ABN | Advance Beneficiary Notice |
ACA | Affordable Care Act |
AMA | American Medical Association |
AOB | Assignment of Benefits |
BIL | Bodily Injury Liability |
CDM | Charges Description Master |
CF | Conversion Factor |
CHAMPUS | Civilian Health and Medical Program of the Uniformed Services |
CHAMPVA | Civilian Health and Medical Program for the Veteran Administration |
CLIA | Clinical Laboratory Improvement Amendments |
CMS | Centers for Medicare and Medicaid |
COB | Co-Ordination of Benefits |
COBRA | Consolidation Omnibus Budget Reconciliation Act |
CPT | Current procedural Terminology |
DCN | Document Control Number |
DEERS | Defense Enrollment Eligibility Reporting System |
DME | Durable Medical Equipment |
DOB | Date of Birth |
DOI | Date of Injury |
DOS | Date of Service |
DRG | Diagnosis Related Group |
DX | Diagnosis Code |
E & M | Evaluation and Management Services |
E Codes | External Codes |
EAP | Employee Assistance Program |
EDI | Electronic Data Interchange |
EFT | Electronic Funds Transfer |
EGHP | Employer Group Health Plan |
E.H.R | Electronic Health Record |
EIN | Employer Identification Number |
EMR | Electronic Medical Records |
EOB | Explanation of benefits |
EOMB | Explantion of Medicare Benefits |
EPO | Exclusive Provider Organization |
ERA | Electronic Remittance Advice |
ERISA | Employee Retirement Income Security Act |
ESRD | End Stage Renal Disease |
FFS | Fee For Service |
FI | Fiscal Intermediary |
FICA | Federal Insurance Contributions Act |
FIR | First Injury Report |
FSA | Flexible Spending Account |
HCFA | Health Care Financing Administration |
HCPCS | Healthcare Common Procedure Coding System |
HCRA | Health Care Reform Act |
HICN | Health Insurance Claim Number |
HIPAA | Health Insurance Portability and Accountability Act |
HMO | Health Maintenance Organization |
ICD | International Classification of Diseases |
ICN | Internal Control Number |
IME | Independent Medical Examination |
IPA | Independent Practice Association |
MCP | Managed Care Plans |
MHC | Managed Health Care |
MRN | Medical Record Number |
MSA | Medical Savings Account |
MSP | Medicare as a Secondary Payer |
MSP | Medicare as a Secondary Payer |
MVA | Motor Vehicle Accident |
NCPDP | National Council of Prescriptions Drug Programs |
NDC | National Drug Code |
NPI | National Provider Identifier |
NPPES | National Plan and Provider Enumeration System |
OOA | Out of Area |
OON | Out of Network |
OP | Out Patient |
P-Auth | Pre Authorization |
PCN | Primary Care Network |
PCP | Primary Care Physician |
PDL | Property Damage Liability |
PHI | Protect Health Information |
PIN | Provider Identification Number |
PIP | Personal Injury Protection |
POS | Place of service |
POS | Point of Service |
PPO | Preferred Provider Organization |
PTAN | Provider Transaction Access Number |
PTFL | Past Timely Filing Limit |
PX | Procedure Code |
QMB | Qualified Medicare Beneficiaries |
RA | Remittance Advice |
RBRVS | The Resource Based Relative Value Scale |
RCM | Revenue Cycle Management |
ROI | Release of Information |
RVU | Relating Value Unit |
SNF | Skilled Nursing Facility |
SOF | Signature On File |
SSN | Social Security Number |
TAR | Treatment Authorization Request |
TC | Technical Component |
TCN | Transaction Control Number |
TFL | Timely Filing Limit |
TIN | Tax Identification Number |
TOS | Type of Service |
TPA | Third Party Administrators |
UB-92/UB-04 | Uniform Billing 92/04 |
UCR | Usual, customary and reasonable |
UPIN | Unique Physician Identification Number |
UR | Utilization Review |
V codes | Vaccination Codes |
WC | Worker Compensation |
WO | Write Off |
ZIP | Zonal Improvement Plan |
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