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RED MOD INSURANCE ABBV

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AAMA
American Association of Medical Assistants
ACS
American College of Surgeons
ADFM
Active Duty Family Member
ADSM
Active Duty Service Member
ADJ
Adjustment
AHA
American Hospital Association
AMA
American Medical Association
ASIM
American Society of Internal Medicine
BCBSA
Blue Cross and Blue Shield Association
CCS
Critical Care Services
CCU
Coronary Care Unit
CHAMPVA
Civilian Health and Medical Program of the Department of Veterans Affairs
CMS
Centers for Medicare and Medicaid Services
COB
Coordination of Benefits
DRG
Diagnosis Related Groups
ECF
Extended Care Facility
EDC
Expected Date of Confinement
EOMB
Explanation of Medicare Benefits
EVS
Eligibility Verification System
FDA
Food and Drug Administration
FEP
Federal Employee Program
FI
Fiscal Intermediary
FY
Fiscal Year
HHS
Department of Health and Human Services
HIAA
Health Insurance Association of America
HMO
Health Maintenance Organization
HV
Hospital Visit
IC
Intermediary Care
ICF
Intermediate Care Facility
ICU
Intensive Care Unit
IP
Inpatient
IPA
Independent Practice Association
JCAHO
Joint Commission on Accreditation of Healthcare Organizations
LTC
Long Term Care
LTD
Long Term Disability
MIS
Management Information System
MMIS
Medical Management Information System
MPC
Medical Policy Committee
NPI
National Provider Identifier
NUCC
National Uniform Claim Committee
OCHAMPUS
Office of the Civilian Health and Medical Program of the Uniformed Services
OOP
Out of Pocket
OP
Outpatient
OSHA
Occupational Safety and Health Administration
PAT
Preadmission Testing
PCP
Primary Care Physician
POE
Proof of Eligibility
PPO
Preferred Provider Organization
PSRO
Professional Standards Review Organization
RVU
Relative Value Units
SMA
Schedule of Maximum Allowances
SNF
Skilled Nursing Care Facility
TPL
Third Party Liability
UCD
Unemployment Compensation Disability
UCR
Usual Customary and Reasonable
UR
Utilization Review
WC
Worker's Compensation