| AAHP |
美國健康計劃協會
(American Association of Health Plans) |
| AAPCC |
調整的平均人口費用
(Adjusted average per capita costs) |
| ACR |
調整的團體費率
(Adjusted community rate) |
| ALOS |
實際住院時間（天數）(Actual
length of stay) |
| APR |
平均給付率
(Average payment rate) |
| AWP |
平均批發價格（藥品）(Average
wholesale price) |
| BDPT |
千分之住院天數
(Bed days per thousand) |
| CCU |
心臟護理病房
(Cardiac care unit) |
| CHAMPUS |
統一服務的居民健康與醫療計劃
(Civilian Health and Medical Program of the
Uniformed Services) |
| COB |
福利協調
(Coordination of benefits) |
| COBRA |
統一綜合預算協調法案
(Consolidated Omnibus Budget Reconciliation
Act) |
| CPT |
現時程序技術編號
(Current procedural terminology codes) |
| DME |
耐用醫療設備
(Durable medical equipment) |
| DRG |
診斷關係組
(Diagnosis related group) |
| Dx |
診斷
(Diagnosis) |
| EAP |
員工輔助計劃
(Employee Assistance program) |
| EOB |
福利說明
(Explanation of benefit) |
| EOP |
給付說明
(Explanation of payment) |
| EPO |
指定醫療服務機構
(Exclusive provider organization) |
| ER |
急診室
(Emergency room) |
| FDOS |
服務第一天
(First date of service) |
| FFS |
按次計費
(Fee-for-service) |
| FTE |
全部時間等量
(Full-time equivalents) |
| HCFA |
衛生照護財務部
(Health Care Financing Administration) |
| HMO |
健康維護組織
(Health maintenance organization) |
| HIPCs |
健康保險購買合作組織
(Health insurance purchasing cooperatives) |
| IBNR |
受損但未報告或未收到
(Incurred but not reported or received) |
| ICD-9-CM |
國際疾病分類法——第
9 次修訂——臨床修訂版 (International Classification
of Diseases-9th Revision - Clinical Modification) |
| I/P |
住院
(Inpatient) |
| IPA |
獨立執業（醫師）協會
(Independent practice (physician) association) |
| JCAHO |
健康護理聯合委托代理組織
(Joint Commission on Accreditation of Healthcare
Organizations) |
| LDOS |
服務的最後一天
(Last date of service) |
| LOS |
住院時間（天數）
(Length of stay) |
| MG |
醫療團體
(Medical group) |
| NCQA |
國家品質保證委員會
(National Committee for Quality Assurance) |
| NMHCC |
國家管理式健康醫療會議
(National Managed Health Care Congress) |
| OOA |
地區外
(Out-of-area) |
| OON |
網路外
(Out-of-network) |
| O/P |
門診
(Outpatient) |
| OTC |
處方藥
(Over-the-counter) |
| PCP |
主治醫師
(Primary care physician) |
| PMPM |
每個成員每月
(Per member per month) |
| PN |
主要網路
(Primary network) |
| POP |
保險費比例
(Percent of premium) |
| POS |
服務點
(Point-of-service) |
| PPO |
推薦的提供者組織
(Preferred provider organization) |
| PTMPY |
每千成員每年
(Per thousand members per year) |
| QA |
品質保證
(Quality assurance) |
| RBRVS |
基於資源的相對價值系統
(Resource-based relative value schedule) |
| Rx |
處方
(Prescription) |
| SNF |
看護院
(Skilled nursing facility) |
| TPA |
第三方管理人
(Third-party administrator) |
| UR |
效用評估
(Utilization review) |
