Resources
CMS
- Acronyms

- Beneficiary Notices Initiative (BNI)

- CMS Rulemaking

- Coordination of Benefits & Recovery

- Electronic Submission of Medical Documentation (esMD)

- Fee-for-Service Providers

- Health Insurance Portability and Accountability Act (HIPAA)

- HIPAA and Administrative Simplification

- HIPAA Eligibility Transaction System (HETS)

- ICD-10

- Manuals

- Medicare Advantage (MA) Plan Directory

- Medicare.gov

- Medicare Learning Network®

- Medicare Remit Easy Print (MREP)

- National Correct Coding Initiative (NCCI) Edits

- Open Door Forums

- Provider Enrollment, Chain and Ownership System (PECOS)

- Quality Initiatives

- Transmittals

CMS Contractors
- Beneficiary & Family Centered Care Quality Improvement Organization (BFCC-QIO):
- Acentra Health
(CO, MT, ND, SD, UT, WY) - Livanta
(DE, IA, KS, MD, MO, NE, PA, VA, WV, District of Columbia)
- Acentra Health
- Comprehensive Error Rate Testing – CERT C3HUB

- Qualified Independent Contractor (QIC):
- C2C Innovative Solutions, Inc.
(CO, DE, MD, PA, VA, WV, District of Columbia) - Maximus Federal Services
(IA, KS, MO, MT, ND, NE, SD, UT, WY)
- C2C Innovative Solutions, Inc.
- Recovery Audit Contractor (RAC Region 5) – Cotiviti

- Supplemental Medical Review Contractor (SMRC) – Noridian Healthcare Solutions, LLC

- Unified Program Integrity Contractor (UPIC):
- CoventBridge Inc.
(IA, KS, MO, NE) - Qlarant
(CO, MT, ND, SD, UT, WY) - SafeGuard Services, LLC
(DE, MD, PA, VA, WV, District of Columbia)
- CoventBridge Inc.
Other
- National Plan & Provider Enumeration System (NPPES)

- National Uniform Billing Committee (NUBC)

- Office of Inspector General (OIG)

- Remittance Advice Code Lists

Updated: 07.10.2025

