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Managed Care

Common Abbreviations Used

AB
ABAntibiotic
ADD'LAdditional
ADMAdmission, admitted, admitting department
ALOSAnticipated Length of stay
ANTICAnticipate
AODAAlcohol & other drug abuse
APAttending Physician
APPTAppointment
APPYAppendectomy
ASMAnswering Service Message
AUTHAuthorization
BC or BXBlue Cross
BENBenefits
BO or BUS OFCBusiness Office
B/RBilling relationship
CBCall Back
CCCompcare
CHEMOChemotherapy
CGCaregiver
COBCoordination of Benefits
COMComments
CONConcurrent
COVCoverage
CSCustomer Service
CTYCounty
CX'DCanceled
CXDTCancellation Date
DC or D/CDischarge
DC'DDischarged: Discontinued
DEM/VISDemerol/Vistaril
DLOSDay length of stay
DOCDocument
DS MNGMTDisease Management
DXDiagnosis
EDCEstimated date of confinement
EFDTEffective Date
ELIGEligibility Screen
ENVEnvironment
EOBExplanation of Benefits
EXTExtension
FEPFederal Employee Program
FFSFamily financial Service
FSField Status
GRPGroup
HMOHealth Maintenance Organization
HOSPHospital
HRSHealth Related Systems
HWYHighway
ICMIndividual Case Management
IDIdentification
IMPIndividualized management Program
INFOInformation
INPTInpatient
INSInsurance
LCDLast certified day
LMTCBLeft message to call back
LOSLength of Stay
LTRLetter
MBRMember, membership
*MBRMember benefit review
MCManaged Care
MCIManaged Care Indicator
MDXMultiple Diagnosis
MDX OMultiple Diagnosis, Operated
MED REVMember Review
MIDMemembership Identification
MRMedical Records Department
MSSOMandatory Second Surgical Opinion
MSGMessage
NBSNight Before Surgery
NMNADR (name & address) by name
NNNADR by number
NPNext page
NVD, NSVDNormal (spontaneous) vaginal delivery
OEDOriginal effetive date
OFCOFC-MD office, unless otherwise specified
OOOOut of Office
OP or O/POutpatient
OPPOutpatient psych
ORTHOrthopedic
Other Cov PrimeOther coverage prime
PAPhysician advisor/consultant
PASProfessional activity study
PCPPrimary Care Physician
PFSPatient Financial Service
PKGPackage
PKWYParkway
POSPoint of Service
PPIPriority Processing indicator
PRE or PREADMPreadmission
PROBProblem
PROVProvider
PSProvider Service
PsychPsychiatric
PTPatient
PT AcctsPatient accounts
PT InfoPatient information
QualQualification
RCReturn Call
RERegarding
RECRecommendation
REFReferred
REQRequest
REVReview
Rev Date or R.D.Review Date
REV In PRODReview in progress
REV Pro REQReview program Requirements
RSNReason
SDASingle day admission
SDXSingle Diagnosis
SDX OP or SOP DXSingle diagnosis, operated
SSASelective Severity Assessment
SSOSecond Surgical Opinion
STESuite
TCTelephone Call
TCFTelephone Call From
TCTTelephone Call To
TELETelemetry
TOCType of Contract
TXTreatment
TYPType
URUtilization Review
VSSOVoluntary second surgical opinion
W/With
WCBWill call back
XRFCross Reference


Medical Specialist Instructor
Kaiser Group

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