Thursday, September 13, 2012

Medical Billing Abbreviations

CPT Current Procedural Terminology
ICD-9-CM International Classificaton Disease Ninth Revised Clinical Modification
AMA American Medical Associaiton
A/R Accounts Receivable
A/P Accounts Payable
CMS Centers for Medicare & Medicaid Services
Pt. Patient
PT Physical Therapy
SSN Social Security Number
DOB Date of birth
DOS Date of Service
CC Chief complaint
C/C Credit Card
EDC Effective date of coverage
EOB Explanation of Benefits
RA Remittance advice
DED Deductible
CO-INS Co-Insurance
CO-PAY Co-Payment
CAL-MAX Calendar Max
PRE-EX Pre-existing
PRE-AUTH Pre-Authorization
PRE-Cert Pre-Certification
RVS Relative Value Scale
UCR Usual Customary & Reasonable
HMO Health Maintenance Organization
PPO Preferred Provider Organization
MCR Medicare
MCD Medicaid
MCL Medi-Cal
Medi-Medi Medicare & Medicaid
M/M Medicaid & Medi-cal
PVT Private Patient
CHAMPUS Civilian Health & Medical Program of the uniformed Services
CHAMPVA Civilian Health & Medical Program of the Department of Veterans Affairs
WC Worker's Compensation
POS Place of Service
POS Point of Service(device)
POS Point of Service (Insurance)
DX Diagnosis
RX Prescriptions
ABN Advance Beneficiary Notice
SOAP Subjective, Objective, Assessment Plan
BR By Report
DME Durable Medical Equipment
EIN Employer Identification Number
NPI National Provider Identifier
HPI History of Present Illness
FH Family History
SH Social HIstory
PH Present History
PH Past History
ROS Review of Systems
MDM Medical Decision Making
NP New Patient
SNF Skilled Nursing Facility
COB Coordination of Benefits
SOF Signature on file
DL Drivers License
HIC Health Insurance Claim
POS Point of Sale
BIC Benefit indentification Card
PCP Primary Care Physician
O/V Office Visit
E/M Evaluation & Management
SF Straight Forward
LC Low Complexity
MC Moderate Complexity
HC High Complexity
ER Emergency Room
OR Operating Room
GRP Group
W/O Write/Off
BC Blue Cross
BS Blue Shield
EGHP Employer Group Health Plan
SOC Share of Cost
PIN Physician Identification Number
PAR Participating
NON-PAR Non-Participating
RBRVS Resource Based Relative Value Scale or Study
UB-04 Universal Billing
WP Waiting period
TD Totally disability
TD Temporary disability
PD Permanent Disability
EOMB Explanation of Medicare Benefits
CERTS Claims & Eligibility Real Time Systems
AEVS Automated Eligibility Verification Stysem
ADJ Adjustment
HCPCS Healthcare Common Procedure Coding System
CHEDDAR Chief complaint, History(all), Examination, Drug & Dosage, Assessment, Return visit information
COBRA Consolidated Omnibus Budget Reconciliation Act
EDI Electronic Data Interchange
MN Medically needy
HIPAA Health Insurance Portability & Accountability Act
ID Identification
INS Insurance
PF Problem focused
SSDI Social Security Disability Insurance
SSI supplemental Security Income
TC Technical component

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