NPI UPDATES – Info You Need to Know
March 2nd, 2008
Important National Plan & Provider Enumeration System (NPPES) Information for Organization Providers: When organization health care providers apply for NPIs, it is important that they enter their correct legal business name and Employer Identification Number (EIN). NPPES will be establishing a verification process with the Internal Revenue Service (IRS) to verify the legal business name and the associated EIN submitted on the NPPES applications and updates.
Medicare Fee for Service Billing: Go to
http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0802.pdf for information regarding guidelines for inclusion of Medicare legacy identifiers and NPIs on all claims to ensure timely processing and payment. As of May 23, 2008 and beyond, all claims and transactions must include an NPI only in the primary provider and secondary provider fields and will be paid/processed only if there is an NPI/legacy match on the NPI Crosswalk.
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