Billing Authorities & Organizations
The authoritative bodies behind US medical billing — the agencies and standards organizations that set the rules and code sets the revenue cycle runs on, each with a link to its official source.
- CMS
The Centers for Medicare & Medicaid Services (CMS) is the federal agency that administers Medicare and Medicaid and sets many of the coverage and billing rules the US revenue cycle runs on.
- HHS-OIG
The HHS Office of Inspector General (OIG) is the federal oversight office that protects the integrity of HHS programs — combating fraud, waste, and abuse in Medicare and Medicaid and issuing the compliance guidance the revenue cycle is expected to follow.
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