The Significance of NPI: Everything You Need to Know

A National Provider Identifier (NPI) is a unique identification number assigned to each medical provider and institution in the United States. NPIs were introduced in 1996 as part of the Health Insurance Portability and Accountability Act (HIPAA), to improve the efficiency of electronic health records. The Centers for Medicare and Medicaid Services (CMS), as well… Continue reading The Significance of NPI: Everything You Need to Know

NPI Numbers: Look Up for Physicians

Every licensed physician, healthcare provider, or organization possesses a National Provider Identifier or NPI. So, what are NPI numbers, and who can use them? What are NPI Numbers? National Provider Identifier, or NPI, helps to identify a healthcare provider. This is particularly relevant in standard transactions like health care claims. NPI also helps to identify… Continue reading NPI Numbers: Look Up for Physicians

What is NPI Number Expiration? Is a New NPI Number a requirement?

The NPI, National Provider Identifier, is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Standard. An NPI is a one-of-a-kind identifier number for covered health care services designed to increase the quality and efficacy of electronic health information delivery. NPIs must be used in accounting and financial transactions by covered health care providers, all… Continue reading What is NPI Number Expiration? Is a New NPI Number a requirement?

Should We Implement A National Patient Identifier (NPI) System?

For over 20 years, the advantages of using a national patient identifier (NPI) system have been debated. An NPI system would give each United States citizen a unique number to be used across the healthcare system. The primary reason an NPI system has not been implemented is the privacy concern; however, in June 2019, Congress… Continue reading Should We Implement A National Patient Identifier (NPI) System?

The Confidentiality of National Provider Index (NPI) Numbers

In the decade since the CMS implemented the National provider Identifiers (NPIs), the billing process for hospitals and healthcare institutions has become more dependable and simplified. Moreover, both Medicare and Medicaid support and promote NPIs. This is why, NPIs, similar to a Social Security Number, have become a crucial part of the healthcare ecosystem. This… Continue reading The Confidentiality of National Provider Index (NPI) Numbers

Obtaining an NPI or EIN

How Health Care Providers Get an NPI or EIN? A National Provider Identifier (NPI) is a unique identification number that is given to all those that provide health care services. This includes doctors, nurses, suppliers of health care services, and many other providers and practitioners. It is essential to have your own NPI no matter… Continue reading Obtaining an NPI or EIN

How Change of Ownership (CHOW) Affects NPI Number

One of the most common mistakes in medical billing and rejected claims is inserting a wrong NPI number or a missing NPI number. Insurance claims submitted to Medicaid, Medicare, or any health plans are not paid without a proper NPI. So, what is NPI? An NPI number, or a National Provider Identifier, is a unique… Continue reading How Change of Ownership (CHOW) Affects NPI Number

How to get a National Provider Identifier (NPI) if you don’t have a Social Security Number (SSN)

In most cases, you either need a Social Security Number (SSN) or US-issued Individual Taxpayer Identification Number (ITIN) to obtain an NPI. In most cases, international residents will need an NPI before they receive an SSN or TIN. So how do you get an NPI without a Social Security Number? The Centers For Medicaid &… Continue reading How to get a National Provider Identifier (NPI) if you don’t have a Social Security Number (SSN)

How to Sort Out Your Tax ID and NPI Information With The Insurance Companies You Are In-Network With

Being a healthcare provider, have you ever faced a situation where your claim keeps on getting rejected by the insurance companies because they believe that you are out of network, while in reality, you are in-network?  If your answer is no, then my friend, you are one very lucky person! But if it is yes,… Continue reading How to Sort Out Your Tax ID and NPI Information With The Insurance Companies You Are In-Network With