tci Part B Insider - 2007 Issue 26

NPIs: You Could Be Missing Warnings Of Incorrect NPI/Legacy Number Combos

Watch out for common NPI billing problems Many 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 the opposite...

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