Saturday, October 6, 2007

How to bill for referring providers that do not have a NPI number?

If you find referring providers that are no longer accepting Medicare or are becoming Cash Pay only offices you can still bill with the referring provider information if you have that referring providers Legacy (UPIN) number.

Medicare is still accepting up to May 23 2008 the use of Legacy numbers on referring providers. It will become at some point mandatory for all physicians to register and maintain a NPI (national provider indicator) number.

Physician's who have decided that they do not want to become participating providers with Medicare will still be required to register for a NPI #. It's free and it will become mandatory so it's best to do it soon.

For additional Medicare documentation on this subject you can reference CR 5529.

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