|
Term
|
Definition
|
|
A/R
|
Accounts Receivable
|
|
AAP
|
American Academy of Pediatrics
|
|
ACD
|
Augmentative Communicative Device
|
|
ACIP
|
Advisory Committee on Immunization Practices
|
|
ACSW
|
Academy of Certified Social Workers
|
|
AFP
|
Abdominal Flat Plates
|
|
AIDS
|
Acquired Immunodeficiency Syndrome
|
|
AIS
|
Automated Inquiry System
|
|
ALL
|
Acute Lymphoblastic Leukemia
|
|
AMA
|
American Medical Association
|
|
ANSI
|
American National Standards Institute
|
|
APN
|
Advanced Practice Nurse (former name for APRN)
|
|
APRN
|
Advanced Practice Registered Nurse
|
|
ASA
|
American Society of Anesthesiologists
|
|
ASBMT
|
American Society for Blood and Marrow Transplantation
|
|
ASC
|
Ambulatory Surgical Center
|
|
ATP
|
Assistive Technology Practitioner
|
|
AWP
|
Average Wholesale Price
|
|
BA
|
Bachelor of Arts
|
|
BCBS
|
Blue Cross Blue Shield
|
|
BCG
|
Bacille Calmette-Guérin
|
|
BiPAP
|
Bi-level Positive Airway Pressure
|
|
BON
|
(Texas) Board of Nursing
|
|
BS
|
Bachelor of Science
|
|
BSN
|
Bachelor of Science in Nursing
|
|
BSSW
|
Bachelor of Science in Social Work
|
|
C/C
|
Cleft/Craniofacial
|
|
CAPD
|
Continuous Ambulatory Peritoneal Dialysis
|
|
CBC
|
Complete Blood Count
|
|
CCPD
|
Continuous Cycling Peritoneal Dialysis
|
|
CDT
|
Current Dental Terminology
|
|
CHAMPUS
|
Civilian Health and Medical Program of the Uniformed Services-now called TriCare
|
|
CHIP
|
Children's Health Insurance Program
|
|
CLIA
|
Clinical Laboratory Improvement Amendments of 1988
|
|
CML
|
Chronic Myelogenous Leukemia
|
|
CMS
|
Centers for Medicare & Medicaid Services (formerly HCFA)
|
|
CNS
|
Clinical Nurse Specialist
|
|
CPAP
|
Continuous Positive Airway Pressure
|
|
CPR
|
Cardiopulmonary Resuscitation
|
|
CPT
|
Current Procedural Terminology
|
|
CRCP
|
Certified Respiratory Care Practitioners
|
|
CRNA
|
Certified Registered Nurse Anesthetist
|
|
CSHCN
|
Children with Special Health Care Needs
|
|
CSI
|
Claim Status Inquiry
|
|
CT
|
Computed Tomography
|
|
CVA
|
Cerebrovascular Accident
|
|
DARS
|
Department of Assistive and Rehabilitative Services
|
|
DDS
|
Doctor of Dentistry
|
|
DEFRA
|
Deficit Reduction Act of 1984
|
|
DMD
|
Doctor of Dental Medicine
|
|
DME
|
Durable Medical Equipment
|
|
DO
|
Doctor of Osteopathy
|
|
DOB
|
Date of Birth
|
|
DOS
|
Date of Service
|
|
DPM
|
Doctor of Podiatric Medicine (Podiatrist)
|
|
DRG
|
Diagnosis-Related Group
|
|
DSHS
|
Department of State Health Services
|
|
DSM-IV-TR
|
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision
|
|
E/M
|
Evaluation and Management (Services)
|
|
ECG
|
Electrocardiogram
|
|
EDI
|
Electronic Data Interchange
|
|
EEG
|
Electroencephalogram
|
|
EFT
|
Electronic Funds Transfer
|
|
EMG
|
Electromyogram
|
|
EMTALA
|
Emergency Medical Treatment and Labor Act
|
|
EOB
|
Explanation of Benefits
|
|
EOG
|
Electro-oculogram
|
|
EOPS
|
Explanation of Pending Status
|
|
EPO
|
Erythropoietin Alfa
|
|
EPSDT
|
Early Periodic Screening, Diagnosis, and Treatment
|
|
ER&S
|
Electronic Remittance and Status report
|
|
ESWL
|
Extracorporeal Shock Wave Lithotripsy
|
|
EV
|
Eligibility Verification
|
|
fMRI
|
Functional Magnetic Resonance Imaging
|
|
FNP
|
Family Nurse Practitioner
|
|
FNP-BC
|
Family Nurse Practitioner-Board Certified
|
|
FQHC
|
Federally Qualified Health Center
|
|
FSS
|
Family Support Services
|
|
FYE
|
Fiscal Year End
|
|
H.B.
