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Program Safeguard Contracts - abbrev
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PSCs
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PSCs
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CMS trasferred responsiblity for fraud and abuse detection from fiscal intermediaries (FIs) and carriers to Program Safeguard Contracts. in 2009 replaced by the Zone Program Integrity Contractor (ZPIC)
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Improper Payments Information Act of 2002 - abbrev
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IPIA
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IPIA
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Established PERM, CERT, and HPMP
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Payment Error Rate Measurement program - abbrev
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PERM
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PERM
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Measures improper payments in the Medicaid program and SCHIP
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Comprehensive Error Rate Testing program - abbrev
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CERT
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CERT
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Assesses and measures improper Medicare fee-for-service payments
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Hospital Payment Monitoring Program - abbrev
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HPMP
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HPMP
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Measures, monitors, and reduces the incidence of Medicare fee-for service payment errors for short-term, acute care, inpatient PPS hopsitals; included dev of FATHOM and PEPPER
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First-look Analysis for Hospital Outlier Monitoring - abbrev
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FATHOM
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FATHOM
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Data analysis tool, which provides administrative hospital and state-specific data for specific CMS target areas
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Program for Evaluating Payment Patterns Electronic Report - abbrev
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PEPPER
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PEPPER
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Contains hospital-specific administrative claims data for a number of CMS-identified problem areas; a hospital uses PEPPER data to compare their performance with that of other hospitals
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Recovery audit contractor program - abbrev
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RAC
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