CCM Acronyms
AAAs
Acute ICM
ACP
AI
API
Stands for the Area on Aging Agency
In-patient case manager
Advanced Care Planning
Advanced Illness
Acute Provider Intervention
ACSC
BCRT
Ambulatory Care Sensitive Condition
Blended Census Reporting Tool
CA
CAHPS
Clinical Advisor
Consumer Assessment of Healthcare
Providers and Systems
Complex Care Management
Community Care Platform
Chronic Care Improvement
Census Data Unit
Clinically Integrated Delivery Model
Care Manager Assistant
Care Management Team
Complex Population Management
System
Continuous Quality Improvement
Consumer Solutions Group
Clinical Service Manager
Clinical Team Lead
Director Clinical Ops
OWA
OICM
Decision Support tool
Executive Director
Electronic Medical Record or
Electronic Health Record
Claims & eligibility database
Home Based Provider
Health Care Economics
Healthcare Effectiveness Data and
Information Set
RPM
RST
Quality Improvement Projects
Quality of Care
Risk Adjustment Data Validation
Risk Adjusted Factor
Optum file sent to CMS containing
patient diagnosis data collected
Risk Predictive Model
Risk Stratification Tool
SEF
Supplemental Encounter Form
SME
SNF
SNP
Subject matter expert
Skilled Nursing Facility
Special Needs Plan
HCC
Hierarchical Condition Codes
TCT
HOS
HP
HRCM
HVP
ICDS
ICT
ISNP
LTSS
Health Outcomes Survey
Health Plan
High Risk Case Management
Home Visiting Provider
Integrated Care Delivery System
Interdisciplinary Care Team
Institutional Special Needs Plan
Long-term Services and Supports
TTS
TICM
TCDS
TCM
TTH
TL / CTL
TNOC
UM
UCS
CCM
CCP
CCIP
CDU
CIDM
CMA
CMT
CPMS
CQI
CSG
CSM
CTL
DCO
DST
ED
EMR or
EHR
EZ Cap
HBP
HCE
HEDIS
MNOC
MME
MLR
NCM
NMD /
NCD
NCM
NCQA
PAS
PAT
PCCM
PCP
PCT
PHI
PMPM
PVP
QIP
QOC
RADV
RAF
RAPS file
MN Outreach Center
Medicare and Medicaid Eligible
Medical Loss Ratio
Nurse Care Manager
Network Medical Director or Network
Clinical Director
Nurse Care Manager
National Committee for Quality
Assurance
Outlook Web Access
Acute Onsite Inpatient Care Manager
(hospital)
Post-acute Services
Post-Acute Transition (Onsite – SNF)
Patient Centered Clinical Model
Primary Care Provider
Patient Care Team
Provider Home Intervention
Per Member Per Month
Primary Visiting Provider
STAR
Trans-disciplinary team (facility staff,
PCP, NP,CM)
Transition to Skilled
Telephonic Inpatient Care Manager
Traditional Care Delivery System
Transitional Case Management
Transition to Home
Team Lead or Clinical Team Lead
Tennessee Outreach Center
Utilization Management
United Clinical Services
2015
Confidential and proprietary | Use pursuant to company instructions | Optum Clinical Education & Training Team | Page 1
AP0002 CCM Acronyms 110615