Glossary: Glossary

ACFE
Association of Certified Fraud Examiners
AG
Attorney General
CMS
Centers for Medicare and Medicaid
DME
Durable Medical Equipment such as wheelchairs
DOJ
Department of Justice
FAQ
Frequently Asked Questions
FCA
False Claims Act
FourThought Group
FourThought Group is a full service consulting organization specializing in health care Information Systems. Since 1989, members of our staff have demonstrated experience, knowledge and expertise in the health care systems arena. We provide a broad assortment of professional services spanning a wide variety of technical and business/application areas. We have an unparalleled track record in the industry, primarily driven by client success.
GIS
Geographic Information Systems can be used to dramatically decrease fraud. It can be a great tool to help you: identify geographic areas to focus on, illustrate that fraud occurred, and identify participants in fraud rings.
HCFAC
Health Care Fraud and Abuse Control
HHS
Health and Human Services
HIPAA
Healthcare Information Portability and Accountability Act of 1996 was passed by Congress to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes.
MFCU
Medicaid Fraud Control Unit
NASMD
National Association of State Medicaid Directors
NASO
National Association of SURS Officials
OIG
Office of Inspector General
PAM
Payment Accuracy Measurement
PCCM
Primary Care Case Management
PHI
Protected Health Information This is information that should only be shared under certain circumstances defined by HIPAA.
PS-TG
Private Sector Technology Group
Serostim
Serostim is Serono's brand of the growth hormone Somatropin. It is approved for the treatment of AIDS wasting, but it is often abused, being used by body builders.
SURS
Surveillance and Utilization Review System
VFC
Vaccines for Children, a program that pays for vaccinations.