Which organization is referred to as CMS in the healthcare system?

The organization known as CMS in the healthcare system is the Centers for Medicare and Medicaid Services. This federal agency plays a critical role in overseeing and administering the nation's major healthcare programs, specifically Medicare, which provides health coverage for elderly and disabled populations, and Medicaid, which offers assistance to low-income individuals and families. CMS also involves regulating the Health Insurance Marketplace and leads efforts to enhance healthcare quality, efficiency, and safety.

Understanding the specific functions and responsibilities of CMS is essential because it directly impacts various aspects of the healthcare system, including funding, policy-making, and the implementation of healthcare reforms. This agency plays a vital role in ensuring access to healthcare services for millions of Americans. Knowledge of CMS is crucial for professionals working within the healthcare revenue cycle, as changes in policies or regulations can significantly affect payment structures and patient coverage.