Fed Regist. 1985 Feb 1;50(22):4800-7.
In this notice, we are informing State Medicaid agencies of three new system requirements for Medicaid Management Information Systems. These systems will be required to accept: (a) and use exclusively a uniform diagnostic coding system (the International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM)), wherever diagnostic coding is used; (b) And use exclusively a common claim form for inpatient and outpatient hospital billing (HCFA-1450); and (c) A uniform electronic billing format for institutional billing. The purpose of these requirements is to improve the efficiency and effectiveness of the Medicaid program; the second and third requirements will reduce the paperwork burden by implementing a single claim form and a single electronic billing format for providers to bill multiple third party payers.
在本通知中，我们向各州医疗补助机构通报医疗补助管理信息系统的三项新系统要求。这些系统将被要求：(a) 无论在何处使用诊断编码，都仅接受并专门使用统一的诊断编码系统（《疾病分类第九版，临床修订本》（ICD - 9 - CM））；(b) 仅使用用于住院和门诊医院计费的通用索赔表格（HCFA - 1450）；以及 (c) 用于机构计费的统一电子计费格式。这些要求的目的是提高医疗补助计划的效率和效力；第二项和第三项要求将通过为提供者向多个第三方付款人计费实施单一索赔表格和单一电子计费格式来减轻文书工作负担。
