Reader Questions: Medicare Enrollment Is More Than Getting an NPI
Question: Our young practice wants to take on Medicare patients. Our two physicians have National Provider Identifiers (NPI). Can we start seeing beneficiaries?
Florida Subscriber
Answer: No. An NPI is just the starting point toward Medicare provider enrollment; it is not a substitute for the enrollment process.
“Providers still need to apply for Medicare enrollment in order to be approved for the submission of Medicare claims,” explains Part B Medicare Administrative Contractor (MAC) WPS-GHA in online guidance. “The NPI is a required data element on the CMS 855 Medicare enrollment forms. Required NPI fields cannot be...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: