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.
BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM
Ms. Terry Fletcher is a Healthcare Coding and Reimbursement Consultant, Educator and Auditor based in Southern California. With over 30-years experience, Ms. Fletcher teaches over 100 specialty coding Seminars, Teleconferences and Webinars every year. You can find her CodeCast® podcast series, focusing on Physician Coding, Billing, Reimbursement, compliance, and Medical industry revenue opportunities, on iTunes, Stitcher, TuneIn, and Google Play.
Terry is also an NAMAS Member and Podcast Host, and host of the NSCHBC Edge Podcast.