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
Thursday, September 13, 2012
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
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
Abbreviations for test
A ABNORMAL OR ANTERIOR
A&B abortion
ABE Acute Bacterial Endocarditis
abx antibiotics
ac acute
acc accommodation
ACE angiotensin converting enzyme
ACU acute care unit; ambulatory care unit
ADL Activities of daily living
ADT admission, discharge, transfer
AID artificial insemination by donor
amt Amount
A & P Anterior and posterior
AP Anteroposterior
APAP acetaminophen (tylenol)
ARF acute renal failure
ASAP as soon as possible
A & W alive and well
Ba Barium
BID BROUGHT IN DEAD
c with
CABG coronary artery bypass grafting
CCU coronary care unit, critical care unit
CF cystic fibrosis
COPD chronic obstructive pulmonary disease
Cx cervix
CX CHEST X-RAY FILM
DNR do not resuscitate
DOA dead on arrival
DOB Date Of Birth
DOC DATE OF CONCEPTION
DRG diagnostic related group
A&B abortion
ABE Acute Bacterial Endocarditis
abx antibiotics
ac acute
acc accommodation
ACE angiotensin converting enzyme
ACU acute care unit; ambulatory care unit
ADL Activities of daily living
ADT admission, discharge, transfer
AID artificial insemination by donor
amt Amount
A & P Anterior and posterior
AP Anteroposterior
APAP acetaminophen (tylenol)
ARF acute renal failure
ASAP as soon as possible
A & W alive and well
Ba Barium
BID BROUGHT IN DEAD
c with
CABG coronary artery bypass grafting
CCU coronary care unit, critical care unit
CF cystic fibrosis
COPD chronic obstructive pulmonary disease
Cx cervix
CX CHEST X-RAY FILM
DNR do not resuscitate
DOA dead on arrival
DOB Date Of Birth
DOC DATE OF CONCEPTION
DRG diagnostic related group
MEDICAL ABBREVIATIONS
ABGs arterial blood gases
ABO blood group system
a.c. before meals
ACTH adrenocorticotropic hormone
ADH antidiuretic hormone
ad lib as desired
AIDS acquired immunodeficiency syndrome
ALL acute lympocytic leukemia
ALT alanine transaminase
AML acute myelocytic leukemia
aq water
AST asparate aminotransferase
ASO antistrepolysin O
b.i.d. twice a day
bili bilirubin
BP blood pressure
BUN blood urea nitrogen
Bx biopsy
C with
Ca calcium
CAD coronary artery disease
CBC complete blood count
cc cubic centimeter
CCU coronary care unit
chem chemistry
chemo chemotherapy
CK creatine kinase
cm centimeter
CML chronic myelogenous leukemia
CNS central nervous system
CO2 carbon dioxide
COPD chronic obstructive pulmonary disorder
CPR cardiopulmonary resuscitation
crit hematocrit
C-section cesarean section
CSF cerebrospinal fluid
CT scan computed tomography scan
CVA cerebrovascular accident
CXR chest x-ray
DIC disseminated intravascular coagulation
diff differential count of white blood cells
dil dilute
DNA deoxyribonucleic acid
DOB date of birth
Dx diagnosis
EBV Epstein-Barr virus
ECG, EKG electrocardiogram
EEG electroencephalogram
ENT ear, nose and throat
Eos eosinophils
ER emergency room
ESR erythrocyte sedimentation rate (sed rate)
exc excision
FBS fasting blood sugar
Fe iron
FSH follicle stimulating hormone
FUO fever of unknown origin
gluc glucose
GI gastrointestinal
Gm, gm, g gram
GTT glucose tolerance test
GYN gynecology
h hour
Hb, Hgb hemaglobin
HBsAg hepatitis B surface antigen
HBV hepatitis B virus
HCG human chorionic gonadotropin
HCL hydrochloric acid
Hct hematocrit
HCV hepatitis C virus
HDL high-density lipoprotein
Hg mercury
HH (H&H) hemoglobin and hematocrit
HIV human immunodeficiency virus
h/o history of
H2O water
h.s. at bedtime
hx history
