MEDICAL BILLING/CODING ACRONYMS Flashcards

5482816440	Acct.	Account	0
5482816441	A/P	ACCOUNT Payable	1
5482816442	A/R	Account Receivable	2
5482816443	AMA	American Medical Association	3
5482816444	ADJ	Adjustment	4
5482816445	ABN	Advanced Beneficiary Notice	5
5482816446	AHIMA	American Health Information Management Association	6
5482816447	AEVS	Automated Eligibility Verification System (health coverage information)	7
5482816448	AVRS	Automated Voice Response System	8
5482816449	ALOS	Average Length Of Stay	9
5482816450	AUTH	Authorization	10
5482816451	BR	Breast	11
5482816452	BC	Body Composition , Blood Cells , Birth Control	12
5482816453	BS	Blood Glucose, Bowel Sounds	13
5482816454	BC/BS	Blue Cross/Blue Shield	14
5482816455	CC	Chief Complaint	15
5482816456	C/C	Credit Card	16
5482816457	CAL-MAX	Calendar Max	17
5482816458	CERT	Claims Eligible Real Time System, Community Emergency Response Team	18
5482816459	CSP	Community Support Program , Compulsive Skin Picking	19
5482816460	CFL	Calcaneofibular Ligament	20
5482816461	CHIP	Child Health Insurance Program , Catastrophic Health Care Program	21
5482816462	CHAMPUS	Civilian Health & Medical Programs of the Uniformed Services (Now TRI-CARE)	22
5482816463	CHAMPVA	Civilian Health & Medical Program of the Veterans Administration	23
5482816464	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
5482816465	CO-PAY	Co-Payment	25
5482816466	CO-INS	CO-Insurance	26
5482816467	COBRA	Consolidated Omnibus Budget Reconciliation Act (of 1985)	27
5482816468	COB	Coordination of Benefits COB Coordination of Benefit	28
5482816469	COBC	Coordination of Benefits Contractor	29
5482816470	CPT	Current Procedural Terminology	30
5482816471	CCS	Community Care Setting , Cardiovascular Society , Child Care Services, Corticosteroids	31
5482816472	CPC	Certified Professional Coder	32
5482816473	Cont. Obj.	Contractual Obligation	33
5482816474	DED	Date of expected delivery	34
5482816475	DOS	Date of Service , Date of Surgery	35
5482816476	DL	Drivers License , Dose Level	36
5482816477	DRG	Diagnosis Related Groups , Diagnostic Related Group (patients with similar illness)	37
5482816478	DOI	Died Of Injuries	38
5482816479	DOB	Date of Birth	39
5482816480	DDE	Direct Data Entry	40
5482816481	DME	Durable Medical Equipment (Medical supplies such as wheelchairs, oxygen, catheter, glucose monitors, crutches, walkers, etc.)	41
5482816482	DED	Death Effect or Domain	42
5482816483	DEERS	Defense Enrollment Eligibility Reporting System (DOD, CHAMPUS)	43
5482816484	DX	Diagnosis	44
5482816485	Dr.	Doctor	45
5482816486	ECS	Extended Care Services , Electronic Certification System	46
5482816487	EDC	Estimated Date Of Confinement	47
5482816488	EFT	Electronic Funds Transfer	48
5482816489	EMC	Electronic Media Claim	49
5482816490	EMR	Electronic Medical Record System , Emergency Room	50
5482816491	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
5482816492	ERN	Electronic Remittance Notice	52
5482816493	ER	Emergency Rooms , Extended Release	53
5482816494	EMG	Electromyogram , Electromyographic	54
5482816495	E/M	Evaluation & Management	55
5482816496	EIN	Employer Identification Number	56
5482816497	ESRD	End Stage Renal Disease	57
5482816498	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
5482816499	EOMB	Executive Office of Management & Budget General EOMB Explanation of Medical Benefits	59
5482816500	EDI	Electronic Data Interchange	60
5482816501	EHR	Electronic Health Record EHR Embryonic Heart Rate	61
5482816502	EPO	Exclusive Provider Organization	62
5482816503	EPF	Early pregnancy factor	63
5482816504	FECA	Federal Employee Compensation Act	64
5482816505	FH	Family History	65
5482816506	FPL	Federal Poverty Level	66
5482816507	FFS	Fee for Service	67
5482816508	FI	Fiscal Intermediary- A Medicare representative who processes Medicare claims	68
