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The X12 834 EDI Enrollment Implementation Format is a standard file format in the United States for electronically exchanging health plan enrollment data between employers and health insurance carriers.
Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), (H.R. 2, Pub. L. 114–10 (text)) commonly called the Permanent Doc Fix, is a United States statute. Revising the Balanced Budget Act of 1997 , the Bipartisan Act was the largest scale change to the American health care system following the Affordable Care Act in 2010.
Guidance on how to fill in and handle DD Form 1423-1 is provided in publication 5010.12-M. Other US government agencies may include CDRLs in contracts, but these will not use the military's DD Form 1423. Most data items are developed and delivered in compliance with pre-defined data item descriptions (DID).
In November 2006, the Centers for Medicare & Medicaid Services (CMS) approved ACHC to accredit suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) as meeting new quality standards under Medicare Part B. [1]
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 ...
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The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.
A Publicly Available Specification or PAS is a standardization document that closely resembles a formal standard in structure and format but which has a different development model. [1] The objective of a Publicly Available Specification is to speed up standardization. PASs are often produced in response to an urgent market need. [2]