HIPAA Glossary NOP
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NAIC: The National Association of Insurance Commissioners.
NASMD: The National Association of State Medicaid Directors.
National Association of Insurance Commissioners (NAIC): An association of the insurance commissioners of the states and territories.
National Association of State Medicaid Directors (NASMD): An association of state Medicaid directors. NASMD is affiliated with the American Public Health Human Services Association (APHSA).
National Center for Health Statistics (NCHS): A federal organization within the CDC that collects, analyzes, and distributes health care statistics. The NCHS maintains the ICD-x-CM codes.
National Council for Prescription Drug Programs (NCPDP): An ANSI-accredited group that maintains a number of standard formats for use by the retail pharmacy industry, some of which are included in the HIPAA mandates.
National Committee for Quality Assurance (NCQA): An organization that accredits managed care plans or Health Maintenance Organizations (HMOs). In the future, the NCQA may play a role in certifying these organizations’ compliance with the HIPAA A/S requirements.
National Committee on Vital and Health Statistics (NCVHS): A Federal body within the DHHS, which has an important advisory role under HIPAA.
National Drug Code (NDC): A medical code set that identifies prescription drugs and some over the counter products, and that has been selected for use in the HIPAA transactions.
National Employer ID: A system for uniquely identifying all sponsors of health care benefits.
National Health Information Infrastructure (NHHI): This is a healthcare-specific lane on the Information Superhighway, as described in the National Information Infrastructure (NII) initiative. Conceptually, this includes the HIPAA A/S initiatives.
National Patient ID: A system for uniquely identifying all recipients of health care services.
National Payer ID: A system for uniquely identifying all organizations that pay for health care services. Also known as Health Plan ID, or Plan ID.
National Provider ID: A system for uniquely identifying all providers of health care services, supplies, and equipment.
National Standard Format (NSF): Generically, this applies to any national standard format, but it is often used in a more limited way to designate the Professional EMC NSF, a 320-byte flat file record format used to submit professional claims.
National Uniform Billing Committee (NUBC): An organization, chaired and hosted by the American Hospital Association, that maintains the UB-92 hardcopy institutional billing form and the data element specifications for both the hardcopy form and the 192-byte UB-92 flat file EMC format. The NUBC has a formal consultative role under HIPAA for all transactions affecting institutional health care services.
National Uniform Claim Committee (NUCC): An organization, chaired and hosted by the American Medical Association, that maintains the HCFA-1500 claim form and a set of data element specifications for professional claims submission via the HCFA 1500 claim form, the Professional EMC NSF, and the X12 837. The NUCC has a formal consultative role under HIPAA for all transactions affecting non-dental non-institutional professional health care services.
NCHS: The National Center for Health Statistics.
NCPDP: The National Council for Prescription Drug Programs.
NCPDP Batch Standard: An NCPDP standard designed for use by low-volume dispensers of pharmaceuticals, such as nursing homes. This is one of the proposed standards under HIPAA.
NCPDP Telecommunication Standards: An NCPDP standard designed for use by high-volume dispensers of pharmaceuticals, such as retail pharmacies. This is one of the proposed standards under HIPAA.
NCQA: The National Committee for Quality Assurance.
NCVHS: The National Committee on Vital and Health Statistics.
NDC: National Drug Code.
NDS: National Data Standards.
NHHI: National Health Information Infrastructure.
NOI: Notice of Intent.
Notice of Intent (NOI): A document that describes a subject area for which the Federal Government is considering developing regulations. It may describe what the government considers to be the relevant considerations, and invite comments from interested parties. These comments can then be used in developing an NPRM or a final regulation.
Notice of Proposed Rulemaking (NPRM): A document that describes and explains regulations that the Federal Government proposes to adopt at some future date, and invites interested parties to submit comments related to them. These comments can then be used in developing a final regulation.
NPI: National Provider ID.
NPRM: Notice of Proposed Rulemaking.
NSF: National Standard Format.
NUBC: The National Uniform Billing Committee.
NUBC EDI TAG: The NUBC EDI Technical Advisory Group, which coordinates issues affecting both the NUBC and the X12 standards.
NUCC: The National Uniform Claim Committee.
Office of Management & Budget (OMB): A Federal Government agency that has a major role in reviewing proposed Federal regulations.
OIG: The Office of Inspector General.
OMB: The Office of Management & Budget.
Open System Interconnection (OSI): A multi-layer ISO data communications standard. Level Seven of this standard is industry-specific, and HL7 is responsible for specifying the level seven OSI standards for the health industry.
OSI: Open System Interconnection.
PAG: Policy Advisory Group.
Payer: In health care, an entity that assumes the risk of paying for medical treatments. This can be an uninsured patient, a self-insured employer, or a health care plan or HMO.
PAYERID: HCFA’s term for their pre-HIPAA National Payer ID initiative.
PCS: See ICD.
PL or P. L.: Public Law, as in PL 104-191 (HIPAA).
Policy Advisory Group (PAG): A generic name for many work groups at WEDI and elsewhere.
Provider Taxonomy Codes: A code set for identifying the provider type and area of specialization for all health care providers. A given provider can have several Provider Taxonomy Codes. This code set is used in the X12 278 Referrals and Authorization and the X12 837 Claim EDI transactions, and is maintained by the Health Care Provider Taxonomy Committee.