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Specialized Medical Care and Management Abbreviations

Reference tables for the abbreviations for managed care, U.S. agencies and organizations, and specialized areas/facilities for medical purposes. ‘Managed Care’ refers to common abbreviations when dealing with insurance and payments in the medical field. ‘Agencies & Organizations of the United States’ lists the most common/relevant abbreviations. ‘Specialized areas and facilities’ is a reference chart for abbreviations of common medical specialities and appropriate hospital facilities.

Managed Care  
ASO administrative services only
cap capitation (reimbursement)
CM case management/manager
COB Coordination of Benefits
COBRA Consolidated Omnibus Budget Reconciliation Act (1985)
COC Certificate of Coverage
co-pay copayment
DUR drug usage/utilization review
EOB Explanation of Benefits
EPO Exclusive Provider Organization
ERISA Employee Retirement Income Security Act (1974)
FFS Fee-For-Service (reimbursement)
HEDIS Health Employer Data & Information Set
HI health insurance
HIPAA Health Insurance Portability & Accountability Act (1996)
HMO Health Maintenance Organization
MCP managed care plan
MIP Managed Indemnity Program/Plan
MSP Medicare Secondary Payor
NCQA National Committee for Quality Assurance
PBM Pharmacy Benefit Manager
PCP Primary Care Provider, Primary Care Physician
PHO Physician—Hospital Organization
PMPM per member per month (Capitation)
POS Point of Service
PPO Preferred Provider Organization
PPS Prospective Payment System
SSO second surgical opinion
TPA Third Party Administrator
UCR usual, customary & reasonable (fees)
UR Utilization Review
Agencies & Organizations of the United States  
AHA American Hospital Association
AMA American Medical Association
CAAHEP Commission on Accreditation of Allied Health Education Programs
CDC Centers for Disease Control
FDA Food & Drug Administration
HCFA Health Care Financing Administration
HHA Home Health Agency
IOM Institute of Medicne
JCAHO Joint commission on Accreditation of Healthcare Organizations
NCI National Cancer Institute
NHC National Health Council
NIH National Institutes of Health
NLN National League for Nursing
NORD National Organization for Rare Disorders
UNOS United Network for Organ Sharing
USDHHS U.S. Department of Health/Human Services
USPHS U.S. Public Health Service
VNA Visiting Nurse Association
WHO World Health Organization
Specialized Areas and Facilities  
AAC Ambulatory Care Center
ALF Assisted Living Facility
BB, BLBK Blood Bank
BU Burn Unit
CCRC Continuous Care Retirement Community
CCU Coronary Care Unit, Critical Care Unit
DR Delivery Room
ECF Extended Care Facility
ED Emergency Department
ER Emergency Room
ETU Emergency Trauma Unit, Emergency Treatment Unit
HDU Hemodialysis Unit
ICF Intermediate Care Facility
ICU Intensive Care Unit, Intermediate Care Unit
Lab Laboratory
LR Labor Room
MHC Mental Health Center
MICU Medical Intensive Care Unit
MRD Medical Records Department
NICU Neonatal Intensive Care Unit
OPC Outpatient Clinic
OPD Outpatient Department
OPS Outpatient Surgery, Outpatient Service
OR Operating Room
OT Occupational therapy
PPC Poison Control Center
PCU Progressive Care Unit
Peds Pediatrics
Pharm Pharmacy
PICU Pediatric Intensive Care Unit
PT Physical Therapy
RPCH Rural Primary Care Hospital
RR Recovery Room
SICU Surgical Intensive Care Unit
SNF Skilled Nursing Facility
TC Therapeutic Community, Trauma Center

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