How does Compu-Max and CMS handle the National Provider Identifier (NPI)?
The NPI is currently not input on any CMS Medicare cost report. With regard to NPI and the Medicare Cost Report, and more specifically, KPMG’s Compu-Max software for completing the cost report, the following is applicable: The Medicare cost report is not a claims processing system. As a result, collection of the NPI in the cost report is for informational purposes only. Transmittal 16 instructional changes for the 2552-96 Provider Reimbursement Manual were released by CMS (dated August 2006). This transmittal does NOT address NPI. The original draft of these instructions had set aside column 2.01 on Worksheet S-2, lines 2-16, for entering NPI numbers. However, CMS failed to recognize the various possible scenarios of one number to multiple entities, multiple numbers to a single entity, and multiple numbers to multiple entities. As a result, the final instructions were issued with column 2.01 shaded, and an informational instruction on page 36-24 of these instructions that column 2.01 i
Related Questions
- 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?
- 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?
- When are providers required to bill Medi-Cal using their National Provider Identifier (NPI) on the new CMS-1500 claim form?
