ABC Codes
Encyclopedia
ABC Codes are five-digit Health Insurance Portability and Accountability Act
(HIPAA) compliant alpha codes (e.g., AAAAA) used by licensed and non-licensed healthcare practitioners on standard healthcare claim forms (e.g., CMS
1500 Form) to describe services, remedies and/or supply items provided and/or used during patient visits. ABC codes contain both a short description and an expanded definition of the service, remedy and/or supply item. ABC codes were created and designed by ABC Coding Solutions http://www.ABCcodes.com.
ABC codes fill gaps in healthcare coding and the National Health Information Network
(NHIN) that older medical code sets do not cover by describing care provided by all healthcare practitioners. ABC codes can also be used in conjunction with two-digit, alpha-numeric practitioner identifiers (e.g., 1A) to identify the practitioner type (e.g., chiropractor) providing the service. Additionally, ABC codes are supported by state legislative references regarding scope of practice and training requirements on a code, state and practitioner-specific basis.
ABC codes are a proposed solution and approach to accurately document care provided during each patient encounter as mandated by HIPAA.
Health Insurance Portability and Accountability Act
The Health Insurance Portability and Accountability Act of 1996 was enacted by the U.S. Congress and signed by President Bill Clinton in 1996. It was originally sponsored by Sen. Edward Kennedy and Sen. Nancy Kassebaum . Title I of HIPAA protects health insurance coverage for workers and their...
(HIPAA) compliant alpha codes (e.g., AAAAA) used by licensed and non-licensed healthcare practitioners on standard healthcare claim forms (e.g., CMS
Centers for Medicare and Medicaid Services
The Centers for Medicare & Medicaid Services , previously known as the Health Care Financing Administration , is a federal agency within the United States Department of Health and Human Services that administers the Medicare program and works in partnership with state governments to administer...
1500 Form) to describe services, remedies and/or supply items provided and/or used during patient visits. ABC codes contain both a short description and an expanded definition of the service, remedy and/or supply item. ABC codes were created and designed by ABC Coding Solutions http://www.ABCcodes.com.
ABC codes fill gaps in healthcare coding and the National Health Information Network
National Health Information Network
The Nationwide Health Information Network is an initiative for the exchange of healthcare information being developed under the auspices of the U.S. Office of the National Coordinator for Health Information Technology...
(NHIN) that older medical code sets do not cover by describing care provided by all healthcare practitioners. ABC codes can also be used in conjunction with two-digit, alpha-numeric practitioner identifiers (e.g., 1A) to identify the practitioner type (e.g., chiropractor) providing the service. Additionally, ABC codes are supported by state legislative references regarding scope of practice and training requirements on a code, state and practitioner-specific basis.
ABC codes are a proposed solution and approach to accurately document care provided during each patient encounter as mandated by HIPAA.