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2026 CBCS EXAM PREP

2026 CBCS EXAM PREP ABBREVIATIONS / ACRONYMS

ABBREVMEANING
CBCS EXAM PREP ABBREVIATIONS & ACRONYMS
ABN Advanced Beneficiary Notice; Patient may have to pay if Medicare denies coverage.
ACA Affordable Care Act; 2010 health reform law that expanded access to health insurance coverage
AHIMA American Health Information Management Association; Health information management professional organization
AMA American Medical Association; Publishes and maintains CPT codes
AP Accounts Payable; Money the practice owes.
AR Accounts Receivable; Money owed to the practice.
ARRA American Recovery Reinvestment Act of 2009; Promoted EHR adoption and meaningful use
CAP Claims Assistance Professional; Assists patients with insurance claims and reimbursement issues.
CAQH Council for Affordable Quality Healthcare; Provider credentialing and healthcare data organization
CC Chief Complaint; Reason for the patient's visit.
CDHP Consumer-Driven Health Plan; High-deductible plan with patient cost-sharing.
CDT Current Dental Terminology; Dental procedure codes.
CHAMPVA Civilian Health and Medical Program of the Department of Veterans Affairs; Health coverage for eligible dependents /survivors of veterans.
CLIA Clinical Laboratory Improvement Amendments; 1988 law regulates laboratory testing quality standards
CMS Centers for Medicare and Medicaid Services; Federal agency that administers Medicare and Medicaid.
COB Coordination of Benefits; Determines which insurance pays first
CORE Committee on Operating Rules for Information Exchange;
CPT Current Procedural Terminology; Physician/outpatient procedure codes.
DME Durable Medical Equipment; Reusable medical equipment for patient use
DOB Date of Birth Birthdate of patient
DOS Date of Service; Date care was provided.
Dx Diagnosis; Medical condition identified.
EDI Electronic Data Interchange; Electronic exchange of healthcare information.
EFT Electronic Funds Transfer; Electronic payment transfer.
EHIM Electronic Health Information Management; Managing health information electronically
EHR Electronic Health Record; Digital patient record shared across providers.
EIN Employer Identification Number; a standard way to identify employers in electronic transactions.
EMR Electronic Medical Record Digital patient record w/in one practice.
E/M Evaluation and Management; Office visit and patient assessment codes.
EOB Explanation of Benefits How an insurance claim was processed.
EP Eligible Professional; Healthcare provider eligible for CMS incentive programs.
EPO Exclusive Provider Organization; Network plan with no out-of-network coverage (except emergencies).
ERA Electronic Remittance Advice; Electronic explanation of claim payment.
FCA False Claims Act; federal law that prohibits submitting fraudulent claims for payment to government programs.
FFS Fee For Service; Payment for each service provided
GHP Group Health Plan; Health insurance provided through an employer
HCPCS Healthcare Common Procedure Coding System; Supplies/equipment/drugs/services not in CPT.
HDHP High-Deductible Health Plan; Plan with a higher deductible and lower premiums.
HHS Department of Health and Human Services; Federal agency overseeing healthcare programs.
HIPAA Health Insurance Portability and Accountability Act of 1996; protects patient privacy/data security
HMO Health Maintenance Organization; Requires network providers and PCP referrals
HPI History of Present Illness; Details of the patient's current condition
Hx History; Patient's medical history.
ICD-10-CM International Classification of Diseases, 10th Revision, Clinical Modification; Diagnosis codes.
ICD-10-PCS International Classification of Diseases, 10th Revision, Procedure Coding System; Inpatient hospital procedure codes.
LCD Local Coverage Determination; Medicare coverage policy for a specific region.
MAC Medicare Administrative Contractor; Processes Medicare claims.
MediGap Medicare Supplement Insurance; Helps pay Medicare out-of-pocket costs.
MPFS Medicare Physician Fee Schedule; Medicare payment rates for physician services
MSP Medicare Secondary Payer; Medicare pays second when another insurer is primary.
NCCI National Correct Coding Initiative; developed to promote correct coding methodologies and prevent improper payments.
NCD National Coverage Determination; Nationwide Medicare coverage policy
NDC National Drug Code; Identifies a specific medication
NPI National Provider Identification; Unique 10-digit provider identification number.
PFSH Past, Family, and Social History; Patient's information
PHCS Private Healthcare Systems; PPO network connecting providers and insurers
PHI Protected Health Information; Individually identifiable health information.
PM Practice Management; Software used for scheduling and billing.
PMH Past Medical History; Previous illnesses, surgeries, and conditions.
POS Place of Service; Location where care was provided.
POS Plan Point of Service Plan; Combination of HMO and PPO features.
PPO Preferred Provider Organization; Network plan with some out-of-network coverage.
PQRS Physician Quality Reporting System; Medicare quality reporting program
Px Prognosis; Expected outcome of a condition.
RA Remittance Advice; Explains claim payment, denial, or adjustment
RBRVS Resource-Based Relative Value Scale; Medicare physician payment system.
ROS Review of Systems; Inventory of body systems during an exam.
RVU Relative Value Unit; Value assigned to a medical service for reimbursement.
Rx Prescription; Medication order.
SOAP Subjective: patient SAYS Objective: provider SEES Assessment: provider THINKS Plan: provider DOES
TIN Tax Identification Number; Number used for tax reporting.
Tx Treatment; Care provided for a condition.
UCR Usual, Customary, and Reasonable; Typical fee charged for a service.
ZPIC Zone Program Integrity Contractor; investigates Medicare fraud, waste, and abuse.
CARC Claim Adjustment Reason Code; payer's reason code for an adjustment, reduction, denial, or patient responsibility amount.
Created by: C to the C
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