and Research Cooperative System
A comprehensive medical record data reporting system. Initially created to collect information on discharges from hospitals, SPARCS currently collects patient level detail on patient characteristics, diagnoses and treatments, services, and charges for every hospital discharge, ambulatory surgery patient, and emergency department admission in New York State.
|TBI||Traumatic Brain Injury|
|UPL||Upper Payment Limit
A reasonable estimate of the amount that would be paid for Medicaid services, using Medicare principles. Required by CMS as assurance that the State is not overpaying Medicaid as the Federal government funds to States 50% of the Medicaid costs.
|WIC||Women, Infants and Children Program|
|WRR||Worker Recruitment and Retention|