AMA CPT® Assistant - 2007 Issue 1 (January)

Update on the National Provider Identifier (January 2007)

January 2007 pages 11-27 Coding Communication:Update on the National Provider Identifier The health care industry is currently immersed in the implementation of the national provider identifier (NPI). The plan for the NPI was included in the Health Insurance Portability and Accountability Act (HIPAA) of 1996. The NPI final rule was published on January 23, 2004, and became effective on May 23, 2005. The final rule requires covered entities—defined as providers, clearinghouses, and health plans that conduct electronic HIPAA standard transactions—use the NPI in HIPAA standard transactions starting May 23, 2007 (compliance for small health plans is May...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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