Ch 2: Abbreviations Flashcards

The Health Record and the Foundation of Coding

1
Q

AHQA

A

American Health Quality Association

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2
Q

BPH

A

Benign Prostate Hypertrophy

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3
Q

CBC

A

Complete Blood Count

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4
Q

CC

A

Chief Complaint

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5
Q

CMS

A

Centers for Medicare and Medicaid Services

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6
Q

CPT

A

Current Procedural Terminology

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7
Q

COPD

A

Chronic Obstructive Pulmonary Disease

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8
Q

DOB

A

Date of Birth

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9
Q

ED

A

Emergency Department

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10
Q

EEG

A

Electroencephalogram

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11
Q

EGD

A

Esophagogastroduodenoscopy

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12
Q

EKG

A

Electrocardiogram

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13
Q

ER

A

Emergency Room

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14
Q

GERD

A

Gastroesophageal Reflux Disease

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15
Q

H&P

A

History and Physical

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16
Q

HPI

A

History of Present Illness

17
Q

ICD-9-CM

A

International Classification of Diseases, 9th Revision, Clinical Modification

18
Q

ICD-10-CM

A

International Classification of Diseases, 10th Revision, Clinical Modification

19
Q

ICU

A

Intensive Care Unit

20
Q

MAR

A

Medication Administration Record

21
Q

MRA

A

Magnetic Resonance Angiography

22
Q

MRI

A

Magnetic Resonance Imaging

23
Q

MS-DRGs

A

Medicare Severity Diagnosis-related Groups

24
Q

MVP

A

Mitral Valve Prolapse

25
Q

NPI

A

National Provider Identifier

26
Q

OP Report

A

Operative Report

27
Q

POA

A

Present on Admission

28
Q

SOAP

A

Subjective/Objective/Assessment/Plan

29
Q

TJC

A

The Joint Commission

30
Q

TPR

A

Temperature, Pulse, and Respiration

31
Q

UHDDS

A

Uniform Hospital Discharge Data Set

32
Q

UPIN

A

Unique Physician Identification Number