| ANSI |
American
National Standards Institute (ANSI): An organization that
accredits various standards-setting committees, and monitors
their compliance with the open rule-making process that
they must follow to qualify for ANSI accreditation. HIPAA
prescribes that the standards mandated under it be developed
by ANSI-accredited bodies whenever practical.
|
| CDT |
Current
Dental Terminology: A medical code set, maintained and copyrighted
by the ADA, that has been selected for use in the HIPAA
transactions.
|
| CPT-4 |
Current
Procedural Terminology, Revision 4: A medical code set,
maintained and copyrighted by the AMA, that has been selected
for use under HIPAA for non-institutional and non-dental
professional transactions.
|
| Centers
for Medicare & Medicaid Services (CMS) |
This
agency, formerly known as HCFA, is the DHHS agency responsible
for Medicare and parts of Medicaid. CMS 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 also maintains the HCPCS
medical code set and the Medicare Remittance Advice Remark
Codes administrative code set.
|
| DSMO |
Data
Standards Maintenance Organizations
|
| Department
of Health and Human Services (DHHS) |
The
federal government department that has overall responsibility
for implementing HIPAA.
|
| HCPCS |
HCFA
Common Procedural Coding System (Level II contains alphanumeric
codes used to bill medical supplies, ambulance services,
injectible drugs, and specific supplies that are not included
in the CPT medical code set.)
|
| Health
Care Financing Administration (HCFA) |
Former
name for CMS.
|
| ICD-9-CM |
International
Classification of Diseases, Revision 9, Clinical Modification
|
| X-12 |
An
American National Standards Institute (ANSI)-accredited
group that defines EDI standards for many American industries,
including health care insurance. Most of the electronic
transaction standards mandated or proposed under HIPAA are
X12 standards.
|
| NCPDP
|
National
Council for Prescription Drug Programs: An ANSI-accredited
group that maintains a number of standard formats for use
by the retail pharmacy industry, some of which are included
in the HIPAA mandates.
|
| NDC |
National
Drug Code: A medical code set that identifies prescription
drugs and some over the counter products, and that has been
selected for use in the HIPAA transactions. |