Wednesday, May 26, 2010

CMS 1500 AND HCFA - Definitions

What is CMS 1500 ?

Definition :
The HHS agency responsible for Medicare and parts of Medicaid.? 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.

Definition  HCFA

HCFA: The Health Care Finance Administration, the part of the U.S. Department of Health and Human Services (HHS) that is responsible for administering Medicare and Medicaid.

 CMS-1450 - The uniform institutional claim form.

CMS-1500   - The uniform professional claim form.

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