Count (enumeration) and demographics of hospital inpatients or members of a managed care plan.

Statistical information that is used to establish insurance premium rates or benefits on individuals eligible for or insured under a group policy (e.g., age, sex, income, insurance classification, dependent status).

Health information technology industrial association.

Health care facility or hospital that specializes in treating certain illnesses and has highly specialized product lines that are chosen by a provider for developing larger financial resources. COEs are developed for competitive reasons and may offer quality of care, larger volume of admissions, and cost-effective care. COEs are listed in the Federal Register.

One of the 13 major operating components of the Department of Health and Human Services (DHHS), which is the principal agency in the U.S. government for protecting the health and safety of all Americans and for providing essential human services, especially for those people who are least able to help themselves. Founded in 1946 to control malaria and to prevent and control infectious and chronic diseases, injuries, workplace hazards, disabilities, and environmental health threats. CDC applies research and findings to improve people’s daily lives and responds to health emergencies. CDC is committed to achieving true improvements in people’s health. To do this, the agency is defining specific health impact goals to prioritize and focus its work and investments and measure progress. CDC maintains several code sets included in the HIPAA standards including the ICD-9-CM codes.

Universal insurance claim form developed and approved by the American Medical Association Council on Medical Service and the Centers for Medicare and Medicaid Services, formerly the Health Care Financing Administration. It is used by physicians and other professionals to bill outpatient services and supplies to TRICARE, Medicare, and some Medicaid programs, as well as most private insurance carriers and managed care plans.

Division of the Department of Health and Human Services (DHHS), formerly Health Care Financing Administration (HCFA). Develops and administers policies for the Medicare program and works with the states to manage the Medicaid program. Responsibilities include managing contractor claims payment, fiscal audit and/or overpayment prevention and recovery, and developing and monitoring payment safeguards necessary to detect and respond to payment errors or abusive patterns of service delivery. CMS sets standards for Medicare Part D insurance plans. CMS maintains the UB-92 institutional EMC format specifications, the professional EMC NSF specifications, and specifications for certifications and authorizations used by the Medicare and Medicaid programs. CMS maintains the HCPCS medical code set and the Medicare Remittance Advice Remark Codes administrative code set.

Form that is required for access to the CMS data center.