Health Information Management

Medicare releases contingency plan

HIPAA Weekly Advisor, April 30, 2007

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Medicare may reject claims that do not contain an NPI for primary providers as early as July, according to the government payer's contingency plan. CMS released a transmittal and MLN Matters article about the plan.

Medicare will allow providers to submit claims with legacy numbers past the May 23 deadline for NPI use, in accordance with CMS' recent contingency plan guidance. Once Medicare determines that providers have reached a "sufficient" level of NPI use, it will notify the industry and switch to sole use of NPIs. This could happen in July, depending on the results of the agency's May assessment.

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