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.

Medical Billing and Medical Coding Abbreviations

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.

AbbreviationsMeaning of Medical Billing and Coding Acronyms
AAHAMAmerican Association of Healthcare Administrative Management
ABNAdvance Beneficiary Notice
ACAAffordable Care Act
ACHAutomated Clearing House
ACOAccountable Care Organization
ACNAttachment Control Number
ACPSAdvanced Claims Processing System
AHAAmerican Hospital Association
AHCAAmerican Health Care Association
ALOSAverage Length of Stay
AMAAmerican 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.)
ANSIAmerican National Standards Institute
AOAccreditation Organization
AOBAssignment of Benefits
ARUAutomated Response Unit
ASCAmbulatory Surgical Center
ASCAAdministrative Simplification Compliance Act
ATDApplied to deductibles
BACBeneficiary Advisory Committee
BAUBill Adjustment Unit
BCBSBlue Cross Blue Shield
BCRCBenefits Coordination and Recovery Center
BHIBureau of Health Insurance
BHOBehavioral Health Organization
BIBenefits Integrity
BIBBenefits Integrity Branch
BILBodily Injury Liability
BIPBill in Process
BISBenefit Integrity System
BMABio-Medical Association
BMADPart B Medicare Annual Data
BTBill Type
BUDBeneficiary Utilization Data File
CARCClaims Adjustment Reason Code
CASClaim Adjustment Segment
CBConsolidated Billing
CBRComparative Billing Report
CBSSCustomer billing Services System
CCCondition Code
CCEsCoordinated Care Entities
CCICorrect coding initiative
CCMChronic Care Management
CCNCorrespondence Control number
CCNClaim Control Number
CDCCenters for Disease Control and Prevention
CDSMClinical Decision support Mechanism
CECovered Entity
CEHRTCertified EHR Technology
CELIPClaim Expansion Line Item Processing
CERClerical Error Reopening
CFConversion Factor
CFCCondition for Coverage
CFRCode of Federal Regulations
CHAMPUSCivilianHealth and MedicalProgram of Uniformed Services.
CHAMPVACivilianHealth and MedicalProgram of Veterans Administration.
CHECCConsumer Health Education Coordinator committee
CLIAClinical Laboratory Improvements Amendments of 1998
CLTLifetime Reserve
CMHCCommunity Mental Health Center
CMNCertificate of Medical Necessity
CMRComprehensive Medical Review
CMSCenters for Medicare & Medicaid Services
CMS-1500Professional Claim form
CMSCECenters of Medicare and Medicaid Services Continuing Education Program
CNSClinical Nurse Specialist
COCentral Office
COBCoordination of Benefits
COBRAConsolidated Omnibus Budget Reconciliation Act
COPCondition of Participation
CORFComprehensive Outpatient Rehabilitation facility
CPClinical Psychologist
CPClaim processing
CPAPContinuous Positive Airway Pressure
CPBCertified Professional Biller
CPCCertified Professional Coder
CPCMClaims processing Coding Manuel
CPTCurrent Procedural Terminology
CPTClaim processing Unit
CQMClinical Quality Measure
DABDepartmental Appeals board
DCIDuplicate Coverage Inquiry
DCNDocument Control Number
DEADrug Enforcement Administration
DMEDurable Medical Equipment
DOBDate of Birth
DODDate of Death
DOEDate of Entitlement
DOIDate of Injury
DOJU.S Department of Justice
DOSDate of Service
DRGDiagnosis Related Group (DRGs are groups that a patient is classified into based on the treatment procedures they received.)
DURDrug Utilization Review
E-CodesExternal Codes
E&MEvaluation and management
eCQMElectronic Clinical Quality Measures
EDEmergency Department
EDBEnrollment Database
EDIElectronic Data Interchange
EFTElectronic Funds Transfer
EGHPEmployer Group Health Plan
EHRElectronic Health Record
EINEmployer Identification Number
EMRElectronic Medical records
EMTEmergency Medical Technician
EMTALAEmergency Medical Treatment and Labor Act
EOBExplanation of Benefits
EOCEpisode of Care
EOMBExplanation of Medicare Benefits
EPEligible Professional
EPOExclusive Provider Organization
EREmergency Room
ERAElectronic Remittance Advice
eRxElectronic Prescribing
ESRDEnd-Stage Renal Disease
FAQFrequently Asked Question
FFSFee For Service
FIFiscal Intermediary
FICAFederal Insurance Contributions Act
FIDFraud investigation Database
FISSFiscal Intermediary Standard System
FQHCFederally Qualified Health Center
FYFiscal Year
GAOU.S Government Accountability Office
GHPGroup Health Plan
HACHospital-Acquired Condition
HCFAHealthcare Financing Administration
HCFA-1500Professional Claim form
HCPCSHealthcare common Procedure coding system
HCRAHealth care Reform Act
HETSHIPPA Eligibility transaction System
HHHome Health
HH PPSHome Health Prospective Payment system
HHAHome Health Agency
HICNHealth Insurance Claim Number
HIEHealth Information Exchange
HIPAAHealth Insurance Portability and Accountability Act
