Attention USA O&P Providers: NPI deadline

Attention USA O&P Providers: NPI deadline

Paul Prusakowski

5/19/2008

This is being posted for Elizabeth Carlstrom. Thank you!

 

Important Date...MAY 23, 2008

Avoid Claim Denials and/or Delays...

 

REMINDER TO USE NPI ONLY AND NO LEGACY IDENTIFIERS ON YOUR CLAIMS BEGINNING
ON AND AFTER MAY 23, 2008!

 

As of May 23, Medicare FFS will require and send NPI-Only in ALL provider
identifier fields for all HIPAA and paper transactions where a provider
identifier is required. If you send Medicare a transaction with a Medicare
legacy identifier in any of the provider fields, your claim will be
rejected. These transactions include all electronic and paper claims (837I,
837P, NCPDP, DDE and paper CMS-1500 and UB-04), the 276/277 claims status
transaction, the 270/271 eligibility transaction, 835 remittance advice and
SPR paper remittance.

 

If your billing software is set up to continue to send both the NPI and the
legacy identifier, and your clearinghouse or billing service will not be
stripping the legacy identifier from your claim as of May 23rd, the
responsibility falls to the provider to send in the Medicare claim with
NPI-only, i.e., NO legacy identifiers.

 

 

 

--

Elizabeth Carlstrom

 

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