tci Medicare Compliance & Reimbursement - 2008 Issue 3

NPI: Verify Legacy Numbers To Speed Payment

You need a perfect match on your claims You may be seeing claims rejections if you're not on top of NPI issues. As of Jan. 1, Medicare requires providers' claims to have a National Provider Identifier number in the primary provider (billing and pay-to) fields, CMS notes in a message to providers. But even if you do include your NPI, you could still see rejections if the NPI doesn't match the legacy number you're also using on the claims.Do this: If you're submitting an NPI and legacy number pair and seeing rejections, "go into the NPPES Web site...

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