HIPPSHealth Insurance Prospective and Payment System
HIVHuman Immunodeficiency Virus
HMOHealth Maintenance Organization (A HMO is a type of insurance group that provides services through a localized network of doctors and other care providers.)
HPSAHealth Professional Shortage Area
IACSIndividual Authorized to Access CMS Computer Services
IBTIntensive Behavioral Therapy
ICDInternational Classification of Diseases
ICD-10International Classification of Diseases, 10th revision
ICD-9International Classification of Disease, 9th revision
ICFInternational Classification of Functioning, Disability, and Health
ICNInternal Control Number
ICUIntensive Care Unit
IDTFIndependent Diagnostic Testing Facility
IHSIndian Health Service
INNIn Network
IPFInpatient Psychiatric Facility
IPF PPSInpatient Psychiatric Facility Prospective Payment System
IPPEInitial Preventive Physical examination
IPPSInpatient Prospective Payment System
IRFInpatient Rehabilitation Facility
IRF PPSInpatient Rehabilitation Facility Prospective Payment System
IVRInteractive Voice Response
LCDLocal Coverage Determination
LIDOSLine Item Date Of Service
LOSLength of Stay
LPNLicensed Practical Nurse
LTACLong-Term Acute Care
LTCLong-Term Care
LTCHLong-Term Care Hospital
LTCH PPSLong-Term Care Hospital Prospective Payment System
MAMedicare Advantage
MACMedicare Administrative Contractor
MACRAMedicare Access and CHIP Reauthorization Act
MAOMedical Advantage Organization
MBIMedicare Beneficiary Identifier
MCDMedicare Coverage Database
MCEMedicare Code Editor
MCPManaged Care Plan
MDHMedicare Dependent Hospital
MEDIGAPMedicare GAP ( Medicare Supplement Insurance)
MLNMedicare Learning Network
MLN LMSMedicare Learning Network, Learning Management System
MMAMedicare Modernization Act
MOONMedicare Outpatient Observation Notice
MRMedical Review
MREPMedicare Remit Easy Print
MRNMedical Record Number
MS-DRGMedicare Severity-Diagnosis Related Group
MSNMedicare Summary Notice
MSPMedicare Secondary Payer
MUEMedically Unlikely Edit
MVAMotor Vehicle accident
N/CNon-Covered charge
NCCINational Correct coding Initiative
NCDNational Coverage Determination
NCPDPNational Council for Prescription Drug Programs
NDCNational Drug Code
NECNot Elsewhere Classifiable
NOSNot Otherwise Specified
NPNurse Practitioner
NPINational Provider Identifier
NPPESNational Plan and Provider Enumeration System
OCEOutpatient Code Editor
OOAOut of Area
OONOut of Network
OOPOut of Pocket
OPOut Patient
OPPSOutpatient Prospective Payment System
OPTOutpatient Physical Therapy
OTOccupational Therapy
OTAFObligated to Accept as Payment in Full
P-AuthPrior Authorization
PAPhysician Assistant
PACEProgram of All-Inclusive Care for the Elderly
PAPPositive Airway Pressure
PCNPrimary Care Network
PCPPrimary Care Physician
PDLPreferred Drug List
PECOSProvider Enrollment, Chain, and Ownership System
PFFSPrivate Fee For Service
PFFSProvider Fee for Service Plan
PFSPhysician Fee Schedule
PHIProtected Health Information
PIProgram Integrity
PINProvider Identification Number
POAPresent on Admission
POCPlan of Care
POSPlace of Service
POSPoint of Service
PPOPreferred Provider Organization
PPPSPersonalized Prevention Plan Service
PQRSPhysician Quality Reporting System
PTPhysical Therapy
PTANProvider Transaction Access Number
PTFLPast Timely Filling Limit
QDWIQualified Disabled and Working Individuals
QIQualifying Individual
QMBQualified Medicare Beneficiaries
QPPQuality Payment Program
R-AuthRetro Authorization
RARemittance Advice
RACRecovery Audit Contractor
RARCRemittance Advice Remark Code
RHCRural Health Clinic
RNRegistered Nurse
ROIRelease of Information
RRBRailroad Retirement Board
RRCRural Referral Center
RTPReturn to Provider
RVSRelative Value Scale
RVURelative Value Unit
SCHIPState Children’s Health Insurance Program
SLMBSpecified Low-Income Medicare Beneficiaries
SMACSpecialty Medicare Administrative Contractor
SNFSkilled Nursing Facility
SNFABNSNF Advance Beneficiary Notice of No coverage
SNPSpecials Need Plan
SOFSignature on File
SSASocial Security Act
SSNSocial Security Number
SSOShort-Stay Outlier
TARTreatment Authorization Request
TCTechnical Component
TCNTransaction Control Number
TFLTimely Filling Limit
TINTax Identification Number
TOBType of Bill
TOPTriple Option Plan
TOSType of Service
TPAThird Party Administrators
TPLThird Party Liability
UB-04Hospital Claim
UB-92Universal Billing Form
UHDDSUniform Hospital Discharge Data Set
UPINUnique Physician Identification Number
URUltization Review
V-CodesVaccination codes
WAWorking Aged
WCWorkers Compensation
WHOWorld Health Organization (WHO is a sub-agency of the United Nations that is responsible for worldwide public health.)
WOWrite Off
ZIPZonal Improvement Plan