Glossary

CMS's term for their pre-HIPAA National Payer ID initiative.

Costs incurred for processing of data.

The total payment that a hospital or community mental health center gets when they give outpatient services to Medicare patients.

Activities to prevent and recover inappropriate Medicare benefit payments including MSP, MR/UR, provider audits, and fraud and abuse detection.

See Suspension of Payments.

Taxes levied on the gross wages of workers.

An exam to check if internal female organs are normal by feeling their shape and size.

A number that corresponds to one of the equal divisions of the range of a variable in a given sample and that characterizes a value of the variable as not exceeded by a specified percentage of all the values in the sample. For example, a score higher that 97 percent of those attained is said to be in the 97th percentile.

The way in which an individual, group, or organization carries out or accomplishes its important functions or processes.

Involves the analysis and interpretation of performance measurement data to transform it into useful information for purposes of continuous performance improvement.