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NPI deadline is fast approaching: providers are required to obtain a National Provider Identifier by May 23.

Publication: Behavioral Healthcare
Publication Date: 01-JAN-07
Format: Online
Delivery: Immediate Online Access
Full Article Title: NPI deadline is fast approaching: providers are required to obtain a National Provider Identifier by May 23.(HIPAA)

Article Excerpt
The deadline for obtaining a National Provider Identifier (NPI) is fast approaching. Under HIPAA rules, by May 23, 2007, healthcare providers must obtain an NPI for use in submitting standard electronic claims and eligibility inquiries to Medicare and most health plans (although smaller health plans do not have to use NPIs until May 23, 2008). If claims are submitted to Medicare without an NPI after May 23, they likely will be rejected, says Barbara Cebuhar, a spokeswoman for the Centers for Medicare and Medicaid Services (CMS).

Both individual and organizational healthcare providers must obtain a unique NPI even if they use a clearinghouse to prepare and submit claims, notes Cebuhar. Although standard transactions must carry NPIs by May 23, Medicare provider numbers should be used in addition to NPIs to help build "crosswalks" for Medicare and health plans that choose to employ the "dual use" strategy. Using both NPI and legacy provider numbers until May...

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