tci Medicare Compliance & Reimbursement - 2017 Issue 18

Industry Notes: Mark Your Calendars for NPI Requirement Date

If you’ve lagged behind on using NPIs for checking patients’ Medicare status, the honeymoon is nearly over. Now: In the Common Working File, providers currently “are allowed to use either legacy Provider Numbers (CMS Certification Number [CCN] or Unique Physician Identification Number [UPIN]) or NPI on CWF Provider Queries” to check patients’ eligibility, CMS says in a recent MLN Matters article. Then: As of Jan. 2, 2018, CWF will accept only an NPI as a valid Provider Number for such queries, CMS says in the article at www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM10098.pdf. ...

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