ICU intensive care unit
IM intramuscular
IV intravenous
IVP intravenous pyelogram
K potassium (kalium)
Kg kilogram
L liter, left
lat lateral
LD/LDH lactic dehydrogenase
LDL low-density lipoprotein
LE lupus erythematosus
lymphs lymphocytes
lytes electrolytes
m meter
MCH mean corpuscular hemoglobin
MCHC mean corpuscular hemoglobin concentration
MCV mean corpuscular volume
mcg microgram
mets metastases
mg milligram
Mg magnesium
MI myocardial infarction
mL milliliter
mm millimeter
mono monocyte
MRI magnetic resonance imaging
MS multiple sclerosis
Na sodium
neg negative
NG nasogastric
NPO nothing by mouth
O2 oxygen
OB obstetrics
O&P ova and parasite
OP operating room
oz ounce
P pulse, phosphorus
Path pathology
p.c. after meals
PCO2 pressure of carbon dioxide in the blood
Peds pediatrics
pH hydrogen ion concentration
PKU phenylketonuria
PMNs polymorphonuclear leukocytes
PO2 pressure of oxygen in the blood
p/o postoperative
p.o. orally
polys polymorphonuclear leukocytes
pos positive
post-op after operation
PP after a meal
PPD purified protein derivative (TB test)
pre-op before operation
prep prepare for
PRN, prn as necessary
PT prothrombin time/protime
PTT partial thromboplastin time
pt patient
PVC premature ventricular contraction
QNS, q.n.s. quantity not sufficient
R right
RA rheumatoid arthritis
RBC red blood cell count
req requisition
RIA radioimmunoassay
R/O rule out
RPR rapid plasma reagin
RT respiratory therapy
RR recovery room
Rx treatment
s without
Sed rate erythrocyte sedimentation rate
segs segmented white blood cells
SGOT serum glutamic-oxaloacetic transaminase
SGPT serum glutamic-pyruvic transaminase
SLE systemic lupus erythematosus
SMAC sequential multiple analyzer computerized
sol solution
Staph staphylococcus
STAT, stat immediately
Strep streptococcus
Sx symptoms
T temperature
T3 triiodothyronine (thyroid gland hormone)
T4 thyroxine (thyroid gland hormone)
TB tuberculosis
T cells lymphocytes from the thymus
T & C type and crossmatch
TIBC total iron binding capacity
TPN total parenteral nutrition
TPR temperature, pulse and respirations
Trig triglycerides
TSH thyroid-stimulating hormone
Tx treatment
UA urinalysis
URI upper respiratory infection
UTI urinary tract infection
UV ultraviolet
VCU voiding cystourethrogram
VD venereal disease
VDRL venereal disease research laboratory
W with line through it water reactive
WBC white blood cell count
wd wound
WT weight
y/o years old
ABO blood group system
a.c. before meals
ACTH adrenocorticotropic hormone
ADH antidiuretic hormone
ad lib as desired
AIDS acquired immunodeficiency syndrome
ALL acute lympocytic leukemia
ALT alanine transaminase
AML acute myelocytic leukemia
aq water
AST asparate aminotransferase
ASO antistrepolysin O
b.i.d. twice a day
bili bilirubin
BP blood pressure
BUN blood urea nitrogen
Bx biopsy
C with
Ca calcium
CAD coronary artery disease
CBC complete blood count
cc cubic centimeter
CCU coronary care unit
chem chemistry
chemo chemotherapy
CK creatine kinase
cm centimeter
CML chronic myelogenous leukemia
CNS central nervous system
CO2 carbon dioxide
COPD chronic obstructive pulmonary disorder
CPR cardiopulmonary resuscitation
crit hematocrit
C-section cesarean section
CSF cerebrospinal fluid
CT scan computed tomography scan
CVA cerebrovascular accident
CXR chest x-ray
DIC disseminated intravascular coagulation
diff differential count of white blood cells
dil dilute
DNA deoxyribonucleic acid
DOB date of birth
Dx diagnosis
EBV Epstein-Barr virus
ECG, EKG electrocardiogram
EEG electroencephalogram
ENT ear, nose and throat
