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MED INSURANCE TEXTBK

MED112 CH00 A-Z Abbreviations

TermDefinition
a.c. before meals
A/R accounts receivable
AAMA American Association of Medical Assistants
AAMT American Association for Medical Transcription
AAPC American Academy of Professional Coders
ABN advance beneficiary notice of noncoverage
ACA Affordable Care Act
ACO accountable care organization
adm admitted
ADR Additional Documentation Request
ADX admitting diagnosis
AHIMA American Health Information Management Association
AMA American Medical Association
AMT American Medical Technologists
ANSI American National Standards Institute
AP (1) accounts payable, (2) anterior-posterior
APC ambulatory patient classification
ASC ambulatory surgical center
ASO administrate services only
ASU ambulatory surgical unit
AWV annual wellness visit
b.i.d. twice a day
BA business associate
BCBS BlueCross BlueShield
BLK Lung black lung
BMI body mass index
BP blood pressure
BUN blood urea nitrogen
bx biopsy
C&S culture and sensitivity
ca cancer
CAC computer-assisted coding
CAGC claim adjustment group code
CARC claim adjustment reason code
CC (1) physicians’ records: chief complaint, (2) hospital documentation: com and complications
cc cubic centimeter
CCA Certified Coding Associate
CCHIT Certification Commission for Healthcare Information Technology
CCI Correct Coding Initiative (national; Medicare)
CCOF credit card on file
CCS Certified Coding Specialist
CCS-P Certified Coding Specialist-Physician-Based
CCYY year, indicates entry of four digits for the century (CC) and year (YY)
CDHP consumer-driven health plan
CE covered entity
CHAMPUS Civilian Health and Medical Program of the Uniformed Services, now TR
CHAMPVA Civilian Health and Medical Program of the Department of Veterans Affa
CHIP Children’s Health Insurance Program
CLIA Clinical Laboratory Improvement Amendment
cm centimeter
CMA Certified Medical Assistant
CMS Centers for Medicare and Medicaid Services
CNS central nervous system
COB coordination of benefits
COBRA Consolidated Omnibus Budget Reconciliation Act of 1985
COP conditions of participation
CPC Certified Professional Coder
CPC-H Certified Professional Coder-Hospital Outpatient Facility
CPE complete physical exam
CPT Current Procedural Terminology
CSRS Civil Service Retirement System
CV cardiovascular
CWF Common Working File
D&C dilation and curettage
DD day, indicates entry of two digits for the day
DEERS Defense Enrollment Eligibility Reporting System
DME durable medical equipment
DMEPOS durable medical equipment, prosthetics, orthotics, and supplies
DOB date of birth
DOJ Department of Justice
DOS date of service
DPT diphtheria, pertussis, and tetanus
DRG diagnosis-related group
DRS designated record set
dx diagnosis
E/M code Evaluation and Management code
ECOA Equal Credit Opportunity Act
EDI electronic data interchange
EEG electroencephalogram
EENT eyes, ears, nose, and throat
EFT electronic funds transfer
EHB essential health benefit
EHR electronic health record
EIN Employee Identification Number
EKG electrocardiogram
EMC electronic media claim
EMG emergency
EMR electronic medical record
ENMT ears, nose, mouth, and throat
ENT ears, nose, and throat
EOB explanation of benefits
EOC episode of care
EP established patient
EPSDT Early and Periodic Screening, Diagnosis, and Treatment
ER emergency room
ERISA Employee Retirement Income Security Act of 1974
ETOH alcohol
F female
F/U follow-up
FACTA Fair and Accurate Credit Transaction Act
FCA False Claims Act
FCRA Fair Credit Reporting Act
FDCPA Fair Debt Collection Practices Act of 1977
FECA Federal Employees’ Compensation Act
FEHB Federal Employees Health Benefits program
FERA Fraud Enforcement and Recovery Act
FERS Federal Employees Retirement System
FH family history
FI fiscal intermediary
FICA Federal Insurance Contribution Act
FMAP Federal Medicaid Assistance Percentage
FSA flexible savings (spending) account
FUO fever, unknown origin
Fx fracture
g, gm gram
GEM general equivalence mappings
GI gastrointestinal
GPCI geographic practice cost index
gr grain
GTIN Global Trade Item Number
GU genitourinary
GYN gynecologic, gynecologist
h hour
H&P history and physical
HAC hospital-acquired condition
HBA health benefits adviser
HCERA Health Care and Education Reconciliation Act
HCFA Health Care Financing Administration, currently CMS
HCPCS Healthcare Common Procedure Coding System
HDHP high-deductible health plan
HEDIS Health Employer Data and Information Set
HEENT head, eyes, ears, nose, and throat
HGB hemoglobin
HHA home health agency
HHS Department of Health and Human Services
HiB hemophilus influenza type B vaccine
HIE health information exchange
HIM health information management
HINN hospital-issued notice of noncoverage
HIPAA Health Insurance Portability and Accountability Act
HIT health information technology
HITECH Health Information Technology for Economic and Clinical Health Act
HMO health maintenance organization
HPI history of present illness
HPSA Health Professional Shortage Area
HPTC Healthcare Provider Taxonomy Code
HRA health reimbursement account
HS hour of sleep
HSA health savings account
hx history
I&D incision and drainage
ICD-10-CM International Classification of Diseases, Tenth Revision, Clinical Modifi
ICD-10-PCS International Classification of Diseases, Tenth Revision, Procedure Cod
ICU intensive care unit
ID #, I.D. # identification number
ID, I.D. identification
IHP individual health plan
IM intramuscular
IME independent medical examination
INFO information
IPA individual practice association
IPPE initial physical preventive examination
