Health Information Management

MLN Matters article released on NPI rejection

HIPAA Weekly Advisor, October 22, 2007

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CMS recently released a special edition MLN Matters article (Number SE0744) that outlines what to do in case of NPI rejection.

The article details the following if your claim is rejected:

  • Check Medicare Reject Report messages frequently.
  • Check your information in the National Plan and Provider Enumeration System (NPPES) to ensure that the NPI(s) were properly obtained.
  • Ensure that the NPPES data is correct, and that the NPPES record(s) contains the Medicare legacy identifier(s) that was assigned to the provider (physician/practitioner or the corporation) to whom the NPPES record belongs.

To read the MLN Matters article, click here.



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