ACRONYMS IN HEALTH CARE……FYI

ACRONYMS in HEALTH CARE

HIPAA……………………………………….Health Insurance Portability Accountability Act (provide privacy of your information)
PHI…………………………………………..Protected Health Information (pronounced P, H. I……not ‘fee’)
Fee for Service…………………………….Amount allowed for service
Capitation…………………………………..A fixed prepayment
HMO…………………………………………Health Maintenance Organization
PPO…………………………………………Physician Provider Organization
ASO…………………………………………Administrative Service Only
COB…………………………………………Coordination of Benefits
CPT………………………………………….Current Procedural Terminology (billing codes)
ICD9…………………………………………International Classification of Diseases, 9th edition
Modifiers……………………………………adjustment for unusual service
DRG…………………………………………Diagnostic Related Group
HCPCS……………………………………..Health Care Procedure Coding System
AMA…………………………………………American Medical Association
CMS…………………………………………Center for Medicaid Medicare Service
Champus……………………………………Civilian Health and Medical Program of Uniformed Service (military related)
NCQA………………………………………..National Committee for Quality Assurance
ERISA……………………………………….Employee retirement Income Security ACT
COBRA………………………………………Consolidated Omnibus Budget Reconciliation Act (if person loses job, may be covered by insurance, but pays for it)
CQI……………………………………………Continuous Quality Improvement