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Frequently Asked Questions (FAQs)

HIPAA Information - Where are the Implementation Guides, Code Sets, and Rules?

The home page for the National Plan and Provider Enumeration System (NPPES), the registry for the NPI (National Provider Identifier) is at
https://nppes.cms.hhs.gov/NPPES/Welcome.do
Other resources pertaining to the National Provider Identifier
http://www.cms.hhs.gov/NationalProvIdentStand/
Implementation Guides and Non-medical code sets are at
http://www.wpc-edi.com/hipaa
The HIPAA statute, Final Rules, and NPRMS (Notices of Proposed Rulemaking) are available at http://www.cms.hhs.gov/HIPAAGenInfo/
Link for information from CMS about ICD-9-CM codes
http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/01_overview.asp#TopOfPage

…and ICD-10-CM (expected to eventually replace ICD-9 under HIPAA)
http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/08_ICD10.asp#TopOfPage
Quarterly updates to the HCPCS code set are available from CMS at
http://www.cms.hhs.gov/HCPCSReleaseCodeSets/
Information from New York State Department of Health about Medicaid is at
http://www.health.state.ny.us/health_care/medicaid/index.htm
Information at the Federal level about Medicaid can be found at
http://www.cms.hhs.gov/home/medicaid.asp
The CMS online Manuals system includes Transmittals and Program Memoranda at
http://www.cms.hhs.gov/Manuals/
Updates to the HIPAA Regulations are at
http://aspe.hhs.gov/datacncl/adminsim.shtml
NYS DOH Medicaid Newsletters
http://www.health.state.ny.us/nysdoh/mancare/omm/main.htm
CPT-4, or Level 1 HCPCS, is maintained and licensed by the American Medical Association and is available for purchase in various hardcopy and softcopy formats from of variety of vendors.

Notes and Comments
Created:	May 26, 2004
Last Modified:	March 3, 2008

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