DecisionHealth, DecisionHealth - 2012 Issue 9 (September)

HHS mandates NPIs for all providers, payer IDs alongside ICD-10 delay

Providers risk not getting their prescriptions filled by local pharmacists unless they get a national provider identifier (NPI) by 2013, thanks to a provision in HHS’ final rule that delayed ICD-10 and established new payer identifiers for claims processing. But while there’s no direct penalty to providers, practices risk losing business relationships with their pharmacies because the provision affects Part D reimbursement, experts say.

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