5482816509	FSA	Family Services Administration , Family Support Administration	69
5482816510	GRP	Group	70
5482816511	HCFA	Health Care Financing Administration (renamed CMS effective July 1, 2001)	71
5482816512	HIM	Health Insurance Manual	72
5482816513	HPI	History of Present Illness	73
5482816514	HC	...Hardcopy Claims	74
5482816515	HCPCS	...Healthcare Common Procedure Coding System	75
5482816516	HICN	...Health Insurance Claim Number (Medicare Number)	76
5482816517	HMO	...Health Maintenance Organization. A type of health care plan that places restrictions on treatments.	77
5482816518	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
5482816519	IPA	Independent Practice Association , Individual Practice Association	79
5482816520	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
5482816521	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
5482816522	INS	Insurance	82
5482816523	ID	Identification Number	83
5482816524	ICF	Intermediate Care Facility	84
5482816525	LMP	Last Menstrual Period	85
5482816526	LC	Low Complexity	86
5482816527	LT	Laboratory test	87
5482816528	MCR	Medicare	88
5482816529	MCD	Medicaid	89
5482816530	MCL	Median Collateral Ligament	90
5482816531	MEDI-MEDI	Eligible for both Medicare and Medicaid	91
5482816532	M/M	Major Medical , Male/Male	92
5482816533	MSA	Medical Savings Accounts , Medical Savings Account Major Service Area	93
5482816534	MN	Medical Necessity	94
5482816535	MN	Medically Needy	95
5482816536	MRN	Medical Record Number	96
5482816537	MSN	Medicare Summary Notice	97
5482816538	MSP	Medicare Secondary Payor	98
5482816539	MC	Managed Care	99
5482816540	MD	Medical Director MD Mood Disorders	100
5482816541	MDM	Medium	101
5482816542	MCR	Medicare Cost Report , Management Control Review Medical Cost Ratio	102
5482816543	NON-PAR	Non-Participating When a healthcare provider chooses not to accept Medicare-approved payment amounts as payment in full.	103
5482816544	NC	No complaints , No changes, Not Completed , Not Classified	104
5482816545	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
5482816546	NCICS	National Certified Insurance & Coding Specialist	106
5482816547	NCCT	National Center for Competency Testing	107
5482816548	NP	New Patient	108
5482816549	NEC	No essential changes, Not elsewhere classifiable	109
5482816550	NOS	Not Otherwise Specified. Used in ICD for unspecified diagnosis.	110
5482816551	NUBC	National Uniform Billing Committee (AHA)	111
5482816552	NUCC	National Uniform Claim Committee (AMA)	112
5482816553	NC	Not Classified Not Completed No changes No complaints	113
5482816554	NOC	Not Otherwise Classified NOC Nocturnal NOC Nursing Outcome Classification	114
5482816555	NF	Nursing Facility NF Necrosis Factor NF Newly formed	115
5482816556	O/V	Office Visit	116
5482816557	OCR	Open Care Records, Outstanding Claims Reserve, Own Credit Risk, Optical Character Recognition	117
5482816558	OPPS	Outpatient Prospective Payment System	118
5482816559	OR	Operation Room	119
5482816560	OSHA	Occupational Safety and Health Administration	120
5482816561	PAR	Participating Provider, Patient Account Representative, Pain Relief	121
5482816562	Pt	Patient	122
5482816563	PT	Physical therapist	123
5482816564	PRO	Patient Reported Outcome , Peer Review Organization (renamed to QIO)	124
5482816565	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
5482816566	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
5482816567	POS	Provider Organizations	127
5482816568	POS	Posterior	128
5482816569	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
5482816570	PRE-AUTH	Pre-Authorization certain services and items must be prior authorized	130
5482816571	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
