The NPI must be used in connection with the electronic transactions identified in HIPAA. Other health industry workers who provide support services but not health care (such as admissions and medical billing personnel, housekeeping staff and orderlies) are not required to obtain an NPI. Once assigned, a provider's NPI is permanent and remains with the provider regardless of job or location changes. Organizations include hospitals, home health care agencies, nursing homes, residential treatment centers, group practices, laboratories, pharmacies and medical equipment companies.
NPI LOOKUP ORG PROFESSIONAL
Individual HIPAA–covered healthcare providers include physicians, pharmacists, physician assistants, midwives, nurse practitioners, nurse anesthetists, dentists, denturists, licensed opticians, optometrists, chiropractors, clinical social workers, professional counselors, physical therapists, occupational therapists, prosthetists, orthotists, pharmacy technicians and athletic trainers. Details are contained in a CMS document entitled, "Guidance on Compliance with the HIPAA National Provider Identifier (NPI) Rule." Small health plans have one additional year to comply.Īll individual HIPAA–covered healthcare providers or organizations must obtain an NPI for use in all HIPAA standard transactions, even if a billing agency prepares the transaction. The posted guidance document can be used by covered entities to design and implement a contingency plan. CMS subsequently announced that as of May 23, 2008, CMS will not impose penalties on covered entities that deploy contingency plans to facilitate the compliance of their trading partners (e.g., those healthcare providers who bill them). HIPAA–covered entities such as providers completing electronic transactions, healthcare clearinghouses, and large health plans were required by regulation to use only the NPI to identify covered healthcare providers by May 23, 2007. The transition to the NPI was mandated as part of the Administrative Simplifications portion of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers, including commercial healthcare insurers. health care providersĪ National Provider Identifier ( NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
To view these FAQs, see the "Related Links" section below.Identification number issued to U.S. NPI FAQs are posted on the CMS website and continue to be updated as new information is available. More detailed information is available on the pages listed in the left hand column of this page. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.Īs outlined in the Federal Regulation, The Health Insurance Portability and Accountability Act of 1996 (HIPAA), covered providers must also share their NPI with other providers, health plans, clearinghouses, and any entity that may need it for billing purposes. This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA.
The NPI is a unique identification number for covered health care providers. The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard.
0 kommentar(er)
