Medicare_Program_Integrity_Manual / CMS 100-08, Change Request 5584

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a CMS manual change request tied to the discontinuation of UPIN assignment and the transition to NPI-based identification in Medicare-related transactions. It is relevant to Medicare program integrity staff, billing and claims professionals, contractors, and provider organizations that need to understand the timing, background, and operational implications of the change. The article also summarizes related registry availability, implementation timing, contingency guidance, and contractor funding notes.

Why This Topic Matters

It helps readers track a CMS administrative update that affects how ordering and referring providers are identified in Medicare processes and how related registry information is handled.

Article Sections

  1. Summary of Changes

    High-level notice of the manual update and its effective and implementation timing.

  2. Attachment — One-Time Notification

    The main notification text associated with the transmittal, including background, policy context, contingency information, contacts, and funding notes.

  3. General Information

    Background on the provider identification framework, registry operations, and the broader transition context for Medicare-related claims processing.

  4. Supporting Information

    Administrative space for recommendations and cross-reference material related to the change request.

  5. Contacts

    Pre-implementation and post-implementation CMS contact information for the transmittal.

  6. Funding

    Funding and contractor responsibility notes for intermediaries, carriers, DMERCs, and MACs.

What You Will Learn

  • The administrative purpose of the CMS change request
  • The general transition from legacy provider identifiers to NPI-based identification
  • How registry availability and related implementation timing are addressed
  • What types of contractor and funding notes accompany the update
  • Where to find CMS contact and support information for the transmittal

Who Should Read This

  • Medicare billing and coding professionals
  • Provider enrollment and credentialing staff
  • Medicare administrative contractors and other CMS contractors
  • Compliance and program integrity staff
  • Health care providers and suppliers

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