Health Care Abbreviations and Acronyms

AAHP American Association of Health Plans AAPCC Adjusted average per capita costs ACR Adjusted community rate ALOS Actual length of stay (in days) APR Average payment rate AWP Average wholesale price (pharmacy drugs) BDPT Bed days per thousand CCU Cardiac care unit CHAMPUS Civilian Health and Medical Program of the Uniformed Services COB Coordination of benefits COBRA Consolidated Omnibus Budget Reconciliation Act CPT Current procedural terminology codes DME Durable medical equipment DRG Diagnosis related group (also see RBRVS) Dx Diagnosis EAP Employee Assistance program EOB Explanation of benefit EOP Explanation of payment EPO Exclusive provider organization ER Emergency room FDOS First date of service FFS Fee-for-service FTE Full-time equivalents HCFA Health Care Financing Administration HMO Health maintenance organization HIPCs Health insurance purchasing cooperatives IBNR Incurred but not reported or received ICD-9-CM International Classification of Diseases-9th Revision - Clinical Modification I/P Inpatient IPA Independent practice (physician) association JCAHO Joint Commission on Accreditation of Healthcare Organizations LDOS Last date of service LOS Length of stay (in days) MG Medical group NCQA National Committee for Quality Assurance NMHCC National Managed Health Care Congress OOA Out-of-area OON Out-of-network O/P Outpatient OTC Over-the-counter PCP Primary care physician PMPM Per member per month PN Primary network POP Percent of premium POS Point-of-service PPO Preferred provider organization PTMPY Per thousand members per year QA Quality assurance RBRVS Resource-based relative value schedule Rx Prescription SNF Skilled nursing facility TPA Third-party administrator UR Utilization review