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 ...
In Billing
Oct 1st, 2010
Recent updates have been made to the Health Care Provider Taxonomy Code (HPTC) list, which Parts A and B Medicare administrative contractors (A/B MACs) will use to process electronic claims effective Jan. 1, 2011. The HPTC set is maintained by the National Uniform Claim Committee (NUCC) and updated twice a year with changes effective April ...