What is “CMS” in medical billing?

CMS in Medical Billing

CMS stands for Centers for Medicare & Medicaid Services, the federal agency responsible for administering the Medicare and Medicaid programs.

CMS in Medical Billing Explained

In medical billing, CMS sets the regulations and reimbursement policies for Medicare, Medicaid, and other federal healthcare programs. CMS establishes coding guidelines, payment systems, and standards that providers must follow to ensure proper billing and compliance with federal healthcare laws.

For example, a hospital follows CMS guidelines to bill for services provided to Medicare and Medicaid patients.

Find common acronyms and abbreviations in Medical billing glossary.

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