Eli's Rehab Report
Billing--New NPI Deadlines Fast Approach
PDF
In the hubbub over the physician fee schedule, PPS changes and therapy cap drama, don't forget one major billing requirement in the New Year -- including National Provider Identifier numbers on your claims. All Medicare Administrative Contractors (MACs) are already rejecting claims if they can't validate NPIs used in NPI/legacy number pairs against the NPI crosswalk, CMS said in an e-mail message to providers. Durable medical equipment MACs began rejecting such claims Oct. 29. Starting Jan. 1, contractors will also reject claims without an NPI in the primary provider fields, CMS says. Those are the billing and pay-to fields. New deadline: For the time being, providers will still be able to use legacy-only numbers in secondary fields, such as the one for referring physicians. However, by May 23, providers will have to use NPIs in those fields as well, CMS says. And don't forget to make sure your referring doctors' NPIs are in line too. More NPI information is online at http://www.cms.hhs.gov/NationalProvIdentStand/.
Eli's Rehab Report
- Rehab Providers Face a Rocky 2008 -- if Congress Doesn't Take Action
Important: Take a long, hard look at your professional requirements There's a lot in store [...] - Coding Corner:
Say Hello to New Rehab CPTs for 2008
Take note: Medicare will not reimburse all of them After an uneventful 2007 for new [...] - Medicare:
New Physician Fee Schedule Cracks Down on CORFs
Consider these 3 major compliance checkpoints The 2008 Medicare Physician fee schedule Final Rule [...] - Practice Pointers:
Shop Smart -- Gather Crucial Info From Vendors, Customers
Look for these key features in your software test drive In the last issue of [...] - Compliance:
The Slightest Mistake Could Land You a False-Claims Label
Physiotherapy speaks up about $16.6 million settlement If you haven't conducted an internal audit in [...] - Reader Questions:
HCPCS or CPT? Find Out What G0129 Can Do
Question: Someone recently pointed out to me HCPCS code G0129 (Occupational therapy requiring the skills [...] - Reader Questions:
Tackle Your Home Health PPS Bundling Queries
Question: We are based in a home health agency and noticed the chart in the [...] - News Briefs:
Billing--Duplicate Claims Top TrailBlazer's Error List
You may be able to slow your denial volume by simply checking your claim status. [...] - News Briefs:
Inpatient Rehab--Group Therapy in IRFs Here to Stay
Inpatient rehabilitation facilities with National Government Services Inc. as their Medicare fiscal intermediary can rest [...] - News Briefs:
Billing--New NPI Deadlines Fast Approach
In the hubbub over the physician fee schedule, PPS changes and therapy cap drama, don't [...]