Common Health Care Acronyms
This list is meant only to help increase general understanding of commonly used health care terms. It is not a complete or official list, and is included here to aid in general understanding only.
To find the definition of a term, click below on the first letter of the desired word.
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
A
AAPCC |
Adjusted Average Per Capita Cost |
ACD |
Automatic call distributor |
ACF |
Ambulatory care facility |
ACR |
Adjusted community rating |
AFDC/ADC |
Aid to Families with Dependent Children |
AIDS |
Acquired Immune Deficiency Syndrome |
ALOS |
Average Length of Stay |
APG |
Ambulatory Payment Classification |
APG |
Ambulatory Patient Group |
ASC |
Administrative Services Contract or Ambulatory Surgical Center |
ASO |
Administrative services only (generally refers to contracts) |
B
BBA |
Balanced Budget Act of 1997 |
BSN |
Bachelor of Science in Nursing |
C
CAH |
Critical Access Hospital |
CAP |
Contract Administration Process |
CBO |
Congressional Budget Office |
CCU |
Critical Care Unit |
CDC |
Centers for Disease Control and Prevention |
CCPs |
Coordinated care plans |
CEO |
Chief executive officer |
CHE |
Certified Healthcare Executive |
CHIN |
Community Health Information Network |
COA |
Certificate of authority |
COB |
Coordination of Benefits |
COBRA |
Consolidated Omnibus Budget Reconciliation Act |
CON |
Certificate of Need |
COP |
Conditions of Participation |
CPI |
Consumer Price Index |
CRC |
Community rating by class |
CTI |
Computer/telephony integration |
D
D
DCH |
Department of Community Health |
DHHS |
Department of Health and Human Services |
DME |
Durable Medical Equipment |
DNR |
Do-Not-Resuscitate |
DO |
Doctor of Osteopathy |
DSH |
Disproportionate Share Hospital |
DPOS |
Dental point of service option |
DPPO |
Dental preferred provider organization |
DHMO |
Dental health maintenance organization |
DSS |
Decision support system |
DUR |
Drug utilization review |
E
EDI |
electronic data interchange |
EMR |
electronic medical record |
EMS |
Emergency Medical Services |
EMT |
Emergency Medical Technician |
EPA |
Environmental Protection Agency |
ER |
Emergency Room |
ERISA |
Employee Retirement Income Security Act |
EPO |
Exclusive provider organization |
EPSDT |
Early and periodic screening, diagnostic, and treatment services |
F
FDA |
Food and Drug Administration |
FFS |
Fee-for-service payment system |
FEHBP |
Federal Employee Health Benefits Program |
FQHC |
Federally Qualified Health Center |
FTC |
Federal Trade Commission |
FY |
Fiscal Year |
G
GLB Act |
Financial Services Modernization Act (Gramm-Leach-Bliley Act) |
GME |
Graduate Medical Education |
GP |
General Practitioner |
GPWW |
Group practice without walls |
H
HCFA |
Health Care Financing Administration |
HCQIA |
Health Care Quality Improvement Act |
HCQIP |
Health Care Quality Improvement Program |
HHA |
Home Health Agency |
HHS |
Health and Human Services, U.S. Department of |
HIN |
Health information network |
HIO |
Health insuring organization |
HIPAA |
Health Insurance Portability and Accountability Act of 1996 |
HIV |
Human Immunodeficiency Virus |
HMO |
Health maintenance organization |
HPMS |
Health Plan Management System |
HRA |
Health risk assessment |
I
IBNR |
Incurred but not reported claims |
ICU |
Intensive Care Unit |
IDS |
Integrated delivery system |
IPA |
Independent practice association |
IVR |
Interactive voice response system |
J
JCAHO |
Joint Commission on Accreditation of Healthcare Organizations |
JOA |
Joint Operating Agreement |
K
L
LOS |
Length of stay |
LPN |
Licensed Practical Nurse |
LTAC |
Long-Term Acute-Care Hospital |
LTC |
Long-Term Care |
LTCF |
Long-Term Care Facility |
M
MCO |
Managed care organization |
MD |
Doctor of Medicine |
MedPAC |
Medicare Payment Advisory Commission |
MHS |
Military Health System |
MIS |
Management Information System |
MSA |
Medicare medical savings account plans |
MSN |
Master of Science in Nursing |
MSO |
Management Services Organization |
MSW |
Master of Social Work |
MTFs |
Military treatment facilities |
N
NCQA |
National Committee for Quality Assurance |
NIH |
National Institutes of Health |
NMHPA |
Newborns' and Mothers' Health Protection Act |
NPDB |
National Practitioner Data Bank |
O
OB-GYN |
Obstetrics-Gynecology |
OMB |
Office of Management and Budget |
OPPS |
Outpatient Prospective Payment System |
OR |
Operating Room |
OSHA |
Occupational Safety and Health Administration |
OT |
Occupational Therapist |
P
P&T |
Pharmacy and therapeutics |
PA |
Physician Assistant |
PACE |
Programs of All-inclusive Care for the Elderly |
PBM |
Pharmacy benefit management plan |
PCCM |
Primary care case manager |
PCP |
Primary care provider |
PFFS |
Private fee-for-service plans |
PAC |
Political Action Committee |
PHA |
Participating Hospital Agreement |
PHO |
Physician-hospital organization |
PMC |
Physician Management Company |
PO |
Physician Organization |
POS |
Point-of-service |
PPA |
Preferred provider arrangement |
PPM |
Physician Practice Management Company |
PPO |
Preferred provider organization |
PPS |
Prospective Payment System |
PRO |
Peer review organization |
PSN |
Provider Sponsored Network |
PSO |
Provider Service Organization |
PT |
Physical Therapist |
Q
QA |
Quality Assessment or Quality Assurance |
QHP |
Quality Health Plan |
QISMC |
Quality Improvement System for Managed Care |
QM |
Quality management |
R
RBRVS |
Resource-Based Relative Value Scale |
RHC |
Rural Health Clinic |
RN |
Registered Nurse |
RVS |
Relative value scale |
S
SCHIP |
State Children's Health Insurance Program |
SNF |
Skilled Nursing Facility |
T
TPA |
Third party administrator |
TQM |
Total Quality Management |
U
V
UCR |
Usual, customary, and reasonable fee |
UM |
Utilization management |
UR |
Utilization review |
URO |
Utilization review organization |
W
WC |
Workers’ Compensation |
WHCRA |
Women's Health and Cancer Rights Act |
WHO |
World Health Organization |