Latest NPI News Latest from CMS - Deadline Postponed to 2008!!
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Adding taxonomy codes (.pdf file)
Updated Taxonomy Code Listing (.pdf file)
Not sure what an NPI is and how you can get it, share it and use it? As always, more information and education on the NPI can be found at the CMS NPI page http://www.cms.hhs.gov/NationalProvIdentStand/ on the CMS website. The National Provider Identifier (NPI) is almost here - May 23, 2007 - the requirement that only NPI numbers be used for Medicare claims processing. Have you taken all the steps you should to make sure there is no interruption in your cash flow?
Make sure you
have applied for your NPI number. Don't be caught without an NPI when the
deadline arrives. Obtain your NPI by going on line to
https://NPPES.cms.hhs.gov/NPPES/Welcome.do or calling them at
800-465-3203. Be sure to enter all of your Medicare legacy numbers to the NPPES
Website to avoid further problems later. We recommend you still use your
Medicare legacy numbers in conjunction with the NPI, but give yourself plenty of
time to make sure your NPI is correctly billed. Don't wait until the last minute
then find you need programming changes.
Don't forget to put your NPI number on any forms you submit to the EDI area -
NPI is a condition for EDI Enrollment. Make sure you see the NPI number that
corresponds with your provider number.
For BCBS of Illinois online registration, go to http://www.bcbsil.com/provider/npi_registration.htm or call 312-653-7954.
For Anthem BCBS online registration, go to https://npi.wellpoint.com or call 800-470-9630 for BCBS WI, OH, KY, IN, and MO.
Under the Group, Provider, Referring Provider and Facility maintenance add the following for boxes 17, 24, 32 and 33 of the new CMS-1500. Some information listed is also for electronic claim submission.
1.) PRACTICE ID in the Group is your Tax ID, with a G2 ID qualifier
2.) Complete all ID qualifiers under IDs for your Group for box 33B. See ID qualifier list below
3.) Add in NPI number for box 33A; taxonomy code, and specialty codes are for electronic claims
4.) Make sure the Entity Type is completed for electronic claims
1.) The PROV ID is your Tax ID with a G2 ID qualifier
2.) Complete all ID qualifiers under IDs for your providers for box 24J. See ID qualifier list below
3.) Add in NPI number for box 24J; taxonomy code, and specialty codes are for electronic claims
4.) Make sure the Entity Type is completed for electronic claims
1.) The Provider ID is the Provider UPIN number with a 1G ID qualifier is for box 17B
2.) Add in NPI number for box 17A
1.) Add in NPI number for box 32A
2.) Add in the facility id and id qualifier of 0B (zero B) for box 32B in the Ids button, NOT the front screen
ID Qualifiers to Use:
1.) G2 = Commercial ID, includes HMO plans or those plans you are unsure what type they are.
2.) 1B = Blue Cross ID qualifier, DO NOT USE 1A. If submitting claims to Blue Cross Illinois (CPID
1405), the Provider ID qualifier MUST BE 0B
3.) 1C = Medicare ID qualifier (also applies to Railroad Medicare)
4.) 1D = Medicaid ID qualifier
The Form CMS-1500 (12-90) was revised by the National Uniform Claim Committee (NUCC) predominantly for the purpose of accommodating the National Provider Identifier. Since that time, the industry has been preparing for the implementation of the revised Form CMS-1500 (08-05). It has recently come to our attention that there are incorrectly formatted versions of the revised form being sold by print vendors, specifically the Government Printing Office (GPO). Given the circumstances, CMS has decided to extend the acceptance period of the Form CMS-1500 (12-90) version beyond the original April 1, 2007 deadline while this situation is resolved. Medicare contractors will be directed to continue to accept the Form CMS-1500 (12-90) until notified by CMS to cease. At present, we are targeting June 1, 2007 as that date. It is important to note that this issue involves the implementation of the new CMS-1500 (08-05) only and does not impact the May 23, 2007 implementation date of the NPI.
Please see the below link for the entire statement regarding the paper CMS-1500 form date change to June 1st 2007 posted on Medicare's website. http://www.cms.hhs.gov/ElectronicBillingEDITrans/Downloads/1500%20problems.pdf
If you are getting a new printer, the claims, statements, and route slips will need to be adjusted. Please call to schedule an appointment for forms adjustments.
We are recommending that clients do not install Internet Explorer version 7.0. There have been numerous of instances of the new Internet Explorer version 7.0 conflicting various applications.
There have been instances of an error while billing electronic and paper claims.
The error states "Error inserting record on Charges; Right String Truncation". The claims are being generated correctly but the system is not changing the claim generated flag to N, therefore a patients' charge will possibly bill on an electronic claim and paper claim.