Medicare Posts New NPI Compliance Notice |
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Medicare could begin as early as July 1 to reject fee-for-service claims that do not contain a national provider identifier (NPI) for the primary (or rendering) provider, according to a notice recently posted online by the Centers for Medicare and Medicaid Services (CMS). The notice outlines Medicare’s fee-for-service contingency plan for the NPI and follows guidance on April 2 that CMS will not bring enforcement action against entities following the May 23, 2007, compliance date if the entities are acting in good faith to become compliant. In May, Medicare will assess the number of fee-for-service claims containing an NPI. If the analysis shows a sufficient number of submitted claims contain an NPI, Medicare will begin to reject claims on July 1, 2007, that do not contain NPIs, according to the notice. If a sufficient number of claims do not contain NPIs in the May analysis, Medicare will assess compliance in June 2007 and determine whether to begin rejecting claims in August 2007. Medicare will provide advanced notification to providers, Medicare contractors and the shared systems of the date they are to begin rejecting claims when a decision has been made to do so. Under Medicare’s fee-for-service contingency plan, legacy identifiers for secondary, or referring providers, can be used until May 23, 2008. CMS still has not completed its data dissemination notice that will outline how organizations can look up the NPI of a referring provider. To view the notice from CMS go to: |
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