Does Stratford plan to have the NPI (National Provider Identifier) integrated into the software?
Yes it already is – as of late 2004. If you look on the provider screen now you will see a text box for entering the NPI. We already have our CMS paper claim and electronic formats coded for the NPI and we have activated those sections of code as of 01/03/2006. Note that we can activate different payers at different times since it is unlikely (based on our past experience) that all Medicare contractors, Medicaid and all private payers will activate it at the same time. We believe that several (or many) updates will be required in the next 18-24 months as various payers require different claim data. For example, some payers will continue to require legacy IDs. NHIC, the Medicare contractor for New England and, previously, California, has approved our code for NPI in the EDI – electronic format. We have received notice from most other payers that either now accept the NPI or will soon. All our versions beginning with v9.4.3567 are ready with all NPI code activated.
Related Questions
- My group practice or hospital applied for my National Provider Identifier (NPI) and I do not know my National Plan and Provider Enumeration System (NPPES) User ID and password. What do I do?
- Does the NPI number (National Provider Identification Number) contingency plan eliminate the need for all suppliers (Part B clinicians) to have a NPI by 5-23-07?
- When a provider is billing Medi-Cal for a surgery, do they need to include the facility’s National Provider Identifier (NPI) on the claim?
