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Billing and Coding

Abbreviations Chapters 11 12

TermDefinition
BC/BS Blue Cross/Blue Shield
BCBSA Blue Cross and Blue Shield Association
PAR Participating Provider
PCP Personal Care Physician or Primary Care Provider
RVS Reative Value Scale
RVU Relative Value Unit
UCR Usual, Customary, and Reasonable
AAA Abdominal Aortic Aneurysm
ABN Advance Beneficiary Notice
A/B MAC Part A & Part B Medicare Administration Contractor
AWV Annual Wellness Visit
CF National Conversion Factor
CLIA Clinical Laboratory Improvement Act
COBA Coordination Of Benefits Administrator
DME MAC Durable Medical Equipment Medicare Administrator Contractor
ESRD End Stage Renal Disease
GAF Geographic Adjustment Factor
IDE Investigational Device Exemption
MA Mediare Advantage
MAC Medicare Administration Contractor
MA-PDP Medicare Advantage-Prescription Drug Plan
MFS Medicare Fee Schedule
MSA Medical Savings Account [Medicare]
MSN Medicare Summary Notice
MSP Medicare as Secondary Payer or Medicare Supplemental Plan
NonPAR NonParticipating Provider
PDP Prescription Drug Plan
PFFS Private Fee For Service
PPPS Personalized Prevention Plan Services
PSA Prostate-Specific Antigen
QI Qualifying Individual [Medicare]
QIO Quality Improvement Organization
QMB Qualified Medicare Beneficiary [Medicare]
RBRVS Resourced-Based Relative Value Scale
SLMB Specified Low Income Medicare Beneficiary [Medicare]
SNF Skilled Nursing Facility
SNP Special Needs Plan [Medicare]
SSDI Social Security Disability Insurance
SSN Social Security Number
VA Veterans Administration
Created by: ainnes
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