Eos eosinophils
ER emergency room
ESR erythrocyte sedimentation rate (sed rate)
exc excision
FBS fasting blood sugar
Fe iron
FSH follicle stimulating hormone
FUO fever of unknown origin
gluc glucose
GI gastrointestinal
Gm, gm, g gram
GTT glucose tolerance test
GYN gynecology
h hour
Hb, Hgb hemaglobin
HBsAg hepatitis B surface antigen
HBV hepatitis B virus
HCG human chorionic gonadotropin
HCL hydrochloric acid
Hct hematocrit
HCV hepatitis C virus
HDL high-density lipoprotein
Hg mercury
HH (H&H) hemoglobin and hematocrit
HIV human immunodeficiency virus
h/o history of
H2O water
h.s. at bedtime
hx history
ICU intensive care unit
IM intramuscular
IV intravenous
IVP intravenous pyelogram
K potassium (kalium)
Kg kilogram
L liter, left
lat lateral
LD/LDH lactic dehydrogenase
LDL low-density lipoprotein
LE lupus erythematosus
lymphs lymphocytes
lytes electrolytes
m meter
MCH mean corpuscular hemoglobin
MCHC mean corpuscular hemoglobin concentration
MCV mean corpuscular volume
mcg microgram
mets metastases
mg milligram
Mg magnesium
MI myocardial infarction
mL milliliter
mm millimeter
mono monocyte
MRI magnetic resonance imaging
MS multiple sclerosis
Na sodium
neg negative
NG nasogastric
NPO nothing by mouth
O2 oxygen
OB obstetrics
O&P ova and parasite
OP operating room
oz ounce
P pulse, phosphorus
Path pathology
p.c. after meals
PCO2 pressure of carbon dioxide in the blood
Peds pediatrics
pH hydrogen ion concentration
PKU phenylketonuria
PMNs polymorphonuclear leukocytes
PO2 pressure of oxygen in the blood
p/o postoperative
p.o. orally
polys polymorphonuclear leukocytes
pos positive
post-op after operation
PP after a meal
PPD purified protein derivative (TB test)
pre-op before operation
prep prepare for
PRN, prn as necessary
PT prothrombin time/protime
PTT partial thromboplastin time
pt patient
PVC premature ventricular contraction
QNS, q.n.s. quantity not sufficient
R right
RA rheumatoid arthritis
RBC red blood cell count
req requisition
RIA radioimmunoassay
R/O rule out
RPR rapid plasma reagin
RT respiratory therapy
RR recovery room
Rx treatment
s without
Sed rate erythrocyte sedimentation rate
segs segmented white blood cells
SGOT serum glutamic-oxaloacetic transaminase
SGPT serum glutamic-pyruvic transaminase
SLE systemic lupus erythematosus
SMAC sequential multiple analyzer computerized
sol solution
Staph staphylococcus
STAT, stat immediately
Strep streptococcus
Sx symptoms
T temperature
T3 triiodothyronine (thyroid gland hormone)
T4 thyroxine (thyroid gland hormone)
TB tuberculosis
T cells lymphocytes from the thymus
T & C type and crossmatch
TIBC total iron binding capacity
TPN total parenteral nutrition
TPR temperature, pulse and respirations
Trig triglycerides
TSH thyroid-stimulating hormone
Tx treatment
UA urinalysis
URI upper respiratory infection
UTI urinary tract infection
UV ultraviolet
VCU voiding cystourethrogram
VD venereal disease
VDRL venereal disease research laboratory
W with line through it water reactive
WBC white blood cell count
wd wound
WT weight
y/o years old
CODING ABBREVIATIONS
AAMA American Association of Medical Assistants
ABN advance beneficiary notice
AMA American Medical Association
A/R accounts receivable
b.i.d. twice a day
BP blood pressure
C&S culture and sensitivity
CE covered entity
CHAMPUS Civillian Health and Medical Program of the Uniformed Services (now TRICARE)
CHAMPVA Civillian Health and Medical Program of the Department of Veterans Affairs
CMA Certified Medical Assistant
CMS Centers for Medicare and Medicaid Services