IPPS Inpatient Prospective Payment System
IV intravenous
JCAHO Joint Commission on Accreditation of Healthcare Organizations
kg kilogram
L liter
LCD local coverage determination
LLQ left lower quadrant
LMP last menstrual period
LPN licensed practical nurse
LUQ left upper quadrant
M male
m meter
MA medical assistant
MAC Medicare Administrative Contractor
MACRA Medicare Access and CHIP Reauthorization Act of 2015
MBI Medicare Beneficiary Number
mcg microgram
MCM Medicare Carriers Manual
MCO managed care organization
MD medical doctor
MEC CCI mutually exclusive code edit
mEq milliequivalent
MFS Medicare Fee Schedule
mg milligram
MIP Medicare Integrity Program
mL milliliter
MLN Medicare Learning Network
mm millimeter
MM month, indicates entry of two digits for the month
MMA Medicare Modernization Act
MMR measles, mumps, and rubella
MOA Medicare Outpatient Adjudication remark code
MPFS Medicare Physician Fee Schedule
MPI master patient index
MR Medical Review Program
MRN (1) Medicare Remittance Notice, (2) Medicare Redetermination Notice, (
MS musculoskeletal
MSA Medicare Savings Account
MS-DRGs Medicare-Severity DRGs
MSN Medicare Summary Notice
MSP Medicare Secondary Payer
MTF Military Treatment Facility
MTS Medicare Transaction System
MUE medically unlikely edit
n.p.o. nothing per os (by mouth)
NCCI National Correct Coding Initiative
NCD national coverage determination
NCQA National Committee for Quality Assurance
NDC National Drug Code
NEC not elsewhere classifiable
NEMB notice of exclusion from Medicare benefits
Neuro neurologic, neurological
NO. number
nonPAR nonparticipating
NOS not otherwise specified
NP (1) new patient, (2) nurse-practitioner
NPI National Provider Identifier
NPP Notice of Privacy Practices
NPPES National Plan and Provider Enumerator System
NSF nonsufficient funds
NUCC National Uniform Claim Committee
OB obstetrics
OCR Office of Civil Rights
OESS Office of E-Health Standards and Services
OIG Office of the Inspector General
OMB Office of Management and Budget
op operative
OPPS Outpatient Prospective Payment System
opt optional
OSHA Occupational Safety and Health Administration
OV office visit
OWCP Office of Workers’ Compensation Programs
OZ product number, Health Care Uniform Code Council
P&A percussion and auscultation
p.c. after meals
p.o. per os (by mouth)
p.r.n. as desired or as needed
P4P pay-for-performance
PA physician assistant
PAR participating provider
PC professional component
PCM Primary Care Manager (TRICARE)
PCP primary care physician/provider
PDX principal diagnosis
PE physical exam
PECOS Provider Enrollment Chain and Ownership System
PH # phone number
PHI protected health information
PHR personal health record
PIN provider identifier number
PIP personal injury protection
PM/EHR practice management/electronic health record
PMH past medical history
PMP practice management program
PMPM per member per month
po postoperative
POA present on admission
POS (1) place of service, (2) point-of-service option
PPACA Patient Protection and Affordable Care Act
PPD purified protein derivative of tuberculin test
PPO preferred provider organization
PPS Prospective Payment System
PR patient responsibility
PSA prostate-specific antigen
PSO provider-sponsored organization
psych psychiatric
pt patient
q. every
q.2h. every two hours
q.d. every day
q.h. every hour
q.i.d. four times a day
q.o.d. every other day
QIO quality improvement organization
QPP Quality Payment Program
QUAL. qualifier
R/O rule out
RA remittance advice
RAC Recovery Audit Contractor
RARC remittance advice remark code
RBRVS Resource-Based Relative Value Scale (Medicare)
RCA real-time adjudication
REF. reference
Resp respiratory
RHIA Registered Health Information Administration
RHIT Registered Health Information Technology
RLQ right lower quadrant
RMA Registered Medical Assistant
RN registered nurse
ROS review of systems
RTC return to clinic
RUG Resource Utilization Group
RUQ right upper quadrant
RVS relative value scale
RVU relative value unit
Rx prescription
S/P status post
SDA same-day appointment
SDI state disability insurance
SDOH Social Determinants of Health
SH social history
SMI Supplementary Medical Insurance
SNF skilled nursing facility
SOAP subjective/objective/assessment/plan
SOF signature on file
SPD Summary Plan Description
SSDI Social Security Disability Insurance
SSI Supplemental Security Income
SSN Social Security number
stat, STAT immediately
STD sexually transmitted disease
subq, subcu subcutaneous
T&A tonsillectomy and adenoidectomy
t.i.d. three times a day
TANF Temporary Assistance for Needy Families
TC technical component
TCS (HIPAA Electronic) Transaction and Code Sets
temp temperature
TM tympanic membrane
TPA third-party claims administrator
TPO treatment, payment, and healthcare operations
TPR temperature, pulse, and respirations
TRN reassociation trace number
UA urinalysis
UC urine culture
UCR usual, customary, and reasonable
UHDDS Uniform Hospital Discharge Data Set
UPC Universal Product Code
UPIN Unique Physician Identification Number
UR utilization review
URI upper respiratory infection
URO utilization review organization
USIN Unique Supplier Identification Number
USPSTF United States Preventive Services Task Force
UTI urinary tract infection
VD venereal disease
VIS vaccine information sheet
VP Vendor Product Number
VS vital signs
wbc white blood cells
WBC white blood count
yo year old
YY year, indicates entry of two digits for the year; may also be noted as CCYY four digits for the century (CC) and year (YY)
ZPIC Zone Program Integrity Contractor
Created by: C to the C
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