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HCPCS was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health care. Such coding is necessary for Medicare , Medicaid , and other health insurance programs to ensure that insurance claims are processed in an orderly and consistent manner.
Pronunciation follows convention outside the medical field, in which acronyms are generally pronounced as if they were a word (JAMA, SIDS), initialisms are generally pronounced as individual letters (DNA, SSRI), and abbreviations generally use the expansion (soln. = "solution", sup. = "superior").
Pronunciation can change over time. Dictionaries may list the most commonly used forms of words, but as language changes, dictionaries change as well. At best, any guide to suggested pronunciation can reflect the preponderance of usage. A word like immediately, for example, is variously pronounced by Americans as: ihMEEdeeuhtlee; uhMEEdeeuhtlee
In many dialects, /r/ occurs only before a vowel; if you speak such a dialect, simply ignore /r/ in the pronunciation guides where you would not pronounce it, as in cart /kɑːrt/. In other dialects, /j/ ( y es) cannot occur after /t, d, n/ , etc., within the same syllable; if you speak such a dialect, then ignore the /j/ in transcriptions such ...
The pronunciation is encoded using a modified form of the ARPABET system, with the addition of stress marks on vowels of levels 0, 1, and 2. A line-initial ;;; token indicates a comment. A derived format, directly suitable for speech recognition engines is also available as part of the distribution; this format collapses stress distinctions ...
The following pronunciation respelling key is used in some Wikipedia articles to respell the pronunciations of English words. It does not use special symbols or diacritics apart from the schwa (ə), which is used for the first sound in the word "about". See documentation for {} for examples and instructions on using the template.
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Normally, pronunciation is given only for the subject of the article in its lead section. For non-English words and names, use the pronunciation key for the appropriate language. If a common English rendering of the non-English name exists (Venice, Nikita Khrushchev), its pronunciation, if necessary, should be indicated before the non-English one.