Ch 2: Abbreviations Flashcards
The Health Record and the Foundation of Coding
AHQA
American Health Quality Association
BPH
Benign Prostate Hypertrophy
CBC
Complete Blood Count
CC
Chief Complaint
CMS
Centers for Medicare and Medicaid Services
CPT
Current Procedural Terminology
COPD
Chronic Obstructive Pulmonary Disease
DOB
Date of Birth
ED
Emergency Department
EEG
Electroencephalogram
EGD
Esophagogastroduodenoscopy
EKG
Electrocardiogram
ER
Emergency Room
GERD
Gastroesophageal Reflux Disease
H&P
History and Physical
HPI
History of Present Illness
ICD-9-CM
International Classification of Diseases, 9th Revision, Clinical Modification
ICD-10-CM
International Classification of Diseases, 10th Revision, Clinical Modification
ICU
Intensive Care Unit
MAR
Medication Administration Record
MRA
Magnetic Resonance Angiography
MRI
Magnetic Resonance Imaging
MS-DRGs
Medicare Severity Diagnosis-related Groups
MVP
Mitral Valve Prolapse
NPI
National Provider Identifier
OP Report
Operative Report
POA
Present on Admission
SOAP
Subjective/Objective/Assessment/Plan
TJC
The Joint Commission
TPR
Temperature, Pulse, and Respiration
UHDDS
Uniform Hospital Discharge Data Set
UPIN
Unique Physician Identification Number