designated standards maintenance organization (HIPAA)

HIPAA's Transaction and Code Set Rule permits the Secretary of the Department of Health and Human Services (DHHS) to designate "standards maintenance organizations," (DMSO) to which are delegated the responsibilities for the development, maintenance and modification of relevant electronic data interchange standards.

The following organizations have been designated as DSMOs under this provision:

• Accredited Standards Committee X12 (ANSI ASC X12);

• Dental Content Committee of the American Dental Association (ADA DCC);

• Health Level Seven (HL7);

• National Council for Prescription Drug Programs (NCPDP);

• National Uniform Billing Committee (NUBC);

• National Uniform Claim Committee (NUCC).

In addition, the following organizations should be listed given their affiliation with standard code sets:

• American Medical Association (AMA) for CPT codes;

• Centers for Disease Control (CDC) for ICD codes; and

• Center for Medicare and Medicaid Service (CMS) for HCPCS.

See also:

• 45 CFR 162.910
• HIPAA-DSMO web site

  Last modified: 11-May-2005 [RC]