Commonly Used Medical Billing and Coding Abbreviations

If you are one medical biller or coder, or you are studying a medical billing and coding program, you might know that the Medical Billing and Medical Coding Abbreviations made it easier to understand medical professional terms.

When you strive for a medical billing and coding career, you can expect to come in to encounter a wide variety of Abbreviations and terms that are commonly used in the healthcare industry.

Improving your medical billing and coding vocabulary is one good method to demonstrate your knowledge and skills to your employers.

Medical Billing and Medical Coding Abbreviations

Below is a list of medical Abbreviations includes the most commonly used Medical Billing and Coding Abbreviations, it might help you to growing your medical billing and coding vocabulary.

Abbreviations	Meaning of Medical Billing and Coding Acronyms
AAHAM	American Association of Healthcare Administrative Management
ABN	Advance Beneficiary Notice
ACA	Affordable Care Act
ACH	Automated Clearing House
ACO	Accountable Care Organization
ACN	Attachment Control Number
ACPS	Advanced Claims Processing System
AHA	American Hospital Association
AHCA	American Health Care Association
ALOS	Average Length of Stay
AMA	American Medical Association (The American Medical Association is a lobbying group and professional association made up of Doctors of Medicine (MD), Doctors of Osteopathic Medicine (DO) and medical students.)
ANSI	American National Standards Institute
AO	Accreditation Organization
AOB	Assignment of Benefits
ARU	Automated Response Unit
ASC	Ambulatory Surgical Center
ASCA	Administrative Simplification Compliance Act
ATD	Applied to deductibles
BAC	Beneficiary Advisory Committee
BAU	Bill Adjustment Unit
BCBS	Blue Cross Blue Shield
BCRC	Benefits Coordination and Recovery Center
BENE	Beneficiary
BHI	Bureau of Health Insurance
BHO	Behavioral Health Organization
BI	Benefits Integrity
BIB	Benefits Integrity Branch
BIL	Bodily Injury Liability
BIP	Bill in Process
BIS	Benefit Integrity System
BMA	Bio-Medical Association
BMAD	Part B Medicare Annual Data
BT	Bill Type
BUD	Beneficiary Utilization Data File
CARC	Claims Adjustment Reason Code
CAS	Claim Adjustment Segment
CB	Consolidated Billing
CBR	Comparative Billing Report
CBSS	Customer billing Services System
CC	Condition Code
CCEs	Coordinated Care Entities
CCI	Correct coding initiative
CCM	Chronic Care Management
CCN	Correspondence Control number
CCN	Claim Control Number
CDC	Centers for Disease Control and Prevention
CDSM	Clinical Decision support Mechanism
CE	Covered Entity
CEHRT	Certified EHR Technology
CELIP	Claim Expansion Line Item Processing
CER	Clerical Error Reopening
CF	Conversion Factor
CFC	Condition for Coverage
CFR	Code of Federal Regulations
CHAMPUS	CivilianHealth and MedicalProgram of Uniformed Services.
CHAMPVA	CivilianHealth and MedicalProgram of Veterans Administration.
CHECC	Consumer Health Education Coordinator committee
CLIA	Clinical Laboratory Improvements Amendments of 1998
CLT	Lifetime Reserve
CMHC	Community Mental Health Center
CMN	Certificate of Medical Necessity
CMR	Comprehensive Medical Review
CMS	Centers for Medicare & Medicaid Services
CMS-1500	Professional Claim form
CMSCE	Centers of Medicare and Medicaid Services Continuing Education Program
CNS	Clinical Nurse Specialist
CO	Central Office
COB	Coordination of Benefits
COBRA	Consolidated Omnibus Budget Reconciliation Act
COP	Condition of Participation
CORF	Comprehensive Outpatient Rehabilitation facility
