MEDICAL BILLING & CODING ACRONYMS Flashcards

13352949189	Acct.	Account	0
13352949190	A/P	ACCOUNT Payable	1
13352949191	A/R	Account Receivable	2
13352949192	AMA	American Medical Association	3
13352949193	ADJ	Adjustment	4
13352949194	ABN	Advanced Beneficiary Notice	5
13352949195	AHIMA	American Health Information Management Association	6
13352949196	AEVS	Automated Eligibility Verification System (health coverage information)	7
13352949197	AVRS	Automated Voice Response System	8
13352949198	ALOS	Average Length Of Stay	9
13352949199	AUTH	Authorization	10
13352949200	BR	Breast	11
13352949201	BC	Body Composition , Blood Cells , Birth Control	12
13352949202	BS	Blood Glucose, Bowel Sounds	13
13352949203	BC/BS	Blue Cross/Blue Shield	14
13352949204	CC	Chief Complaint	15
13352949205	C/C	Credit Card	16
13352949206	CAL-MAX	Calendar Max	17
13352949207	CERT	Claims Eligible Real Time System, Community Emergency Response Team	18
13352949208	CSP	Community Support Program , Compulsive Skin Picking	19
13352949209	CFL	Calcaneofibular Ligament	20
13352949210	CHIP	Child Health Insurance Program , Catastrophic Health Care Program	21
13352949211	CHAMPUS	Civilian Health & Medical Programs of the Uniformed Services (Now TRI-CARE)	22
13352949212	CHAMPVA	Civilian Health & Medical Program of the Veterans Administration	23
13352949213	CMS 1500	Medical claim form established by CMS to submit paper claims to Medicare and Medicaid. Most commercial insurance carriers also require paper claims be submitted on CMS-1500's. The form is distinguished by it's red ink.	24
13352949214	CO-PAY	Co-Payment	25
13352949215	CO-INS	CO-Insurance	26
13352949216	COBRA	Consolidated Omnibus Budget Reconciliation Act (of 1985)	27
13352949217	COB	Coordination of Benefits COB Coordination of Benefit	28
13352949218	COBC	Coordination of Benefits Contractor	29
13352949219	CPT	Current Procedural Terminology	30
13352949220	CCS	Community Care Setting , Cardiovascular Society , Child Care Services, Corticosteroids	31
13352949221	CPC	Certified Professional Coder	32
13352949222	Cont. Obj.	Contractual Obligation	33
13352949223	DED	Date of expected delivery	34
13352949224	DOS	Date of Service , Date of Surgery	35
13352949225	DL	Drivers License , Dose Level	36
13352949226	DRG	Diagnosis Related Groups , Diagnostic Related Group (patients with similar illness)	37
13352949227	DOI	Died Of Injuries	38
13352949228	DOB	Date of Birth	39
13352949229	DDE	Direct Data Entry	40
13352949230	DME	Durable Medical Equipment (Medical supplies such as wheelchairs, oxygen, catheter, glucose monitors, crutches, walkers, etc.)	41
13352949231	DED	Death Effect or Domain	42
13352949232	DEERS	Defense Enrollment Eligibility Reporting System (DOD, CHAMPUS)	43
13352949233	DX	Diagnosis	44
13352949234	Dr.	Doctor	45
13352949235	ECS	Extended Care Services , Electronic Certification System	46
13352949236	EDC	Estimated Date Of Confinement	47
13352949237	EFT	Electronic Funds Transfer	48
13352949238	EMC	Electronic Media Claim	49
13352949239	EMR	Electronic Medical Record System , Emergency Room	50
13352949240	ERA	Electronic Remittance Advice. This is an electronic version of an insurance EOB that provides details of insurance claim payments. These are formatted in according to the HIPAA X12N 835 standard.	51
13352949241	ERN	Electronic Remittance Notice	52
13352949242	ER	Emergency Rooms , Extended Release	53
13352949243	EMG	Electromyogram , Electromyographic	54
13352949244	E/M	Evaluation & Management	55
13352949245	EIN	Employer Identification Number	56
13352949246	ESRD	End Stage Renal Disease	57
13352949247	EOB	- Explanation of Benefits. One of the medical billing terms for the statement that comes with the insurance company payment to the provider explaining payment details, covered charges, write offs, and patient responsibilities and deductibles.	58
13352949248	EOMB	Executive Office of Management & Budget General EOMB Explanation of Medical Benefits	59
13352949249	EDI	Electronic Data Interchange	60
13352949250	EHR	Electronic Health Record EHR Embryonic Heart Rate	61
13352949251	EPO	Exclusive Provider Organization	62
13352949252	EPF	Early pregnancy factor	63
13352949253	FECA	Federal Employee Compensation Act	64
13352949254	FH	Family History	65
13352949255	FPL	Federal Poverty Level	66
13352949256	FFS	Fee for Service	67
13352949257	FI	Fiscal Intermediary- A Medicare representative who processes Medicare claims	68
13352949258	FSA	Family Services Administration , Family Support Administration	69
13352949259	GRP	Group	70
13352949260	HCFA	Health Care Financing Administration (renamed CMS effective July 1, 2001)	71
13352949261	HIM	Health Insurance Manual	72
13352949262	HPI	History of Present Illness	73
