Providers to need NPI for Medicare, Medicaid enrollment and reimbursement

Share this article:
Ryan budget proposal calls for Medicare vouchers, Medicaid transformation
Ryan budget proposal calls for Medicare vouchers, Medicaid transformation

In an effort to crack down on healthcare fraud, the Centers for Medicare & Medicaid Services this summer will require all providers and suppliers who qualify for a National Provider Identifier (NPI) to include that on all enrollment applications, as well as payment claims.

The interim final rule from CMS is designed to make it more difficult to start receiving Medicare and Medicaid reimbursements. One healthcare legal expert said the rule should not pose a problem for most legitimate healthcare providers, the Bureau of National Affairs reported. The rule puts into effect a provision from the recently passed healthcare reform law, which calls on providers and suppliers to comply with the NPI requirement by Jan. 1, 2011, according to BNA.

The new interim final rule is scheduled for publication in the May 5 Federal Register, and will take effect July 6. Comments on the rule are due by July 2.

Share this article:

Next Article in News

More in News

Long-term care continues to lead in deal volume and value: PwC report

Long-term care continues to lead in deal volume ...

Long-term care bucked healthcare industry trends with strong merger and acquisition activity in the second quarter of 2014, according to newly released data from professional services firm PricewaterhouseCoopers.

Empowering nurse practitioners could reduce hospitalizations from SNFs, study finds

Granting more authority to nurse practitioners is associated with reduced hospitalization of skilled nursing facility residents, according to recently published findings.

Pioneer ACO drops out of program, despite reductions in skilled nursing utilization

A California healthcare system has become the latest dropout from the Pioneer Accountable Care Organization program, despite reducing skilled nursing facility utilization and improving its readmission rates. Sharp HealthCare announced its decision in a quarterly financial statement released Tuesday.