Billing:
Get Your Docs' NPIs On The Claim By January
Published on Thu Sep 13, 2012
PECOS edit deadline continues to hang over providers' heads.You'd better make sure you have your NPI ducks in a row or face billing delays. In less than four months, you'll no longer be able to put your own NPI in the Attending Provider NPI field.So say a recent transmittal and MLN Matters article from the Centers for Medicare & Medicaid Services. "Effective for claims received on or after January 1, 2013, you must submit the National Pro-vider Identifier (NPI) of the attending provider in the Attending Provider Name and Identifiers Field (FL76) of your claims. That NPI must not be your billing NPI," CMS says in the MLN Matters article.CMS previously had allowed providers to use their own NPI numbers in the field when they had trouble getting the numbers from referring physicians.Exception: You can use your own NPI when the claim is for "institutional billing of influenza and pneumococcal [...]