National Provider Identifier (NPI)
Time is running out on physical therapists and other health
care providers who are not using their National Provider Identifier
(NPI) as the only provider number on their Medicare claims. The NPI will
replace all previous billing numbers for all health plans – and
starting May 23, 2008, Medicare will reject claims that include
provider numbers other than the NPI. Physical therapists should be
submitting batches of claims now to make sure that their NPIs are being
recognized and avoid denied claims and payment problems on May 23.
The NPI is a 10-digit numeric identifier that will be a requirement
for all individual health care providers who meet the definition of a
"covered entity" under the Health Insurance Portability and
Accountability Act (HIPAA). Please see the resources below to gain a
better understanding of the NPI.
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