Billing and reimbursement are dependent on the taxonomy code designation and detail. When the National Provider Identifier (NPI) was implemented in 2005 as part of HIPAA, a new identifier accompanied it: the taxonomy code. With that, the Centers for Medicare & Medicaid Services (CMS) developed the National Plan and Provider Enumeration System (NPPES) to officially ...
In Billing
Oct 15th, 2015
By Nancy Clark, CPC, CPC-H, CPB, CPMA, CPC-I Every healthcare provider has at least one taxonomy code that reflects his or her specialty. Ensure that your provider’s specialty is accurately represented by this code set. Although Medicare Part B providers are not required to report taxonomy codes on claim submissions, National Government Services recently urged ...
Find out if code selection ends with the coding professional or the provider. Q: Our facility is having a heated debate about who should have the final say on the CPT® code submitted for billing: the provider or the coder? The providers’ argument is that they should have the final say since it’s their National ...
In Audit
Aug 9th, 2012
National Government Services, a durable medical equipment Medicare administrative contractor (DME MAC), is returning paper claims when providers fill in item 33b. The DME MAC for Jurisdiction B reports an increase in the number of paper claims returned to suppliers because item 33b of the CMS-1500 paper claim form contained either the Provider Transaction Access ...
Jun 18th, 2012
Any latency and performance issues you may have experienced with the National Plan and Provider Enumeration System (NPPES) have been resolved, according to the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) registry is fully operational again. NPPES Issues Resolved, NPI Registry Tip was last modified: June 19th, 2012 by admin ...