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| Billing Alert for Long-Term Care |
| April 2008 |
| CMS offers advice on meeting the May 23 NPI deadline |
| Medicare claims received by fee-for-service Medicare contractors on or after May 23 must have only national provider identifiers (NPI) in all fields (i.e., both primary and secondary billing fields) on electronic and paper claims, CMS officials said at a February 6 national NPI Roundtable on Medicare fee-for-service NPI implementation. "On May 23, 2008, Medicare will not accept or send any legacy identifiers for any claim type. This includes [electronic data interchange (EDI), direct data entry], paper, [National Council for Prescription Drug Programs], or any HIPAA transaction. This includes claims or eligibility status checks, remittance, or [coordination of benefits]." Claims or transactions with legacy identifiers will be rejected or returned. |
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