tci Medicare Compliance & Reimbursement - 2007 Issue 33

NPIs: Watch Out For Common NPI Billing Problems

You could be missing warnings of incorrect NPI/legacy number combosMany physician claims could soon get lost in the ether because of a basic error. Are your claims safe?Check this: Many group practices are combining their National Provider Identifiers (NPIs) and legacy numbers incorrectly, warned officials from the Centers for Medicare & Medicaid Services (CMS) at an Aug. 2 Q&A session on "Common Billing Errors" involving NPIs.Example: A group practice bills Medicare using the practice's group NPI but adds the rendering or individual provider's legacy identifier instead of the group's legacy number. Some practices are also doing...

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