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The CPT code set describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes.
The Federal Information Processing Standards (FIPS) of the United States are a set of publicly announced standards that the National Institute of Standards and Technology (NIST) has developed for use in computer situs of non-military United States government agencies and contractors. [1]
The 140 series of Federal Information Processing Standards are U.S. government computer security standards that specify requirements for cryptographic modules. As of October 2020 [update] , FIPS 140-2 and FIPS 140-3 are both accepted as current and active. [ 1 ]
FIPS 199 (Federal Information Processing Standard Publication 199, Standards for Security Categorization of Federal Information and Information Systems) is a United States Federal Government standard that establishes security categories of information systems used by the Federal Government, one component of risk assessment.
HCPCS includes three levels of codes: Level I consists of the American Medical Association's Current Procedural Terminology (CPT) and is numeric.; Level II codes are alphanumeric and primarily include non-physician services such as ambulance services and prosthetic devices, and represent items and supplies and non-physician services, not covered by CPT-4 codes (Level I).
The codes are used in Geographic Names Information System, overseen by the U.S. Board on Geographic Names. The codes were assigned by NIST and each uniquely identified a state, the District of Columbia, or an outlying area of the U.S.
This information is translated into standardized codes through medical coding, using the appropriate coding systems such as ICD-10-CM and Current Procedural Terminology (CPT). A medical biller then takes the coded information, combined with the patient's insurance details, and forms a claim that is submitted to the payors.
Evaluation and management coding (commonly known as E/M coding or E&M coding) is a medical coding process in support of medical billing. Practicing health care providers in the United States must use E/M coding to be reimbursed by Medicare , Medicaid programs, or private insurance for patient encounters.