Medical Acronyms You Need To Know!

In this climate of texting and wanting quick results for everything from ordering your lunch, to ordering medical tests, to attending a meeting with a speaker who uses a lot of acronyms that you are expected to know, let’s save some time and offer you a reference tool so you aren’t going to “Dr. Google” when trying to be present in your education as a medical professional.

Webinar Acronyms –Reference Tool

  • AAP – Advanced and Accelerated Payments (from Medicare)
  • ACO – Accountable Care Organization
  • ADR – Additional Documentation Request
  • APP – Advanced Practice Provider
  • AKS – Anti-Kickback Statute
  • APP – Cash Payment Applications
  • CAA – Consolidations Appropriations Act 2022
  • CARC – Claim Adjusted Reason Codes
  • CERT – Comprehensive Error Rate Testing
  • CF – Conversion Factor
  • CY – Calendar Year
  • CMS – Centers for Medicare and Medicaid
  • DOJ – Department of Justice
  • EOB – Explanation of Benefits
  • FCA – False Claim Act
  • FWA – Fraud Waste & Abuse
  • GAO – provides fact-based, nonpartisan information to Congress. Often called the “congressional watchdog,”
  • HHS – Health Human Services
  • HIMS – Health information Management Service
  • HIPAA – Health Insurance Portability & Accountability Act.
  • IDR – Independent Dispute Resolution (NSA)
  • LCD – Local Coverage Determination
  • MAC – Medicare Administrative Contractor
  • MedPAC – Medicare Payment Advisory Commission
  • MMA – Medicare Modernization Act
  • MPFS – Medicare Physician Fee Schedule
  • MSN – Medicare Summary Notice
  • MSO – Management Service Organization
  • NCD – National Coverage Determination
  • NPP – Non-Physician Practitioner
  • NSA – No Surprise Act
  • OCR – Office of Civil Rights
  • OIG – Office of Inspector General
  • PAYGO – federally mandated “pay-as-you-go” deficit control budget rules
  • PE – Private Equity (firms)
  • PHE – Public Health Emergency
  • ePHI – Protected Health Information (electronic)
  • POS – Place of Service
  • QHP – Qualified Health Care Professional
  • QPA – Qualifying Payment Amount (re: NSA IDR)
  • PRF – Provider Relief Funding
  • RAC – Recovery Audit Contractors
  • RARC – Remittance Advice Remark Codes
  • RCM – Revenue Cycle Management
  • RPM – Remote Patient Monitoring
  • RY – Reporting Year
  • SMRC – Supplemental Medical Review Contractor
  • TPE – Target Probe Educate
  • ZPIC/UPIC – Zone/Unified Program Integrity Contractor

Make sure you have this handy when you are needing to reference a particular regulatory guidance, speak to a physician, or listen in to an educational webinar. This will assist so you are not in the dark.