5482816572	PPO	Preferred Provider Organization. Commercial insurance plan where the patient can use any doctor or hospital within the network. Similar to an HMO.	132
5482816573	PCP	Primary Care Physician (or Provider)	133
5482816574	PPS	Prospective Payment System (Medicare Part A)	134
5482816575	Phys	Physical (body)	135
5482816576	Prov.	Provider	136
5482816577	PF	Pulmonary Fibrosis	137
5482816578	PD	Physical Database , Personality Disorders	138
5482816579	PH	Partial Hospitalization	139
5482816580	PH	Physical Health	140
5482816581	PH	Pulmonary Arterial Hypertension	141
5482816582	PE	Practice Expense, Physical Examination, Premature Ejaculation	142
5482816583	PX	Physical Examination, prescription, prognosis, physical history	143
5482816584	PA	Physical Activity Physician Assistants Panic Attacks	144
5482816585	PC	Personal Care	145
5482816586	PHI	Private Health Insurance Personal Health Information Premium Hospital Insurance Protected Health Information	146
5482816587	QMBs	Qualified Medicare Beneficiaries	147
5482816588	RA	Risk Assessment , Rheumatoid Arthritis	148
5482816589	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
5482816590	RVS	Relative Value Scale (or Schedule)	150
5482816591	RVS	Relative Value Study	151
5482816592	RVU	Relative Value Unit	152
5482816593	ROS	Review of Systems	153
5482816594	RHIA	Registered Health Information Administrator	154
5482816595	REP	Representative, Rab Escort Protein, Reperfusion	155
5482816596	RT	Right, Recovery Time, Respiratory Therapy, Reverse transcribed, Radiation therapy	156
5482816597	RVS	Reverse, Rhus verniciflua Stokes	157
5482816598	SF	Short Form Sugar-Free	158
5482816599	SDI	State Disability Insurance Survey Diagnostic Instrument	159
5482816600	SNF	Skilled Nursing Facility	160
5482816601	SOC	Start of Care, Standard of Care	161
5482816602	SSN	Social Security Number	162
5482816603	SSDI	Social Security Disability Insurance	163
5482816604	SSI	Supplemental Security Income	164
5482816605	SOF	Signature on File , Synthetic Oviduct Fluid, Study of Osteoporotic Fractures	165
5482816606	TC	To Contain Tobacco Control	166
5482816607	TIN	Tax Identification Number	167
5482816608	TIN	Tax Identification Number. Also known as Employer Identification Number	168
5482816609	EIN	TIN Three times a night	169
5482816610	TD	to Deliver	170
5482816611	TPP	Third Party Processors	171
5482816612	TANF	Temporary Assistance for Needy Families	172
5482816613	TPL	Third Party Liability	173
5482816614	TFL	TRICARE for Life (health care system for retired military)	174
5482816615	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
5482816616	UCR	Usual, Customary & Reasonable (Charges)	176
5482816617	UA	Urinalysis , Urine Analysis	177
5482816618	UR	Upon Receipt , Urinary retention , Urine , Upper Respiratory, Under	178
5482816619	W/O	Write Off ,Week of, Without	179
5482816620	WC	Workers Compensation	180
5482816621	WP	Work Place	181
5482816622	Clavicle	collarbone	182
5482816623	Scapula	shoulder bone/shoulder blade	183
5482816624	Humerus	upper arm bone	184
5482816625	Ulna	forearm bone little finger side	185
5482816626	Radius	forearm bone in line with the thumb	186
5482816627	Carpals	wrist bones 2 rows of four	187
5482816628	Metacarpals	five bones of the palm of the hand	188
5482816629	Phalanges	five finger bones	189
5482816630	Pelvic Girdle	pelvis	190
5482816631	Femur	only bone in the thigh	191
5482816632	Patella	kneecap	192
5482816633	Tibia	shinbone second largest bone in the body	193
5482816634	Fibula	calf bone	194
5482816635	Tarsals	in feet / ankle bones / 7 in each foot / hind foot bones	195
5482816636	Metatarsals	5 long bones in foot / mid foot bones	196
5482816637	Phalanges of the toes	bones of the toes	197
5482816638			198

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MEDICAL BILLING/CODING ACRONYMS Flashcards

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