Which regulatory body is responsible for overseeing compliance for Medicare billing?

The Centers for Medicare and Medicaid Services (CMS) is the regulatory body responsible for overseeing compliance with Medicare billing. CMS plays a critical role in managing federal health care programs, including Medicare, ensuring that beneficiaries receive appropriate care and that providers follow the established guidelines for billing and reimbursement. CMS sets regulations, monitors compliance, and implements policies that govern how services and procedures are billed to Medicare, which directly impacts revenue integrity for healthcare providers.

The other organizations mentioned serve different functions within the healthcare system. The American Medical Association (AMA) focuses on advocacy and providing leadership to physicians, while the Joint Commission (TJC) is involved in the accreditation and improvement of healthcare organizations and programs. The National Institutes of Health (NIH) primarily conducts and supports medical research and is not involved in Medicare billing compliance. Therefore, the correct response reflects the specific regulatory oversight CMS has regarding Medicare billing.