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HEALTH TERMS - CENTERS FOR MEDICARE AND MEDICAID

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Centers for Medicare and Medicaid Services (CMS)

Definition: Is a Federal agency within the U.S. Department of Health and Human Services. Programs for which CMS is responsible include Medicare, Medicaid, State Children's Health Insurance Program (SCHIP), HIPAA and CLIA. Formerly was HCFA.

Centers for Medicare & Medicaid Services has historically maintained the UB-92 institutional EMC format specifications, the professional EMC NSF specifications, and specifications for various certifications and authorizations used by the Medicare and Medicaid programs.

CMS is responsible for oversight of HIPAA administrative simplification transaction and code sets, health identifiers, and security standards.

CMS also maintains the HCPCS medical code set and the Medicare Remittance Advice Remark Codes administrative code set.


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