Prevent Claims denials!

Tuesday, July 24, 2012

 

HHAs Must Use Individual Practitioner NPIs to Bill for Ordered/Referred Services 

 

Regional Home Health Intermediaries (RHHIs) and A/B MACS with home health workloads will be contacting home health agencies (HHAs) that submitted claims using both a group name and national provider identifier (NPI) as the attending NPI for ordered or referred services. The physician’s name and NPI, not a group name and NPI, must be used as the attending name and NPI on the claim. Once CMS turns on the edits for ordering/referring services, claims using a group NPI will be denied.

 

Please note, CMS recently sent a message to remind physicians to provide their individual NPI to HHAs upon request. Physicians may verify their individual NPI using the NPI Registry on the CMS website.