CNS central nervous system
COB coordination of benefits
CPC certified professional code
CPT current procedural terminology
DME durable medical equipment
DOB date of birth
DOS date of service
dx diagnosis
EDI electronic data interchange
EENT eyes, ears, nose, and throat
EFT electronic funds transfer
EHR electronic health record
EKG electrocardiogram
E/M code Evaluation and Management code
ENT ears, nose, and throat
EOB explanation of benefits
EP established patient
ER emergency room
FH family history
F/U follow-up
Fx fracture
H&P history and physical
HGB hemoglobin
HIM health information management
HIPAA Health Insurance Portability and Accountability Act
HMO health maintenance organization
hx history
MA medical assistant
MCO managed care organization
nonPAR nonparticipating
NOS not otherwise specified
NP (1)New Patient (2)nurse-practitioner
NPI national provider identifier
n.p.o. nothing by mouth
OIG Office of the Inspector General
OSHA Occupational Safety and Health Administration
OV office visit
PCP primary care provider
PE physical exam
PHI protected health information
PMH past medical history
PPO preferred provider organization
p.r.n. as needed
pt patient
q. every
q.d. every day
q.o.d. every other day
RHIT Registered Health Information Technology
R/O rule out
ROS review of systems
SH social history
SOAP subjective/objective/assessment/plan
SOF signature on file
S/P status post
SSI supplemental security income
SSN social security number
STAT, stat immediately
TANF Temporary Assistance for Needy Families
ABN advance beneficiary notice
AMA American Medical Association
A/R accounts receivable
b.i.d. twice a day
BP blood pressure
C&S culture and sensitivity
CE covered entity
CHAMPUS Civillian Health and Medical Program of the Uniformed Services (now TRICARE)
CHAMPVA Civillian Health and Medical Program of the Department of Veterans Affairs
CMA Certified Medical Assistant
CMS Centers for Medicare and Medicaid Services
CNS central nervous system
COB coordination of benefits
CPC certified professional code
CPT current procedural terminology
DME durable medical equipment
DOB date of birth
DOS date of service
dx diagnosis
EDI electronic data interchange
EENT eyes, ears, nose, and throat
EFT electronic funds transfer
EHR electronic health record
EKG electrocardiogram
E/M code Evaluation and Management code
ENT ears, nose, and throat
EOB explanation of benefits
EP established patient
ER emergency room
FH family history
F/U follow-up
Fx fracture
H&P history and physical
HGB hemoglobin
HIM health information management
HIPAA Health Insurance Portability and Accountability Act
HMO health maintenance organization
hx history
MA medical assistant
MCO managed care organization
nonPAR nonparticipating
NOS not otherwise specified
NP (1)New Patient (2)nurse-practitioner
NPI national provider identifier
n.p.o. nothing by mouth
OIG Office of the Inspector General
OSHA Occupational Safety and Health Administration
OV office visit
PCP primary care provider
PE physical exam
PHI protected health information
PMH past medical history
PPO preferred provider organization
p.r.n. as needed
pt patient
q. every
q.d. every day
q.o.d. every other day
RHIT Registered Health Information Technology
R/O rule out
ROS review of systems
SH social history
SOAP subjective/objective/assessment/plan
SOF signature on file
S/P status post
SSI supplemental security income
SSN social security number
STAT, stat immediately
TANF Temporary Assistance for Needy Families
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