Health Information Management

Pay-per-view: Refresh your knowledge of taxonomy codes

APCs Insider, June 26, 2015

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Taxonomy codes play a very important role in medical billing and credentialing for providers or group specialties.
HIPAA-standard code sets specify a "standard" for transactions. In many cases, a taxonomy code is required to reimburse a claim; however, the reporting requirements for a taxonomy code may vary between insurance carriers and your third-party payers.
The National Uniform Claim Committee maintains the integrity and structure of the taxonomy code set. Taxonomy codes are also used in credentialing applications and are set up for use with the ASC X12N HIPAA transaction and other HIPAA-mandated transaction requirements. When providers or agencies apply for a National Provider Identifier from CMS, adding a taxonomy code is helpful, but not required.
Continue reading "Refresh your knowledge of taxonomy codes" on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the June issue.


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