Acronyms and Abbreviations

ABN Advanced Beneficiary Notice
AFDC Aid to Families with Dependent Children
AHA American Hospital Association
AMA American Medical Association
ANSI American National Standards Insitiute
APC Ambulatory Payment Classification
ASC Ambulatory Surgical Unit
BCBSA Blue Cross Blue Shield Association
CC Chief complaint; comorbidities and complications
CDM Charge Description Master
CHAMPUS Civilian Health and Medical Program of the Uniformed Services
CHAMPVA Civilian Health and Medical Program of the Department of Veteran Affairs
CLIA Clinical Laboratory Improvement Amendments
CMN Certificate of Medical Necessity
CMP Competitive medical plan
CMS Centers for Medicare and Medicaid Services
COB Coordination of Benefits
COBRA Consolidated Omnibus Budget Reconciliation Act of 1985
CPU Central Processing Unit
CSRS Civil Service Retirement System
DEERS Defense Enrollment Eligibility Reporting System
DHHS Department of Health and Human Services
DME Durable Medical Equipment
DMERC Durable Medical Equipment Resource Center
DOB Date of Birth
DOJ Department of Justice
DRG Diagnosis-Related Group
ER Emergency Department
EDI Electronic Data Interchange
EIN Employer Identification Number
EOB Explanation of benefits
EPO exclusive provider organization
EPSDT Early and periodic screening, diagnosis, and treatment
ESRD end-stage renal disease
FDA Food and Drug Administration
FECA Federal Employees Compensation Act
FFS Fee For Service
FICA Federal Insurance Contribution Act
FPN Facility Provider Number
GHP Group Health Plan
g, gm Gram
GTIN Global Trade Item Number
HCFA Health Care Financing Administration
HCPCS Healthcare Common Procedure Coding System
HIAA Health Insurance Association of America
HIBCC Health Industry Business Communications Counsil
HIC Health Insurance Claim
HIM Health Information Management
HIPAA Health Insurance Portability and Accountability Act of 1996
HMO Health Maintenance Organization
HPI History of Present Illness
ICD-9 International Classification of Diseases, Ninth Revision
ICD-9-CM International Classification of Diseases, Ninth Revision-Clinical Modification
IDDM Insulin-Dependent Diabetes Mellitus
LCD Local Coverage Determination
LMRP Local Medicare Review Policy
LTR Lifetime Reserve Days
MCO Managed Care Organization
MDC Major Diagnostic Catagories
MFS Medicare Fee Schedule
mL Milliliter
MOS Medical Office Specialist
MPM Medical Practice Management (software)
MQGE Medicare Qualified Government Employment
MRN Medicare Remittance Notice
MSA Medical Savings Account
MSN Medicare Summary Notice
MSP Medicare Secondary Payer
NCCI National Correct Coding Initiative
NDC National Drug Codes
NIDDM Non-Insulin Dependent Diabetes Mellitus
NOC Not Otherwise Classified
NPI National Provider Identifer
NUCC National Uniform Claim Committee
OCR Optical Character Recognition
OIG Office of Inspector General
OPPS Outpatient Prospective Payment System
OTAF Obligated to Accept as Payment in Full
PAR Participating Provider
PAS Patient Account Services
PCN Patient Control Number
PCP Primary Care Physician
PFSH Past Family Social History
PIN Provider Identification Number
PMPM Per Member Per Month
POS Point Of Service
PPIN Preferred Provider Identification Number
PPO Preferred Provider Organization
PQRI Physicians Quality Reporting Initiative
PSO Provider Sponsored Organization
QIC Qualified Independent Contractor
RBRVS Resource Based Relative Value Scale
ROS Review Of Systems
RVU Relative Value Unit
SMI Supplemental Medical Insurance
SNF Skilled Nursing Facility
SOF Signature On File
SSA Social Security Administration
SSDI Social Security Disability Insurance
SSI Supplemental Security Income
SSN Social Security Number
TANF Temporary Assistance for Needy Families
TEFRA Tax Equity Fiscal Responsibility Act
TRHCA Tax Relief and Healthcare Act of 2006
UPC Universal Product Code
UPIN Unique Provider Identification Number
VOB Verification of Benefits