In medical billing, we work with abbreviations on a daily basis. Without a proper understanding of them, it’s impossible to perform billing accurately.
Below is a list of the most important and frequently used abbreviations in medical billing.
DOS : Date of service.
DOB : Date of birth.
DOD : Date of death.
DOA : Date of accident.
AMA : American Medical Association.
CMS : Centers for Medicare and Medicaid Services.
CPT : Current Procedural Terminology.
DME : Durable Medical Equipment.
Dx : Diagnosis code.
EOB : Explanation of Benefits.
ERA : Electronic Remittance Advice.
E/M : Evaluation and Management section of the CPT codes (99202 to 99499).
ICD : International Classification of Diseases.
NPI : National Provider Identifier.
POS : Place of Service..
COB : Coordination of Benefits.
MSP : Medicare Secondary Payer.
EDI : Electronic Data Interchange.
MRN : Medical Record Number..
PEC : Pre-existing Condition.
EFT : Electronic Funds Transfer.
PCP : Primary Care Physician.
SSN : Social Security Number.
AOB : Assignment of Benefits.
DME : Durable Medical Equipment.
PHI : Protected Health Information.
ATD : Applied To Deductible.
BCBS : Blue Cross Blue Shield.
SOF : Signature on File.
EMR : Electronic Medical Record.
HIPPA : Health Insurance Portability and Accountability Act.
HMO : Health Maintenance Organization.
PPO : Preferred Provider Organization.
TPA : Third-Party Administrator.
TIN : Tax Identification Number.
TAT : Turnaround time.
TFL : Timely filing limit.
POTF : Proof of timely filing.
AFL : After filing limit.
RA : Remittance Advice.
CARC : Claim Adjustment Reason Code.
RARC : Remittance Advice Remark Code.
PR : Patient Responsibility.
OA : Other Adjustment.
CHIP : Children’s Health Insurance Program.
MCO : Managed Care Organization.
RVU : Relative Value Unit.
BHO : Behavioral Health Organization.
CSR : Customer Service Representative.
DDE : Direct Data Entry.
DME : Durable Medical Equipment.
EIN : Employer Identification Number.
GHP : Group Health Plan.
HHS : Department of Health and Human Services.
HSA : Health Savings Account.
IRF : Inpatient Rehabilitation Facility.
IPF : Inpatient Psychiatric Facility.
J-codes : HCPCS code set for injectable drugs.
KPI : Key Performance Indicator.
LCD : Local Coverage Determination.
NCD : National Coverage Determination.
MAC : Medicare Administrative Contractor.
NDC : National Drug Code.
NCCI : National correct coding initiative.
NP : Nurse Practitioner.
OON : Out of Network.
PMPM : Per Member Per Month.
RCM : Revenue Cycle Management.
NF : Nursing Facility.
SNF : Skilled Nursing Facility.
TOS : Type of Service.
VOB : Verification of Benefits.
WC : Workers’ Compensation.
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