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
-
Procedure CODES and Descriptions 99401 - Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an indi...
-
CPT CODE AND Description 99391 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age... -
CPT code and description 80050 - General health panel This panel must include the following: Comprehensive metabolic panel (80053), ...
-
Procedure code and Description 99251 Inpatient consultation for a new or established patient, which requires these 3 key components: A pro...
-
CPT Code and description 99381 - Initial comprehensive preventive medicine evaluation and management of an individual including an age an...
-
Billed amount: It is the Amount charged for each service performed by the provider. In other words it is the total charge value of the cla...
-
When an ERA is received, providers may: •Post decision and payment information automatically, for individual claims included in an R... -
Medicare denial code and Descripiton 1 Deductible Amount 2 Coinsurance Amount 3 Co-payment Amount 4 The procedure code is inconsistent ...
-
Background: Type of Service (TOS) is an indicator that the contractor places on the Form CMS-1500 paper form or electronic format. The indic...
-
Denial code co - 45 - Charges exceed your contracted/legislated fee arrangement. Note: This adjustment amount cannot equal the total servic...
No comments:
Post a Comment