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  2. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.

  3. Clinical Laboratory Improvement Amendments - Wikipedia

    en.wikipedia.org/wiki/Clinical_Laboratory...

    Centers for Medicare and Medicaid Services (CMS) has the primary responsibility for the operation of the CLIA Program. Within CMS, the program is implemented by the Center for Medicaid and State Operations, Survey and Certification Group, and the Division of Laboratory Services. List of CLIA test complexity categorizations: Waived; Moderate

  4. Patient navigators - Wikipedia

    en.wikipedia.org/wiki/Patient_navigators

    As of 2014, training programs for patient navigators must be approved by the U.S. Department of Health and Human Services (HHS). The Medicare Learning Network is the primary source of HHS-approved training materials. [citation needed] State Exchanges may develop their own training programs, but they must also be approved by HHS. Training ...

  5. Center for Medicare and Medicaid Innovation - Wikipedia

    en.wikipedia.org/wiki/Center_for_Medicare_and...

    The Center for Medicare and Medicaid Innovation (CMMI; also known as the CMS Innovation Center) is an organization of the United States government under the Centers for Medicare and Medicaid Services (CMS). [1] It was created by the Patient Protection and Affordable Care Act, the 2010 U.S. health care reform legislation.

  6. Qualified Intellectual Disability Professional - Wikipedia

    en.wikipedia.org/wiki/Qualified_Intellectual...

    In December 2013, Centers for Medicare & Medicaid Services (CMS) formally updated Appendix J to change the language used to describe developmental disabilities. [ 16 ] It is possible that, as facilities start to phase out or convert to other programs (such as waiver-type settings) for people with disabilities, the terms QMRP, QDDP, and QIDP may ...

  7. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    The third and final party is the payor, typically an insurance company, which facilitates reimbursement for the services rendered. Medical billing involves creating invoices for services rendered to patients, a process known as the billing cycle or Revenue Cycle Management (RCM). [12]

  8. Credentialing - Wikipedia

    en.wikipedia.org/wiki/Credentialing

    The Centers for Medicare and Medicaid Services (CMS) Conditions of Participation (CoPs) allow an originating site facility to use proxy credentialing when telemedicine services are provided by a practitioner affiliated with and credentialed by either a Medicare-participating distant site hospital or an entity that qualifies as a distant site telemedicine entity; and when there is a written ...

  9. Learning health systems - Wikipedia

    en.wikipedia.org/wiki/Learning_health_systems

    In 2015, the Centers for Medicare and Medicaid Services (CMS) funded the Health Care Payment Learning and Action Network to ascertain what works with respect to alternative health care delivery arrangements, however, reimbursement for learning activities from insurers/payers is not currently a steady avenue for financial support to incentivize ...