NPI compliance date approaching
HIPAA Weekly Advisor, January 8, 2007
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Providers should allocate a minimum of 120 days to achieve full use of the national provider identifier (NPI), according to a MLN Matters article CMS issued January 4. With the May 23 compliance date approximately five months away, that leaves little time for providers to apply for and implement the new identifier.
The article also provides guidance on the NPI transition and outlines the following areas:
- On May 23, providers must use the new UB-04 paper claim form-CMS requires providers to submit their NPI on the UB-04
- Medicare providers who submit claims for their primary facility and its subparts must report a taxonomy code on all claims they submit to their fiscal intermediary in 2007
- Providers must share their NPIs with other providers, health plans, clearinghouses, and any organization that needs the identifiers for use in standard transactions (e.g., to identify an ordering or referring physician)
Click here to read the MLN Matters article.
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