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?
Category: NPI Data
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
How to Do DEA Number Lookup By NPI?
If you are hiring a physician, pharmacist, dentist, or nurse who will administer and prescribe medications, you will need to conduct a DEA search as part of the hiring process. DEA numbers are unique identifiers, and a practitioner can have more than one DEA number if they are practicing in more than one state. What… Continue reading How to Do DEA Number Lookup By NPI?
Do I Need a New NPI?
What is an NPI (National Identifier Number)? The Health Care Provider Taxonomy code may be a unique alphanumeric code, ten characters long. The code set is structured into three distinct “Levels” including Provider Grouping, Classification, and Area of Specialization. The Health Care Provider Taxonomy code set is published (released) twice a year on July 1st… Continue reading Do I Need a New NPI?
Guide for NPI Registry – Things You Need to Know
It’s important for any healthcare provider working under Medicare and Medicaid to have a clear understanding of the NPI registry and what it requires. But what is the NPI meaning? NPI stands for National Provider Identifier and is assigned to every healthcare provider to improve efficiency in electronic transmissions. Typically, it’s put on medical bills… Continue reading Guide for NPI Registry – Things You Need to Know