Part B Insider (Multispecialty) Coding Alert

Physician Note:

Hospitals May Be Asking for Your Doctors' NPIs Soon

Plus: Whistleblower case heads to court.

New CPT® codes won't be the only change you'll face on Jan. 1, 2013--CMS has more in store for physicians that see patients in the inpatient setting.

On Aug. 17, CMS released MLN Matters article MM7902, which notes that as of Jan. 1, hospitals "must submit the NPI of the attending provider in the Attending Provider Name and Identifiers field" of all claims. "Institutional providers are required to indicate the Attending Provider Name and Identifiers for the patient's medical care and treatment reported on institutional claims for any services other than non-scheduled transportation claims."

In addition, hospitals submitting outpatient claims must send the "referring provider" NPI and name when the referring doctor is different from the attending, the article notes.

What this means: Hospitals where your physicians often refer and attend to patients will be contacting you in the coming months to confirm all physician NPI information in preparation for the new regulations.

To read the article, visit www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM7902.pdf.