HL7 Terminology (THO)
3.1.0 - Publication International flag

This page is part of the HL7 Terminology (v3.1.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

: CMS Certification Numbers - JSON Representation

Active as of 2021-11-01

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{
  "resourceType" : "NamingSystem",
  "id" : "CCN",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Summary</h3><table class=\"grid\"><tr><td>Defining URL</td><td>http://terminology.hl7.org/NamingSystem/CCN</td></tr><tr><td>Name</td><td>CCN</td></tr><tr><td>Status</td><td>active</td></tr><tr><td>Definition</td><td><div><p>Per CMS Transmittal 29 dated OCTOBER 12, 2007:</p>\n<p>&quot;The National Provider Identifier (NPI) will replace the Medicare/Medicaid Provider Number on Medicare claims. The NPI will assume the Medicare/Medicaid Provider Number's role as a primary identifier. However, the Medicare/Medicaid Provider Number will continue to be issued to providers and used to verify Medicare/Medicaid certification on all survey and certification, and resident/patient assessment transactions. In order to avoid confusion with the NPI, the Medicare/Medicaid Provider Number (also known as the OSCAR Provider Number, Medicare Identification Number or Provider Number) has been renamed the CMS Certification Number (CCN). The CCN continues to serve a critical role in verifying that a provider has been Medicare certified and for what type of services.&quot;</p>\n<p>See https://www.cms.gov/regulations-and-guidance/guidance/transmittals/downloads/r29soma.pdf</p>\n</div></td></tr><tr><td>Publisher</td><td>Centers for Medicare &amp; Medicaid Services (CMS)</td></tr></table><h3>Identifiers</h3><table class=\"grid\"><tr><td><b>Type</b></td><td><b>Value</b></td><td><b>Preferred</b></td><td><b>Period</b></td><td><b>Comment</b></td></tr><tr><td>OID</td><td>2.16.840.1.113883.4.336</td><td>true</td><td></td><td/></tr><tr><td>URI</td><td>http://terminology.hl7.org/NamingSystem/CMSCertificationNumber</td><td>true</td><td>2021-11-01 --&gt; (ongoing)</td><td>Official canonical URL going forward.</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/extension-title",
      "valueString" : "CMS Certification Numbers"
    },
    {
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-NamingSystem.url",
      "valueUri" : "http://terminology.hl7.org/NamingSystem/CCN"
    },
    {
      "url" : "http://terminology.hl7.org/StructureDefinition/ext-namingsystem-version",
      "valueString" : "1.0.0"
    }
  ],
  "name" : "CCN",
  "status" : "active",
  "kind" : "codesystem",
  "date" : "2021-11-01T00:00:00-00:00",
  "publisher" : "Centers for Medicare & Medicaid Services (CMS)",
  "contact" : [
    {
      "name" : "Centers for Medicare & Medicaid Services (CMS); 7500 Security Boulevard, Baltimore, MD 21244"
    }
  ],
  "responsible" : "Centers for Medicare & Medicaid Services (CMS)",
  "description" : "Per CMS Transmittal 29 dated OCTOBER 12, 2007:\r\n\r\n\"The National Provider Identifier (NPI) will replace the Medicare/Medicaid Provider Number on Medicare claims. The NPI will assume the Medicare/Medicaid Provider Number's role as a primary identifier. However, the Medicare/Medicaid Provider Number will continue to be issued to providers and used to verify Medicare/Medicaid certification on all survey and certification, and resident/patient assessment transactions. In order to avoid confusion with the NPI, the Medicare/Medicaid Provider Number (also known as the OSCAR Provider Number, Medicare Identification Number or Provider Number) has been renamed the CMS Certification Number (CCN). The CCN continues to serve a critical role in verifying that a provider has been Medicare certified and for what type of services.\"\r\n\r\nSee https://www.cms.gov/regulations-and-guidance/guidance/transmittals/downloads/r29soma.pdf",
  "uniqueId" : [
    {
      "type" : "oid",
      "value" : "2.16.840.1.113883.4.336",
      "preferred" : true
    },
    {
      "type" : "uri",
      "value" : "http://terminology.hl7.org/NamingSystem/CMSCertificationNumber",
      "preferred" : true,
      "comment" : "Official canonical URL going forward.",
      "period" : {
        "start" : "2021-11-01"
      }
    }
  ]
}