Medical Billing Abbreviations

Common Abbreviations in Healthcare & Medical Billing

Here are some common abbreviations used in US healthcare, medical billing, and revenue cycle management:

AMA American Medical Association
CMS Centers for Medicare and Medicaid Services
HIPAA Health Insurance Portability and Accountability Act
EHR Electronic Health Record
EMR Electronic Medical Record
PHI Protected Health Information
ICD-10 International Classification of Diseases, 10th Revision
CPT Current Procedural Terminology
HCPCS Healthcare Common Procedure Coding System
HCFA Health Care Financing Administration
NPI National Provider Identifier
PPO Preferred Provider Organization
HMO Health Maintenance Organization
POS Point of Service
EOB Explanation of Benefits
EFT Electronic Funds Transfer
RCM Revenue Cycle Management
A/R Accounts Receivable
A/P Accounts Payable
UB-04 Uniform Billing-04 (CMS-1450)
EDI Electronic Data Interchange
MSP Medicare Secondary Payer
HCC Hierarchical Condition Category
HIE Health Information Exchange
PQRS Physician Quality Reporting System
E&M Evaluation and Management
NDC National Drug Code
ROI Return on Investment
ACO Accountable Care Organization
PHO Physician-Hospital Organization
RBRVS Resource-Based Relative Value Scale
CDI Clinical Documentation Improvement
CDC Centers for Disease Control and Prevention



This list includes a wide range of abbreviations, but please note that there may be additional abbreviations used in specific contexts within healthcare, medical billing, and revenue cycle management.

Leave a Reply