HIPAA - Health Insurance Portability and Accountability Act
RCM - Revenue Cycle Management
CMS - Centers for Medicare & Medicaid Services
AMA - American Medical Association
EDI - Electronic Data Interchange
PHI - Protected Health Information
POS - Place of Service
HCPCS - Healthcare Common Procedure Coding System
CPT - Current Procedural Terminology
ICD10CMS - International Classification of Diseases, Tenth Revision, Clinical Modification
MCO - Managed Care Organization
HMO - Health Maintenance Organization
PPO - Preferred Provider Organization
POS PLAN - Point of Service Plan
EPO - Exclusive Provider Organization
DEERS - Defense Enrollment Eligibility Reporting System
NPI - National Provider Identifier
TIN - Tax Identification Number
PTAN - Provider Transaction Access Number
NPPES - National Plan and Provider Enumeration System
PECOS - Provider Enrollment, Chain & Ownership System
COBRA - Consolidated Omnibus Budget Reconciliation Act
ABN - Advance Beneficiary Notice
WL - Waiver of Liability
AOB - Assignment of Benefits
ROI - Release of Information
ROI - Social Security Number
EOB - Explanation of Benefits
ERA - Electronic Remittance Advice
TFL - Timely Filing Limit
TAT - Turnaround Time
MCR - Medicare
MCD - Medicaid
QMB - Qualified Medicare Beneficiary
MBI - Medicare Beneficiary Identifier
ESRD - End-Stage Renal Disease
MSP - Medicare Secondary Payer
SSDI - Social Security Disability Insurance
ALS - Amyotrophic Lateral Sclerosis
ACA - Affordable Care Act
HCBS - Home and Community-Based Services
CHIP - Children's Health Insurance Program
HICN - Health Insurance Claim Number
CARC - Claim Adjustment Reason Code
RARC - Remark Code
RVU - Relative Value Unit
GPCI - Geographic Practice Cost Index
CF - Conversion Factor
NDC - National Drug Code
CLIA - Clinical Laboratory Improvement Amendments
OOP - Out of Pocket
LCD - Local Coverage Determination
NCD - National Coverage Determination
MAC - Medicare Administrative Contractor
MUE - Medically Unlikely Edit
NCCI - National Correct Coding Initiative
WC - Workers Compensation
PIP - Personal Injury Protection
EIN - Employer Identification Number
FAULT - At Fault
NO FAULT - Not At Fault
MVA - Motor Vehicle Accident
PCP - Primary Care Physician
EVBV - Eligibility & Benefits Verification
DOS - Date of Service
DOB - Date of Birth
DOI - Date of Injury