NPI Readiness - Crucial to Providers
The National Provider Identifier (NPI) is almost here - the requirement that only NPI numbers be used for Medicare claims processing. Have you taken all the steps you should to make sure there is no interruption in your cash flow? Here are some examples of actions you should take.
Make sure you have applied for your NPI number. Don't be caught without an NPI when the deadline arrives. Obtain your NPI by going on line to https://NPPES.cms.hhs.gov/NPPES/Welcome.do 
or calling them at 800-465-3203. Be sure to enter all of your Medicare legacy numbers to the NPPES Website to avoid further problems later.
Begin using your NPI number on your electronic claims transmissions. We recommend you still use your Medicare legacy numbers in conjunction with the NPI, but give yourself plenty of time to make sure your NPI is correctly billed. Don't wait until the last minute then find you need programming changes. This could adversely affect your cash flow.
Don't forget to put your NPI number on any forms you submit to the EDI area - NPI is a condition for EDI Enrollment. Make sure you use the NPI number that corresponds with your provider number.
Check your electronic Medicare reports when you use the NPI number on your transmissions. Make sure your NPI is not receiving edits indicating that your number is not on the NPI Crosswalk. See our March 2007 Communique for steps to take if you are receiving these informational edits. One hint to avoid these edits is to be sure to add your Medicare legacy numbers on the NPPES website.
Medicare is attempting at all times to keep you educated and informed regarding NPI numbers and other Medicare billing issues. We don't want to see your cash flow interrupted. If you have any questions, please contact the EDI Hotline for IL/MI/WI (877) 567-7261. For Minnesota, please contact (952) 885-2882, (952) 885-2881, or (952) 885-2811
Page Last Updated: Tuesday, 15-Jul-2008 10:45:23 CDT
