Medical Billing Terminologies
ABN: Advance Beneficiary Notice
ASC: Ambulatory Surgical Center
AVR: Automated Voice Response
ARU: Audio Response Unit
AMA: American Medical Association
ASCA: Administrative Simplification Compliance Act
CIN: Client Identification Number (Patients policy Id Number)
CMS: Center for Medicare and Medicaid Service
CPT: Current Procedural Terminology
CDT: Current Dental Terminology
CCI: Correct Coding Initiative
COB: Coordination of Benefits
CDM: Charge Description Master
CLIA: Clinical Laboratory Improvement Amendments
COBRA: Consolidated Omnibus Budget Reconciliation Act
CHAMPUS: Civilian Health and Medical Program of the Uniformed Services
CHAMPVA: Civilian Health and Medical Program of the Veterans Administration
CRNA: Certified Registered Nurse Anesthetist
DEFRA: Deficit Equity and Reduction Act
DME: Durable Medical Equipment
DMERC: Durable Medical Equipment Regional Carrier
DHHS: Department of Health and Human Services
ERA: Electronic Remittance Advice
ESRD: End Stage Renal Disease
E/M: Evaluation and Management
EOB: Explanation of Benefits
EOMB: Explanation of Medicare Benefits
EFT: Electronic Fund Transfer
EDI: Electronic Data Interchange
EPO: Exclusive Provider Organizations
EIN: Employer Identification Number (also known as a Federal Tax Id No)
FDA: Food Drug Administration
FTE: Full Time Equivalent (Full Time Employee)
FECA: Federal Employee’s Compensation Act
FQHC: Federally Qualified Health Centers
HCPCS: Healthcare Common Procedural Coding System
HCFA: Health Care Financial Administration
HIPAA: Health Insurance Portability and Accountability Act
HICN: Health Insurance Claim Number
HPSA: Health Professional Shortage Area
HMO: Health Maintenance Organizations
ICD-9: International Classification of Diseases- 9th Edition
ICN: Internal Control Number
IVR: Interactive Voice Response
LCD: Local Coverage Determination
LMRP: Local Medicare Review Policy
LTC: Long Term Care
MRN: Medical Record Number
NDC: National Drug Code
NPI: National Provider Identifier
NCD: National Coverage Determination
NGS: National Government Services
PTAN: Provider Transaction Access Number
PPO: Preferred Provider Organizations
PCP: Primary Care Physician
ROI: Release of Information
RA: Remittance Advice
RVU: Relative Value Unit
SNF: Skilled Nursing Facility
SCHIP: State Children’s Health Insurance Program’s
TIN: Tax Identification Number
TPA: Third Party Administrator
TEFRA: Tax Equity and Fiscal Responsibility Act
UB 92: Uniform Billing (Note: UB-92 is replaced by UB-04 since May 2007)
UPIN: Unique Provider Identification Number
UT Auth: Utilization Threshold Authorization
UR: Utilization Review
UCR: Usual Customary and Reasonable
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