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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