Web Resources > Standards / Accreditation

We welcome suggestions about additional links. We also appreciate being notified about broken links. Please contact us.

American Medical Association
http://www.ama-assn.org/ama/pub/category/3113.html

AMA is responsible for the Current Procedure Terminology (CPT) codes, the standard for reporting health care services.

American National Standards Institute - Accredited Standards Committee X12**
http://www.x12.org/

ANSI ASC X12 is the source of more than 300 electronic data interchange standards. The X12N Health Care Work Group is responsible for the nine X12N Implementation Guides adopted for use under HIPAA.

Dental Content Committee of the American Dental Association**
http://www.ada.org/prof/resources/topics/cdt/index.asp

ADA provides the Code on Dental Procedures and Nomenclature (CDT Code), for reporting dental services and procedures.

Electronic Healthcare Network Accreditation Committee
http://www.ehnac.org/

EHNAC aims to be the nationally recognized accreditation authority for entities engaged in electronic healthcare transactions and management of healthcare information.

Health Level Seven**
http://www.hl7.org/

HL7 provides standards for exchange of clinical and administrative data.

International Classification of Disease - Clinical Modification
http://www.cdc.gov/nchs/about/otheract/icd9/abticd9.htm

ICD-9-CM is the official system of assigning codes to diagnoses and procedures associated with hospital utilization in the United States. The ICD-9 is used to code and classify mortality data from death certificates.

Joint Commission on Accreditation of Health Care Organizations
http://www.jcaho.org/

JCAHOand NCQA are undertaking a joint effort in personal health information protection.

National Center for Quality Assurance
http://www.ncqa.org/

NCQA and JCAHO are undertaking a joint effort in personal health information protection.

National Council for Prescription Drug Programs**
http://www.ncpdp.org/main_frame.htm

NCPDP's Telecommunication Standard is the official standard for pharmacy claims.

National Uniform Billing Committee**
http://www.nubc.org/

NUBC was formed to develop a single billing form and standard data set that could be used nationwide by institutional providers and payers for handling health care claims, best known for its UB-92 (formerly UB-82) standard.

National Uniform Claim Committee**
http://www.nucc.org/

NUCC was created to develop a standardized data set for use by the non-institutional health care community to transmit claim and encounter information to and from all third-party payers.

Workshop for Electronic Data Interchange - Strategic National Implementation Process
http://www.wedi.org/snip/

WEDI SNIP was established to "to assess industry-wide HIPAA Administrative Simplification implementation readiness and to bring about the national coordination necessary for successful compliance."

**Designated as DSMO. HIPAA's Transactions and Code Set Standard establishes Designated Standard Maintenance Organizations (DSMOs). The Secretary of Health and Human Services may designate as DSMOs those organizations that agree to maintain the standards adopted by the Secretary as "official" for electronic data content. (See 45 CFR 162.910.)

Last modified: 27-Mar-2006