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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. Healthcare Common Procedure Coding System - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Common...

    The acronym HCPCS originally stood for HCFA Common Procedure Coding System, a medical billing process used by the Centers for Medicare and Medicaid Services (CMS). Prior to 2001, CMS was known as the Health Care Financing Administration (HCFA). HCPCS was established in 1978 to provide a standardized coding system for describing the specific ...

  4. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/Pharmacy_benefit_management

    Pharmacy benefit management. In the United States, a pharmacy benefit manager ( PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans.

  5. Accountable care organization - Wikipedia

    en.wikipedia.org/wiki/Accountable_care_organization

    Municipal health coverage. v. t. e. An accountable care organization ( ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care. ACOs in the United States are formed from a group of coordinated health-care practitioners. They use alternative payment models, normally, capitation.

  6. Acronyms in healthcare - Wikipedia

    en.wikipedia.org/wiki/Acronyms_in_healthcare

    Acronyms are very commonly used in healthcare settings. [1] They are formed from the lead letters of words relating to medications, organisations, procedures and diagnoses. [2] They come from both English and Latin roots. [2] [3] Acronyms have been described as jargon. [1] and their use has been shown to impact the safety of patients in ...

  7. 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.

  8. Joint Commission - Wikipedia

    en.wikipedia.org/wiki/Joint_Commission

    World wide. Website. www .jointcommission .org. The Joint Commission is a United States-based nonprofit tax-exempt 501 (c) organization [1] that accredits more than 22,000 US health care organizations and programs. [2] The international branch accredits medical services from around the world.

  9. AAPC (healthcare) - Wikipedia

    en.wikipedia.org/wiki/AAPC_(healthcare)

    AAPC (healthcare) The AAPC, previously known by the full title of the American Academy of Professional Coders, [4] is a professional association for people working in specific areas of administration within healthcare businesses in the United States. [5] AAPC is one of a number of providers who offer services such as certification and training ...