Medical Insurance & Coding Abbreviation List – Flashcards
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dx
answer
diagnosis
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CLIA
answer
Clinical Laboratory Improvement Amendment
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HIPAA
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Healthcare Insurance Portability and Accountability Act
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AHA
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American Hospital Association
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e/m
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Evaluation and Management (services)
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OSHA
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Occupational Safety and Health Administration
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IIHI
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Individually Identifiable Health Information
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NPP
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Notice of Privacy Practices non-physician practitioner
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MSO
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Management Services Organization
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HMO
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Health Maintenance Organization
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LCD
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Local Coverage Determination
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NC
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No Charge
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OCR
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Office of Civil Rights
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DoJ
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Department of Justice (Federal)
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HEAT
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Healthcare Fraud Prevention and Enforcement Action Team
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SNOMED
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Systematized Nomenclature of Medicine
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PFSH
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past, family, or social history
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PPO
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Preferred Provider Organization
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PPG
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Physician Provider Group
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WCAB
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Workers' Compensation Appeals Board
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UCR
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Usual, Customary, and Reasonable
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SSA
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Social Security Administration
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PIN
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Provider Identification Number
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DEERS
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Defense Enrollment Eligibility Reporting System
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CERT
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Comprehensive Error Rate Testing
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EOB
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Explanation of Benefits
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HCPCS
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Healthcare Common Procedure Coding System
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HBMA
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Healthcare Billing and Management Association
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EPO
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Exclusive Provider Organization
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COBRA
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Consolidated Omnibus Budget Reconciliation Act
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AAMA
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American Association of Medical Assistants
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AAMB
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American Association Medicare Billers
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CMS
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Centers for Medicare and Medicaid Services
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CAP
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Claims Assistant Professional
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CC
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Chief Complainant complication/comorbidity
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ABC
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Alternative Billing Codes
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ARRA
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American Recovery and Reinvestment Act
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A/R
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accounts receivable
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CCS
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Certified Coding Specialist
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COB
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coordination of benefits
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CMP
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Civil Monetary Penalty
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ACA
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American Collectors Association
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ADSM
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Active Duty Service Member
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CDHP
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Consumer Directed Health Plan
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EEOC
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Equal Employment Opportunity Commission
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HFSA
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Healthcare Flexible Spending Account
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fax
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facsimile
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FDIC
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Federal Deposit Insurance Corporation
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FCA
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False Claims Act
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MMA
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Medicare Prescription Drug Improvement and Modernization Act
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NDC
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National Drug Code
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MSN
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Medicare Summery Notice
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TDI
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Temporary Disability Insurance
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PAHCOM
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Professional Association of Health Care Office Management
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OIG
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Office of Inspector General
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ORT
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Operation Restore Trust
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ROS
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Review of Systems
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P & P
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Policies & Procedures
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PCM
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Primary Care Manager
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OPPS
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Outpatient Prospective Payment System
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OR and ER or ED
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Operating Room and Emergency Room or Emergency Department
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PE or PX
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physical examination
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OOY
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over-one-year
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ROM
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Range Of Motion
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RVS
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Relative Value Studies or Scale
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RVU
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Relative Value Unit
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RAC
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Recovery Audit Contractor
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LC
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low-coplexity
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IRS
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Internal Revenue Service
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LOS
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Length of Stay
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POS
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point/place of service
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PH
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past history
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SOF
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signature on file
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LMP
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Last Menstrual Period
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CMA & RMA
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Certified and Registered Medical Assistant
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NA N/A
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not applicable
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PF
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problem focused
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NEC
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Not Elsewhere Classifiable
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CPT
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Current Procedure Terminology
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RUQ & RLQ & LLQ & LUQ
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right upper quadrant & right lower quadrant & left lower quadrant & left upper quadrant
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MCC
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major complication/comorbidity
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RN
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Registered Nurse
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PHI
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Protected Health Information
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OHI
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Other Health Insurance
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NOS
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Not Otherwise Specified
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NF
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Nursing Facility
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HPID
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Health Plan Identifier
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HFMA
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Healthcare Financial Management Association
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HPI
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History of Present Illness
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HO
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Hearing Officer
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PO
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Privacy Officer/Official
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NP
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New Patient
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WP
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Waiting Period
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WNL
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Within Normal Limits
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FDA
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Food and Drug Administration
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TPO
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Treatment, Payment, or healthcare Operations
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CMP
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Competitive Medical Plan
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IPA
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Independent/Individual Practice Association
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PMS
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Practice Management Software
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CHAMPVA
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Civilian Health and Medical Program of the Department of Veterans Affairs
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DHHS/HHS
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Department of Health and Human Services
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PC
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Professional Component
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PCP
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Primary Care Physician
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ICD-9=CM
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International Classification of Diseases, Ninth Edition, Clinical Modification
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NCD
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National Coverage Determination
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ICU
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Intensive Care Unit
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MAB
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Medical Association of Billers
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SDI
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State Disability Insurance
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SF
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straight forward (medical decision making)
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SHOP
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Small Business Health Options Program
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FCBA
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Fair Credit Billing Act
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VA
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Veterans Affairs
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FMC
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Foundation of Medical Care
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MGMA
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Medical Group Management Association
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Medi/Medi
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Medicare/Medicaid
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MSA
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Medical Savings Account
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par
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participating provider/physician
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UCD
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Unemployment Compensation Disability
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SDI
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State Disability Insurance
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SDP
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Self-Disclosure Protocol
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SMI
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Supplementary Medical Insurance
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SSI
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Supplemental Security Insurance
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TCS
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Transaction Code Set
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TDI
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Temporary Disability Insurance
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SOR
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Source Oriented Record
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TD
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Temporary Disability
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USFHP
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Uniformed Services Family Health Plan
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RHIA
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Registered Health Insurance Administer
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RCU
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Respiratory Care Unit
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PSO
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Provider-Sponsored Organization
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PD
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Permanent Disability
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MTF
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Military Treatment Facility
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NCHS
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National Center for Health Statistics
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BR
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by report
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ATM
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Automated Teller Machine
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CAC
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Computer Assisted Coding
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ASP
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Application Service Provider
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FBI
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Federal Bureau of Investigation
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GED
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General Equivalency Diploma
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CM
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Clinical Modification
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EGHP
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Employee Group Health Plan
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HIM
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Health Information Management
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EBP
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Employee Benefit Plan
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HAC
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Health Administration Center
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FTC
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Federal Trade Commission
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ICF
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Intermediate Care Facility
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HBA
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Health Benefits Advisor
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HSA
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Health Savings Account
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HITECH
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Health Information Technology for Economic and Clinical Health Act
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HRA
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Health Reimbursement Account
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HDHP
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High Deductible Health Plan
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DDE
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Direct Data Entry
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HCFAP
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Health Care Fraud and Abuse Control Program
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HRS
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Healthcare Reimbursement Specialist
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FEHBA
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Federal Employee Healthcare Benefit Act
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FDCPA
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Fair Debt Collection Practices Aci
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EPSDT
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Early & Periodic Screening, DIagnosis, and Treatment
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FCRA
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Fair Credit Reporting Act
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HEDIS
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Health Plan Employer Data Information Set
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FPL
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Federal Poverty Level
