March 1 has come and gone: Are you using the NPI correctly?
Briefings on Outpatient Rehab: Reimbursement and Regulations, April 1, 2008
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As of March 1, all 837P and CMS-1500 claims must have a National Provider Identifier (NPI) or NPI/legacy pair in the required primary provider fields. Failure to include an NPI will cause Medicare to reject the claim.
Although you may able to resubmit rejected claims for improper NPI use now, beginning May 23, it will be too late.
All facilities must have fully implemented the NPI system by May 23, according to CMS; having a contingency plan no longer suffices.
According to an e-mail to all Florida Blue Cross Medicare providers, CMS stated in the NPI National Contingency Guidance that it will not take enforcement action against covered entities that deploy contingency plans through May 23.
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