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CMS has stated that to participate in PQRI, I need an individual National Provider Identifier (NPI). What if I don’t have one, can’t get one, or my Medicare carrier won’t accept it?

April 26, 2017CMS don’t identifier individual National NPI participate pqri Provider

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CMS has stated that to participate in PQRI, I need an individual National Provider Identifier (NPI). What if I don’t have one, can’t get one, or my Medicare carrier won’t accept it?

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If your claim does not include your individual NPI at the line item level, it will not be included in the analysis of satisfactory reporting for PQRI and the bonus payment calculation will not include it. Getting an NPI is easy and free. Over 2 million providers have already applied for and received them. Go to www.cms.hhs.gov/NationalProvIdentStand to learn about NPI, and go to https://nppes.cms.hhs.gov/NPPES to apply for an NPI. Medicare carriers do accept NPIs on claims right now and have done so since January of 2006.