|
House Bill
|
|
HASC
|
Hospital-based Ambulatory Surgical Center
|
|
HBO
|
Hyperbaric Oxygen
|
|
HCFA
|
Health Care Financing Administration
(now called CMS-Centers for Medicare & Medicaid Services)
|
|
HCPCS
|
Healthcare Common Procedure Coding System
|
|
HCSSA
|
Home and Community Services Support Agency
|
|
HFCWCS
|
High Frequency Chest Wall Compression Systems
|
|
HHA
|
Home Health Agency
|
|
HHS
|
Health and Human Services
|
|
HHSC
|
Health and Human Services Commission
|
|
HIC
|
Health Insurance Claim (number)
|
|
HIPAA
|
Health Insurance Portability and Accountability Act
|
|
HIV
|
Human Immunodeficiency Virus
|
|
HLA
|
Human Leukocyte Antigen
|
|
HKAFO
|
Hip-Knee-Ankle-Foot Orthotics
|
|
HLA
|
Human Leukocyte Antigen
|
|
HMO
|
Health Maintenance Organization
|
|
HO
|
Hip Orthotics
|
|
ICD-9-CM
|
International Classification of Diseases, Ninth Revision, Clinical Modification
|
|
ICF
|
Intermediate Care Facility (refer to also SNF)
|
|
ICF-MR
|
Intermediate Care Facility for Persons with Mental Retardation
|
|
ICN
|
Internal Control Number (as in, 24-digit ICN)
|
|
ID
|
Intradermal
|
|
IEP
|
Individual Education Plan
|
|
IM
|
Intramuscular
|
|
iMRI
|
Intraoperative Magnetic Resonance Imaging
|
|
IOL
|
Intraocular Lens
|
|
IPD
|
Intermittent Peritoneal Dialysis
|
|
IPPA
|
Insurance Premium Payment Assistance
|
|
IPPB
|
Intermittent Positive Pressure Breathing
|
|
IPV
|
Intrapulmonary Percussive Ventilation
|
|
IRS
|
Internal Revenue Service
|
|
IV
|
Intravenous
|
|
JRA
|
Juvenile Rheumatoid Arthritis
|
|
KAFO
|
Knee-Ankle-Foot Orthotics
|
|
KO
|
Knee Orthotics
|
|
KUB
|
Kidneys, Ureters, and Bladder
|
|
LBSW
|
Licensed Baccalaureate Social Worker
|
|
LBW
|
Low Birth Weight
|
|
LCSW
|
Licensed Clinical Social Worker
|
|
LDL
|
Low Density Lipoprotein
|
|
LMFT
|
Licensed Marriage and Family Therapist
|
|
LMSW
|
Licensed Master Social Worker
|
|
LMSW-AP
|
Licensed Master Social Worker-Advanced Practitioner
|
|
LPC
|
Licensed Professional Counselor
|
|
LSWA
|
Licensed Social Worker Associate
|
|
LVN
|
Licensed Vocational Nurse
|
|
MD
|
Doctor of Medicine
|
|
MMIS
|
Medicaid Management Information System
|
|
MNC
|
Medically Needy Clearinghouse
|
|
MNP
|
Medically Needy Program
|
|
MPH
|
Master of Public Health
|
|
MRA
|
Magnetic Resonance Angiography
|
|
MRI
|
Magnetic Resonance Imaging
|
|
MSRP
|
Manufacturers Suggested Retail Price
|
|
MSSW
|
Master of Science in Social Work
|
|
MSUD
|
Methylmalonic Acidemia and Maple Syrup Urine Disease
|
|
