Standardized Terminology for Claims Processing Systems

40.1 – Standardized Terminology for Claims Processing Systems (Rev. 97, Issued: 01-15-16, Effective: 09-21-15, Implementation: 09-21-15) (Rev. 105, Issued: 06-02-17, Effective: 07-03-17, Implementation: 07-03-17) The SSMs, MACs and the STC shall use standardized terminology to refer to common systems maintenance elements in all discussions, reporting, and documentation. Using common terminology will minimize confusion and misunderstanding for CMS, SSMs, MACs and the STC. The MACs and the STC shall examine their use of the system status information issued by the SSMs to determine if they have internal applications that need to be adjusted to adopt the standardized terminology. If they have internal systems or processes that must be modified to reflect the standardization required by this instruction, they shall make those changes to coincide with the shared system changes.