Digital Standards and Operating Rules adopted by HHS under HIPAA

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required HHS to establish digital standards for business-related tasks like submitting claims and getting paid. The goal is to reduce paperwork and streamline business processes across the health care system.
Standards allow information to be shared digitally in consistent ways. With common standards for content and formats, information moves quickly as it is shared between providers and health plans in predictable ways.
All health plans, other payers, …

Modifications to HCPCS Code Set

The scheduled release of modifications to the Healthcare Common Procedure Coding System (HCPCS) code set are available on the HCPCS Quarterly Update web page. Changes are effective on the dates indicated on the update.
Keep Up to Date on ICD-10! Visit the CMS ICD-10 website for the latest news and official resources, including the Next Steps Toolkit, ICD-10 Quick Start Guide, and a contact list for provider Medicare and Medicaid questions.

CMS issues updated guidance for ICD-10 end-to-end testing

The Centers for Medicare and Medicaid Services (CMS) has issued updated guidance as the last week (July 20-24) to conduct ICD-10 end-to-end testing with Medicare approaches.
The goal with end-to-end testing is to ensure that:

Providers and submitters can successfully submit claims containing ICD-10 codes to the Medicare FFS claims systems;
software changes the Centers for Medicare & Medicaid Services (CMS) made to support ICD-10 result in appropriately adjudicated claims
accurate remittance advice is produced

The guidance also covers ICD-10 …