13352949263	HC	...Hardcopy Claims	74
13352949264	HCPCS	...Healthcare Common Procedure Coding System	75
13352949265	HICN	...Health Insurance Claim Number (Medicare Number)	76
13352949266	HMO	...Health Maintenance Organization. A type of health care plan that places restrictions on treatments.	77
13352949267	HIPPA	Health Insurance Portability and Accountability Act 1996. Several federal regulations intended to improve the efficiency and effectiveness of health care and establish IPA privacy and security laws for medical records.	78
13352949268	IPA	Independent Practice Association , Individual Practice Association	79
13352949269	ICD-9-CM	International Classification of Diseases 9th Edition Clinical Modification A system used to assign codes to patient diagnosis. This is a 3 to 5 digit number.	80
13352949270	ICD-10-CM	International Classification of Diseases - 10th revision - Clinical Modification Uses 3 to 7 digit. Includes additional digits to allow more available codes. The U.S. Department of Health and Human Services has set an implementation deadline of October, 2013 for ICD-10.	81
13352949271	INS	Insurance	82
13352949272	ID	Identification Number	83
13352949273	ICF	Intermediate Care Facility	84
13352949274	LMP	Last Menstrual Period	85
13352949275	LC	Low Complexity	86
13352949276	LT	Laboratory test	87
13352949277	MCR	Medicare	88
13352949278	MCD	Medicaid	89
13352949279	MCL	Median Collateral Ligament	90
13352949280	MEDI-MEDI	Eligible for both Medicare and Medicaid	91
13352949281	M/M	Major Medical , Male/Male	92
13352949282	MSA	Medical Savings Accounts , Medical Savings Account Major Service Area	93
13352949283	MN	Medical Necessity	94
13352949284	MN	Medically Needy	95
13352949285	MRN	Medical Record Number	96
13352949286	MSN	Medicare Summary Notice	97
13352949287	MSP	Medicare Secondary Payor	98
13352949288	MC	Managed Care	99
13352949289	MD	Medical Director MD Mood Disorders	100
13352949290	MDM	Medium	101
13352949291	MCR	Medicare Cost Report , Management Control Review Medical Cost Ratio	102
13352949292	NON-PAR	Non-Participating When a healthcare provider chooses not to accept Medicare-approved payment amounts as payment in full.	103
13352949293	NC	No complaints , No changes, Not Completed , Not Classified	104
13352949294	NPI	National Provider Identifier , NPI Number - National Provider Identifier. A unique 10 digit identification number required by HIPAA and assigned through the National Plan and Provider Enumeration System (NPPES). NO PRESENT ILLNESS	105
13352949295	NCICS	National Certified Insurance & Coding Specialist	106
13352949296	NCCT	National Center for Competency Testing	107
13352949297	NP	New Patient	108
13352949298	NEC	No essential changes, Not elsewhere classifiable	109
13352949299	NOS	Not Otherwise Specified. Used in ICD for unspecified diagnosis.	110
13352949300	NUBC	National Uniform Billing Committee (AHA)	111
13352949301	NUCC	National Uniform Claim Committee (AMA)	112
13352949302	NC	Not Classified Not Completed No changes No complaints	113
13352949303	NOC	Not Otherwise Classified NOC Nocturnal NOC Nursing Outcome Classification	114
13352949304	NF	Nursing Facility NF Necrosis Factor NF Newly formed	115
13352949305	O/V	Office Visit	116
13352949306	OCR	Open Care Records, Outstanding Claims Reserve, Own Credit Risk, Optical Character Recognition	117
13352949307	OPPS	Outpatient Prospective Payment System	118
13352949308	OR	Operation Room	119
13352949309	OSHA	Occupational Safety and Health Administration	120
13352949310	PAR	Participating Provider, Patient Account Representative, Pain Relief	121
13352949311	Pt	Patient	122
13352949312	PT	Physical therapist	123
13352949313	PRO	Patient Reported Outcome , Peer Review Organization (renamed to QIO)	124
13352949314	POS	Point-of-Service plan. Medical billing terminology for a flexible type of HMO (Health Maintenance Organization) plan where patients have the freedom to use (or self-refer to) non-HMO network providers. When a non-HMO specialist is seen without referral from the Primary Care Physician (self-referral), they have to pay a higher deductible and a percentage of the coinsurance.	125
13352949315	POS	(Used on Claims) - Place of Service. Medical billing terminology used on medical insurance claims - such as the CMS 1500 block 24B. A two digit code which defines where the procedure was performed. For example 11 is for the doctors office, 12 is for home, 21 is for inpatient hospital, etc.	126
13352949316	POS	Provider Organizations	127
13352949317	POS	Posterior	128
13352949318	Pre-Cert	Pre-Certification - Sometimes required by the patients insurance company to determine medical necessity for the services proposed or rendered. This doesn't guarantee the benefits will be paid.	129
