Medicare Secondary Payer Acronyms

These Medicare Secondary Payer acronyms are provided by Gould & Lamb. Gould & Lamb, LLC is the nation’s most trusted Medicare Compliance resource for Medicare Set Aside MSA, Medicare Secondary Payer MSP, and Mandatory Insurer Reporting MIR.  Since 2001, Gould & Lamb has completed over 80,000 Medicare Set Asides and has negotiated over 6,000 Conditional Payment liens.


ACE

Average Current Earnings

AME

Agreed Medical Evaluation

AWW

Average Weekly Wage

C&R

Compromise and Release

CMS

Center for Medicare/Medicaid Services

COB (COBC)

Coordination of Benefits

CPN

Conditional Payment Notification (CMS)

CPR

Conditional Payment Review

CWF

Common Working File

DOA

Date of Accident

DOB

Date of Birth

DOI

Date of Injury

DOL

Date of Loss

HICN

Health Insurance Claim Number

HIPAA

Health Insurance Portability and Accountability Act of 1996

ICCN

Internal Case Control Number

ICD-9

International Classification of Diseases

IEP

Individual Educational Plan

LC

Lead Contractor

LCP

Life Care Plan

LE

Life Expectancy

LMSA

Liability Medicare Set Aside

MEI

Medicare Eligibility Inquiry

MFB

Maximum Family Benefit

MMI

Maximum Medical Improvement

MMSEA

Medicare Medicaid SCHIP Extension Act of 2007

MSA

Medicare Set-Aside

MSCC

Medicare Set-Aside Certified Consultant

MSP

Medicare Secondary Payer

NOI

Notice Of Injury

ORM

Ongoing Responsibility for Medical

PHI

Personal Health Information

PIA

Primary Insurance Amount

PIR

Permanent Impairment Rating

PTD

Permanent Total Disability

QA

Quality Assurance

RA

Rated Age

RAR

Rights & Responsibilities

RO

Regional Office

Rx

Prescription

SCS

Spinal Cord Stimulator

SCHIP

State Children’s Health Insurance Program

SD

Settlement Documents

SFS

Self Funded Retention

SPF

Settlement Prescription Forecast

SSDI

Social Security Disability Income

SSI

Social Security Income

TAT

Turn-Around Time

TPOC

Total Payment Obligation to Claimant

TSA

Total Settlement Amount

TTD

Temporary Total Disability

U&C

Usual & Customary

WC

Workers' Compensation

WCMSA

Workers' Comp Medicare Set-Aside

WCRC

Workers' Comp Review Contractor

YTD

Year To Date