Health Care Acronyms

ACA: (Patient Protection and) Affordable Care Act

ACO: Accountable Care Organization

AD&D: Accidental Death and Dismemberment

ADA: American with Disabilities Act of 1990

ALOS: Average Length of Stay

AMA: American Medical Association

APTC: Advanced Premium Tax Credit

ASC: Ambulatory Surgery Center

Auth: Authorization

BOI: Bureau of Insurance

CDHP: Consumer-Directed Health Plan

CHAMPUS: Civilian Hospital and Medical Program of the Uniformed Service. Now known as Tricare.

CHIP: Children's Health Insurance Program

CIN: Clinically Integrated Network

CMS: Centers for Medicare and Medicaid Services (previously HCFA)

COB: Coordination of Benefits

COBRA: Consolidated Omnibus Reconciliation Act (extension of coverage)

COI: Certificate of Insurance

CPT: Current Procedural Terminology (Level 1 codes)

DMAS: Department of Medical Assistance Services

DME: Durable Medical Equipment

DOL: Department of Labor

DOS: Date of Service

E & L: Exclusions and Limitations

EAP: Employee Assistance Program

EMT: Emergency Medical Technician

ENT: Ears, Nose and Throat

EOB: Explanation of Benefits

EOC: Evidence of Coverage (HMO / POS Plan Documentation)

ER: Emergency Room

ERISA: Employee Retirement Income Security Act

FAMIS: Family Access to Medical Insurance Security Plan

FDA: Food and Drug Administration

FEHBP: Federal Employee Health Benefit Plan

FFS: Fee for Service

FMLA: Family and Medical Leave Act

FSA: Flexible Spending Account

HDHP: High-Deductible Health Plan

HEDIS®: Health Plan Employer Data and Information Set

HIPAA: Health Insurance Portability and Accountability Act

HMO: Health Maintenance Organization

HRA: Health Reimbursement Account

HSA: Health Savings Account

ICU: Intensive Care Unit

IRF: Inpatient Reading Fee

IUD: Intrauterine Device

IV: Intravenous

JCAHO: Joint Commission on the Accreditation of Hospital Organizations

LOS: Length of Stay

LPN: Licensed Practical Nurse

LTD: Long Term Disability

Max: Maximum

MD: Medical Doctor

MOOP: Maximum Out of Pocket

MRI: Magnetic Resonance Imaging

NAIC: National Association of Insurance Commissioners

NCQA: National Committee for Quality Assurance

NIMH: National Institute of Mental Health

Non-par: Not participating (out-of-network)

NPI: National Provider Identifier

OB: Obstetrician

OOA: Out of Area

OOP: Out of Pocket

OSHA: Occupational Safety and Health Act

OTC: Over the Counter

OV: Office Visit

P&T: Pharmacy & Therapeutics Committee

Par: Participating

PCMH: Patient Centered Medical Home

PCP: Primary Care Physician

PHA: Personal Health Assessment

PHI: Protected Health Information

POA: Power of Attorney

POS: Point of Service

PPACA: Patient Protection and Affordable Care Act

PPO: Preferred Provider Organization

Pre-auth: Pre-Authorization

Pre-X: Pre-existing Conditions

PSA: Prostate Screening Antigen

PT: Physical Therapy

QHP: Qualified Health Plan

Remit: Remittance

Retro: Retroactive

RN: Registered Nurse

ROI: Release of Information

RX: Prescription

SBC: Uniform Summary of Benefits and Coverage

SF: Self-Funded

SNF: Skilled Nursing Facility

ST: Speech Therapy

STD: Short-Term Disability

TEFRA: Tax Equity and Fiscal Responsibility Act of 1982

TPA: Third-Party Administrator

TRICARE: Managed Healthcare System for military families

UCC: Urgent Care Center

URI: Upper Respiratory Infection

VA Hospital: Veterans Administration Hospital

WC: Worker's Compensation

WH: Withhold

WIC: Women, Infants and Children (supplemental food program)

YTD: Year to Date

Healthcare Glossary items are also available.