Tuesday, December 8, 2009

With whom should I share my National Provider Identifier (NPI)?

Question: With whom should I share my National Provider Identifier (NPI)?

Answer : Health care providers should share their NPIs with other providers with whom they do business, and with health plans that request their NPIs. All health care providers who conduct standard transactions as adopted under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) are covered health care providers. These providers must share their NPI with other providers, health plans, clearinghouses, and any entity that may need those NPIs for use in standard transactions. Providers should also consider letting health plans or institutions for whom they work, share their NPIs for them.

CMS strongly encourages providers to share their NPI with other health care providers to whom they refer patients; pharmacies that fill their prescriptions;health plans in which they are enrolled and to whom they submit claims; and organizations where they have staff privileges.

No comments:

Post a Comment