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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