What is the fastest way that I can obtain a National Provider Identifier (NPI) for me or my organization?
The web-based NPI application process is the fastest and most efficient way for a health care provider to obtain an NPI. To apply, go to https://nppes.cms.hhs.gov/nppes.
How should a provider request the National Provider Identifier (NPI) of another provider?
t is very important that health care providers share their NPIs with health plans and with other health care providers who need their NPIs for transaction purposes. For example, providers who refer patients to one another may need to report the referring providers’ NPIs on health care claims. The NPI Final Rule, at 45 CFR 162.410(a)(3), requires a covered health care provider to disclose its NPI to any entity that needs it for use in HIPAA standard transactions. However, the NPI Final Rule is silent on how providers should request each others NPIs. Therefore, any means, verbal or written, may be acceptable based on the business process that each provider has created to make or accommodate these requests.
If a covered health care provider refuses to disclose his/her/its NPI for purposes of use in a HIPAA transaction, that provider may be subject to actions under the Enforcement Rule if a complaint is filed with CMS.
Pages
- Home
- Medical Billing Question and Answer - Terms
- Insurance Denial Claim Appeal Guidelines.
- Medical Billing Downloads
- Understand Medical Billing
- Medical Billing Outsource
- Medicare Coverage and Plan Overview
- Advertise with us
- EVALUATION AND MANAGEMENT CPT code [99201-99499] - Full List
- Overall Medical billing process
- CPT Code 99201, 99202, 99203, 99204, 99205 - Which code to USE
- Internal Medical Billing Audit - how to do
Medical Billing Popular Articles
-
Its often confused that BCBS have lot of prefixes and where to contact. However we have some guide to follow, using prefixes we could find t... -
Timely Filing Every insurance company has a time window in which you can submit claims. If you file them later than the allowed time, you ...
-
Blue Cross Blue Shield Prefix Assignments Prefix begin with Y & Z Prefix Product Area Billin...
-
Medicare denial code and Descripiton 1 Deductible Amount 2 Coinsurance Amount 3 Co-payment Amount 4 The procedure code is inconsistent ...
-
CPT code and description 80050 - General health panel This panel must include the following: Comprehensive metabolic panel (80053), ...
-
cpt code and description 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscul...
-
AETNA Billing Address Aetna has more address but usually accept all the claims whatever address you submit from the below list. Get the el...
-
a. General Requirements When Medicare is the secondary payer, the claim must first be submitted to the primary insurer. The primary insure...
-
Procedure code and Description Group 1 Codes: 93975 DUPLEX SCAN OF ARTERIAL INFLOW AND VENOUS OUTFLOW OF ABDOMINAL, PELVIC, SCROTAL CO...
-
BCBS COMM PA PO BOX 890062 CAMP HILL, PA 17089 866-763-3608 BCBS NORTHEASTERN COMM PA PO BOX 890062 CAMP HILL, PA 17089 800-829-8599 ...
No comments:
Post a Comment