NPIs to be required for referring, ordering doctors

Article Overview

This article covers a CMS policy update affecting Medicare claims when services are ordered or referred by another physician. It is relevant to billing staff, providers, and compliance teams who need to understand the new NPI requirement, the effective date discussed in the article, and the general circumstances CMS says may lead to claim denial. The article also notes that further CMS instructions were expected for certain referral situations, including cross-border and self-referral scenarios.