CMS posts provider identifier FAQs
Compliance Monitor, February 11, 2004
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The Centers for Medicare & Medicaid Services (CMS) recently posted 16 frequently asked questions to its Web site under its guidance on the Health Insurance Portability and Accountability Act of 1996 (HIPAA) about the new provider identifier rule.
It was announced last month that each provider will receive its own national provider identifier (NPI) for all health care transactions, whether federal (i.e. Medicare), state-administered (i.e. Medicaid) or private. The NPI will replace existing ("legacy") identifiers. Providers currently use several identifiers, depending on the destination of data.
Congress mandated the NPI system in the administrative simplification provisions of HIPAA.
Questions and answers include guidance on when providers can apply for NPIs. The answer: beginning on the effective date of the final rule, which is May 23, 2005.
For more information, click here.
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