13352949319	PRE-AUTH	Pre-Authorization certain services and items must be prior authorized	130
13352949320	PRE-EX	A pre-existing condition is a medical condition that started before a person's health insurance went into effect. Before 2014 some insurance policies would not cover expenses due to pre-existing conditions.	131
13352949321	PPO	Preferred Provider Organization. Commercial insurance plan where the patient can use any doctor or hospital within the network. Similar to an HMO.	132
13352949322	PCP	Primary Care Physician (or Provider)	133
13352949323	PPS	Prospective Payment System (Medicare Part A)	134
13352949324	Phys	Physical (body)	135
13352949325	Prov.	Provider	136
13352949326	PF	Pulmonary Fibrosis	137
13352949327	PD	Physical Database , Personality Disorders	138
13352949328	PH	Partial Hospitalization	139
13352949329	PH	Physical Health	140
13352949330	PH	Pulmonary Arterial Hypertension	141
13352949331	PE	Practice Expense, Physical Examination, Premature Ejaculation	142
13352949332	PX	Physical Examination, prescription, prognosis, physical history	143
13352949333	PA	Physical Activity Physician Assistants Panic Attacks	144
13352949334	PC	Personal Care	145
13352949335	PHI	Private Health Insurance Personal Health Information Premium Hospital Insurance Protected Health Information	146
13352949336	QMBs	Qualified Medicare Beneficiaries	147
13352949337	RA	Risk Assessment , Rheumatoid Arthritis	148
13352949338	RBRVS	Resource-based relative value scale Managed Care A 'work unit' used to determine the value of various physicians' labor. See Medicare, Physician reimbursement.	149
13352949339	RVS	Relative Value Scale (or Schedule)	150
13352949340	RVS	Relative Value Study	151
13352949341	RVU	Relative Value Unit	152
13352949342	ROS	Review of Systems	153
13352949343	RHIA	Registered Health Information Administrator	154
13352949344	REP	Representative, Rab Escort Protein, Reperfusion	155
13352949345	RT	Right, Recovery Time, Respiratory Therapy, Reverse transcribed, Radiation therapy	156
13352949346	RVS	Reverse, Rhus verniciflua Stokes	157
13352949347	SF	Short Form Sugar-Free	158
13352949348	SDI	State Disability Insurance Survey Diagnostic Instrument	159
13352949349	SNF	Skilled Nursing Facility	160
13352949350	SOC	Start of Care, Standard of Care	161
13352949351	SSN	Social Security Number	162
13352949352	SSDI	Social Security Disability Insurance	163
13352949353	SSI	Supplemental Security Income	164
13352949354	SOF	Signature on File , Synthetic Oviduct Fluid, Study of Osteoporotic Fractures	165
13352949355	TC	To Contain Tobacco Control	166
13352949356	TIN	Tax Identification Number	167
13352949357	TIN	Tax Identification Number. Also known as Employer Identification Number	168
13352949358	EIN	TIN Three times a night	169
13352949359	TD	to Deliver	170
13352949360	TPP	Third Party Processors	171
13352949361	TANF	Temporary Assistance for Needy Families	172
13352949362	TPL	Third Party Liability	173
13352949363	TFL	TRICARE for Life (health care system for retired military)	174
13352949364	UB-04	The UB-04 is the red-ink on white paper standard claim form used by institutional providers for claim billing. Although it was developed by The Centers for Medicare and Medicaid (CMS), it has become the standard form used by all insurance carriers.	175
13352949365	UCR	Usual, Customary & Reasonable (Charges)	176
13352949366	UA	Urinalysis , Urine Analysis	177
13352949367	UR	Upon Receipt , Urinary retention , Urine , Upper Respiratory, Under	178
13352949368	W/O	Write Off ,Week of, Without	179
13352949369	WC	Workers Compensation	180
13352949370	WP	Work Place	181
13352949371	Clavicle	collarbone	182
13352949372	Scapula	shoulder bone/shoulder blade	183
13352949373	Humerus	upper arm bone	184
13352949374	Ulna	forearm bone little finger side	185
13352949375	Radius	forearm bone in line with the thumb	186
13352949376	Carpals	wrist bones 2 rows of four	187
13352949377	Metacarpals	five bones of the palm of the hand	188
13352949378	Phalanges	five finger bones	189
13352949379	Pelvic Girdle	pelvis	190
13352949380	Femur	only bone in the thigh	191
13352949381	Patella	kneecap	192
13352949382	Tibia	shinbone second largest bone in the body	193
13352949383	Fibula	calf bone	194
13352949384	Tarsals	in feet / ankle bones / 7 in each foot / hind foot bones	195
13352949385	Metatarsals	5 long bones in foot / mid foot bones	196
13352949386	Phalanges of the toes	bones of the toes	197
13352949387			198

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MEDICAL BILLING & CODING ACRONYMS Flashcards

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