Health Information Management

CMS releases MLN Matters article clarifying NPI enumerator's responsibilities

HIPAA Weekly Advisor, December 24, 2007

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CMS released MLN Matters (SE0751) on December 10, in an attempt to clarify the type of assistance that the NPI enumerator can and cannot provide to healthcare providers.

CMS states that the NPI Enumerator is responsible for assisting healthcare providers in applying for their NPIs and updating their information in the National Plan and Provider Enumeration System (NPPES).

According to the article, some of the enumerator's responsibilities include:

  • Processing NPI applications, updates, and deactivations, and assisting providers with questions or problems with the relevant electronic or paper forms
  • Providing application forms to healthcare providers upon request
  • Resolving errors on applications/updates/deactivations
  • Investigating potential duplicate applications/updates/deactivations to ensure the uniqueness of the provider
  • Resetting Web users' NPPES passwords

The article also indicates that it is not the responsibility of the NPI enumerator to deal with the following issues:

  • Medicare NPI Crosswalk and Medicare claims processing issues
  • Information disseminated or not disseminated via the NPI Registry or the NPPES downloadable file
  • Medicare-related provider enrollment information
  • NPI-to-legacy number linkages (i.e., how to properly link multiple legacy numbers to one NPI or how to properly link one legacy number to multiple NPIs)

For more information, click here.



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