CP	Clinical Psychologist
CP	Claim processing
CPAP	Continuous Positive Airway Pressure
CPB	Certified Professional Biller
CPC	Certified Professional Coder
CPCM	Claims processing Coding Manuel
CPT	Current Procedural Terminology
CPT	Claim processing Unit
CQM	Clinical Quality Measure
DAB	Departmental Appeals board
DCI	Duplicate Coverage Inquiry
DCN	Document Control Number
DEA	Drug Enforcement Administration
DEMO	Demographic
DME	Durable Medical Equipment
DOB	Date of Birth
DOD	Date of Death
DOE	Date of Entitlement
DOI	Date of Injury
DOJ	U.S Department of Justice
DOS	Date of Service
DRG	Diagnosis Related Group (DRGs are groups that a patient is classified into based on the treatment procedures they received.)
DUR	Drug Utilization Review
DX	Diagnosis
E-Codes	External Codes
E&M	Evaluation and management
eCQM	Electronic Clinical Quality Measures
ED	Emergency Department
EDB	Enrollment Database
EDI	Electronic Data Interchange
EFT	Electronic Funds Transfer
EGHP	Employer Group Health Plan
EHR	Electronic Health Record
EIN	Employer Identification Number
EMR	Electronic Medical records
EMT	Emergency Medical Technician
EMTALA	Emergency Medical Treatment and Labor Act
EOB	Explanation of Benefits
EOC	Episode of Care
EOMB	Explanation of Medicare Benefits
EP	Eligible Professional
EPO	Exclusive Provider Organization
ER	Emergency Room
ERA	Electronic Remittance Advice
eRx	Electronic Prescribing
ESRD	End-Stage Renal Disease
FAQ	Frequently Asked Question
FFS	Fee For Service
FI	Fiscal Intermediary
FICA	Federal Insurance Contributions Act
FID	Fraud investigation Database
FISS	Fiscal Intermediary Standard System
FQHC	Federally Qualified Health Center
FY	Fiscal Year
GAO	U.S Government Accountability Office
GHP	Group Health Plan
HAC	Hospital-Acquired Condition
HCFA	Healthcare Financing Administration
HCFA-1500	Professional Claim form
HCPCS	Healthcare common Procedure coding system
HCRA	Health care Reform Act
HETS	HIPPA Eligibility transaction System
HH	Home Health
HH PPS	Home Health Prospective Payment system
HHA	Home Health Agency
HICN	Health Insurance Claim Number
HIE	Health Information Exchange
HIPAA	Health Insurance Portability and Accountability Act
HIPPS	Health Insurance Prospective and Payment System
HIV	Human Immunodeficiency Virus
HMO	Health Maintenance Organization (A HMO is a type of insurance group that provides services through a localized network of doctors and other care providers.)
HPSA	Health Professional Shortage Area
IACS	Individual Authorized to Access CMS Computer Services
IBT	Intensive Behavioral Therapy
ICD	International Classification of Diseases
ICD-10	International Classification of Diseases, 10th revision
ICD-9	International Classification of Disease, 9th revision
ICF	International Classification of Functioning, Disability, and Health
ICN	Internal Control Number
ICU	Intensive Care Unit
IDTF	Independent Diagnostic Testing Facility
IHS	Indian Health Service
INN	In Network
IPF	Inpatient Psychiatric Facility
IPF PPS	Inpatient Psychiatric Facility Prospective Payment System
IPPE	Initial Preventive Physical examination
IPPS	Inpatient Prospective Payment System
IRF	Inpatient Rehabilitation Facility
IRF PPS	Inpatient Rehabilitation Facility Prospective Payment System
IVR	Interactive Voice Response
LCD	Local Coverage Determination
LIDOS	Line Item Date Of Service
LOS	Length of Stay
LPN	Licensed Practical Nurse
LTAC	Long-Term Acute Care
LTC	Long-Term Care
LTCH	Long-Term Care Hospital
LTCH PPS	Long-Term Care Hospital Prospective Payment System