MSW
|
Master of Social Work
|
|
MTP
|
Medical Transportation Program
|
|
NDC
|
National Drug Code
|
|
NOS
|
Not Otherwise Specified
|
|
NP
|
Nurse Practitioner
|
|
NPI
|
National Provider Identifier
|
|
OI
|
Other Insurance
|
|
OMT
|
Osteopathic Manipulation Treatment
|
|
OT
|
Occupational Therapy, Occupational Therapist
|
|
PACT
|
Program for Amplification for Children of Texas (Hearing Aids/Services)
|
|
PAF
|
Physician/Dentist Assessment Form
|
|
PAN
|
Prior Authorization Number
|
|
PCN
|
Patient Control Number
|
|
PDA
|
Personal Digital Assistant
|
|
PDF
|
Portable Document Format
|
|
PET
|
Positron Emission Tomography (PET scan)
|
|
PKU
|
Phenylketonuria
|
|
PNP
|
Pediatric Nurse Practioner
|
|
POC
|
Plan of Care
|
|
POS
|
Place of Service
|
|
PPMP
|
Physician-Performed Microscopy Procedures
|
|
PPO
|
Preferred Provider Organization
|
|
PT
|
Physical Therapy, Physical Therapist
|
|
RAST
|
Radioallergosorbent Test
|
|
RBRVS
|
Resource-Based Relative Value Scale
|
|
RESNA
|
Rehabilitation Engineering and Assistive Technology Society of North America
|
|
RGO
|
Reciprocating Gait Orthosis
|
|
RHC
|
Rural Health Clinic
|
|
RN
|
Registered Nurse
|
|
RSV
|
Respiratory Syncytial Virus
|
|
RVU
|
Relative Value Unit
|
|
S.B.
|
Senate Bill
|
|
SC
|
Subcutaneous
|
|
SID
|
Surface Identification
|
|
SLP
|
Speech-Language Pathology/Speech-Language Pathologist
|
|
SNF
|
Skilled Nursing Facility (refer to also ICF)
|
|
SO
|
Spinal Orthotics
|
|
SSL
|
Secure Socket Layer
|
|
TAC
|
Texas Administrative Code
|
|
TANF
|
Temporary Assistance to Needy Families (formerly AFDC)
|
|
TEFRA
|
Tax Equity and Fiscal Responsibility Act of 1982
|
|
TENS
|
Transcutaneous Electric Nerve Stimulator
|
|
THKAO
|
Thoracic-Hip-Knee-Ankle Orthotics
|
|
THSteps
|
Texas Health Steps (Texas name for EPSDT)
|
|
THSteps-CCP
|
Texas Health Steps Comprehensive Care Program (Texas name for EPSDT-CCP)
|
|
TMHP
|
Texas Medicaid & Healthcare Partnership
|
|
TMRM
|
Texas Medicaid Reimbursement Methodology
|
|
TOB
|
Type of Bill
|
|
TOS
|
Type of Service
|
|
TPI
|
Texas Provider Identifier
|
|
TPN
|
Total Parenteral Nutrition (i.e., Hyperalimentation)
|
|
TPR
|
Third-Party Resource
|
|
TSBDE
|
Texas State Board of Dental Examiners
|
|
TVFC
|
Texas Vaccines for Children
|
|
UB-04
|
Uniform Bill 04 CMS-1450
|
|
UCB
|
University of California at Berkeley
|
|
VDP
|
Vendor Drug Program
|
|
VIPS
|
Voice Inquiry Processing System
|
|
VLBW
|
Very Low Birth Weight
|
|
VPN
|
Virtual Private Networking
|
