CMS is the Centers for Medicare & Medicaid Services, which is the agency within the US Department of Health and Human Services (HHS) that administers federal healthcare programs.
This federal agency assists in providing health insurance through Medicare, Medicare Advantage, Medicaid, the Children’s Health Insurance Program (CHIP), and the Health Insurance Marketplace.
Besides administering major healthcare insurance programs, CMS also collects and analyzes data for use in research reports. These reports support CMS’s efforts to improve healthcare systems, wellness programs, and access to healthcare.
The History of CMS
After President Lyndon B. Johnson signed Medicare into law in 1965, the program was administered by the Social Security Administration (SSA) under the Department of Health, Education, and Welfare (HEW). Then in 1977, the federal government established the Health Care Finance Administration (HCFA) under the HEW. In July 2001, the HCFA was renamed the Centers for Medicare & Medicaid Services.
CMS is headquartered in Baltimore, Maryland, and has ten regional offices throughout the US. These are located in Boston, New York, Philadelphia, Atlanta, Dallas, Kansas City, Chicago, Denver, San Francisco, and Seattle. There are also offices located in the US territories of Puerto Rico and the US Virgin Islands.
Throughout its history, the scope and function of CMS have expanded to cover a wide range of federal healthcare-related agencies and programs.
CMS Reimbursement and Regulatory Functions
CMS administers the following:
- Medicare: A health insurance program for the elderly
- Medicare Advantage (Part C): A commercial partnership to also administer Medicare
- Medicaid: A needs-based program assisting with medical costs
- Children’s Health Insurance Program (CHIP)
- Health Insurance Portability and Accountability Act (HIPAA)
- 2015 Medicare Access and CHIP Reauthorization Act (MACRA) law
- Health Information Technology for Economic and Clinical Health (HITECH) Act
In addition, to managing these healthcare programs that affect the lives of more than 135 million enrolled Americans, CMS oversees quality in clinical laboratories and long-term care facilities.
How TempDev Can Help You Work With CMS
TempDev’s team of NextGen consultants, developers, and trainers support your needs whether you’re looking to implement, switch, or even upgrade your current EHR system. From dashboards and revenue cycle consulting to automation and workflow redesign, TempDev offers the tools you need to make the most of your NextGen EHR system, with top tips and tricks that will ensure your success now and in the future.
With TempDev’s NextGen dashboards, templates, and reports, you can better support your patients’ needs. Our team is here to help you design, organize, and implement the whole system. We offer the tips that you need for your practice, so we achieve best practices. With hands-on training, you and your team are ready to handle all your electronic health record systems.
Contact us here or by calling us at 888.TEMP.DEV to get the help you need working with CMS.