MA	Medicare Advantage
MAC	Medicare Administrative Contractor
MACRA	Medicare Access and CHIP Reauthorization Act
MAO	Medical Advantage Organization
MBI	Medicare Beneficiary Identifier
MCD	Medicare Coverage Database
MCE	Medicare Code Editor
MCP	Managed Care Plan
MDH	Medicare Dependent Hospital
MEDIGAP	Medicare GAP ( Medicare Supplement Insurance)
MLN	Medicare Learning Network
MLN LMS	Medicare Learning Network, Learning Management System
MMA	Medicare Modernization Act
MOON	Medicare Outpatient Observation Notice
MR	Medical Review
MREP	Medicare Remit Easy Print
MRN	Medical Record Number
MS-DRG	Medicare Severity-Diagnosis Related Group
MSN	Medicare Summary Notice
MSP	Medicare Secondary Payer
MUE	Medically Unlikely Edit
MVA	Motor Vehicle accident
N/C	Non-Covered charge
NCCI	National Correct coding Initiative
NCD	National Coverage Determination
NCPDP	National Council for Prescription Drug Programs
NDC	National Drug Code
NEC	Not Elsewhere Classifiable
NOS	Not Otherwise Specified
NP	Nurse Practitioner
NPI	National Provider Identifier
NPPES	National Plan and Provider Enumeration System
OCE	Outpatient Code Editor
OOA	Out of Area
OON	Out of Network
OOP	Out of Pocket
OP	Out Patient
OPPS	Outpatient Prospective Payment System
OPT	Outpatient Physical Therapy
OT	Occupational Therapy
OTAF	Obligated to Accept as Payment in Full
P-Auth	Prior Authorization
PA	Physician Assistant
PACE	Program of All-Inclusive Care for the Elderly
PAP	Positive Airway Pressure
PCN	Primary Care Network
PCP	Primary Care Physician
PDL	Preferred Drug List
PECOS	Provider Enrollment, Chain, and Ownership System
PFFS	Private Fee For Service
PFFS	Provider Fee for Service Plan
PFS	Physician Fee Schedule
PHI	Protected Health Information
PI	Program Integrity
PIN	Provider Identification Number
POA	Present on Admission
POC	Plan of Care
POS	Place of Service
POS	Point of Service
PPO	Preferred Provider Organization
PPPS	Personalized Prevention Plan Service
PQRS	Physician Quality Reporting System
PT	Physical Therapy
PT	Patient
PTAN	Provider Transaction Access Number
PTFL	Past Timely Filling Limit
QDWI	Qualified Disabled and Working Individuals
QI	Qualifying Individual
QMB	Qualified Medicare Beneficiaries
QPP	Quality Payment Program
R-Auth	Retro Authorization
RA	Remittance Advice
RAC	Recovery Audit Contractor
RARC	Remittance Advice Remark Code
RHC	Rural Health Clinic
RN	Registered Nurse
ROI	Release of Information
RRB	Railroad Retirement Board
RRC	Rural Referral Center
RTP	Return to Provider
RVS	Relative Value Scale
RVU	Relative Value Unit
SCHIP	State Children’s Health Insurance Program
SLMB	Specified Low-Income Medicare Beneficiaries
SMAC	Specialty Medicare Administrative Contractor
SNF	Skilled Nursing Facility
SNFABN	SNF Advance Beneficiary Notice of No coverage
SNP	Specials Need Plan
SOF	Signature on File
SSA	Social Security Act
SSN	Social Security Number
SSO	Short-Stay Outlier
TAR	Treatment Authorization Request
TC	Technical Component
TCN	Transaction Control Number
TFL	Timely Filling Limit
TIN	Tax Identification Number
TOB	Type of Bill
TOP	Triple Option Plan
TOS	Type of Service
TPA	Third Party Administrators
TPL	Third Party Liability
UB-04	Hospital Claim
UB-92	Universal Billing Form
UHDDS	Uniform Hospital Discharge Data Set
UPIN	Unique Physician Identification Number
UR	Ultization Review
V-Codes	Vaccination codes
WA	Working Aged
WC	Workers Compensation
WHO	World Health Organization (WHO is a sub-agency of the United Nations that is responsible for worldwide public health.)
WO	Write Off
ZIP	Zonal Improvement Plan