Any project where Centers for Medicare and Medicaid Services (CMS) specifies the subject, size, space, data source, analytical techniques, educational intervention techniques, or impact measurement model. These projects may be developed by CMS in consultation with networks, the health care community, and other interested people.

Medicare Uniform Institutional Provider Bill (insurance claim) form used for submission after hospital services have been provided to a patient. This is commonly known as the Uniform Bill (UB-04) institutional claim form, which replaces the Uniform Bill (UB-92) claim form. See Uniform Bill (UB-04) claim form.

Health Insurance Claim Form, a uniform professional insurance claim form used for submission after medical services have been provided to a patient. See Health Insurance Claim Form (CMS-1500).

Association of health care plan sponsors who join together to negotiate with insurance companies or other managed care plans and providers.

Acronym for coordination of benefits agreement; see coordination of benefits contractor agreement identifiers (COBA IDs).

Acronym for coordination of benefits contractor (COBC); see coordination of benefits contractor agreement identifiers (COBA IDs).

Acronym for cash or deferred arrangement. See Section 401 (k) plan.

Computer software function that performs online checking of CPT codes on an insurance claim to detect unbundling, splitting of codes, and other types of improper code submissions. Sometimes referred to as code screening .