Medical billing abbreviations
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.
71 abbreviations
A
- AFL
- After filing limit
- AMA
- American Medical Association
- AOB
- Assignment of Benefits
- ATD
- Applied To Deductible
B
- BCBS
- Blue Cross Blue Shield
- BHO
- Behavioral Health Organization
C
- CARC
- Claim Adjustment Reason Code
- CHIP
- Children’s Health Insurance Program
- CMS
- Centers for Medicare and Medicaid Services
- COB
- Coordination of Benefits
- CPT
- Current Procedural Terminology
- CSR
- Customer Service Representative
D
- DDE
- Direct Data Entry
- DME
- Durable Medical Equipment
- DOA
- Date of accident
- DOB
- Date of birth
- DOD
- Date of death
- DOS
- Date of service
- Dx
- Diagnosis code
E
- E/M
- Evaluation and Management section of the CPT codes (99202 to 99499)
- EDI
- Electronic Data Interchange
- EFT
- Electronic Funds Transfer
- EIN
- Employer Identification Number
- EMR
- Electronic Medical Record
- EOB
- Explanation of Benefits
- ERA
- Electronic Remittance Advice
G
- GHP
- Group Health Plan
H
- HHS
- Department of Health and Human Services
- HIPAA
- Health Insurance Portability and Accountability Act
- HMO
- Health Maintenance Organization
- HSA
- Health Savings Account
I
- ICD
- International Classification of Diseases
- IPF
- Inpatient Psychiatric Facility
- IRF
- Inpatient Rehabilitation Facility
J
- J-codes
- HCPCS code set for injectable drugs
K
- KPI
- Key Performance Indicator
L
- LCD
- Local Coverage Determination
M
- MAC
- Medicare Administrative Contractor
- MCO
- Managed Care Organization
- MRN
- Medical Record Number
- MSP
- Medicare Secondary Payer
N
- NCCI
- National Correct Coding Initiative
- NCD
- National Coverage Determination
- NDC
- National Drug Code
- NF
- Nursing Facility
- NP
- Nurse Practitioner
- NPI
- National Provider Identifier
O
- OA
- Other Adjustment
- OON
- Out of Network
P
- PCP
- Primary Care Physician
- PEC
- Pre-existing Condition
- PHI
- Protected Health Information
- PMPM
- Per Member Per Month
- POS
- Place of Service
- POTF
- Proof of timely filing
- PPO
- Preferred Provider Organization
- PR
- Patient Responsibility
R
- RA
- Remittance Advice
- RARC
- Remittance Advice Remark Code
- RCM
- Revenue Cycle Management
- RVU
- Relative Value Unit
S
- SNF
- Skilled Nursing Facility
- SOF
- Signature on File
- SSN
- Social Security Number
T
- TAT
- Turnaround time
- TFL
- Timely filing limit
- TIN
- Tax Identification Number
- TOS
- Type of Service
- TPA
- Third-Party Administrator
V
- VOB
- Verification of Benefits
W
- WC
- Workers’ Compensation
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