Do you know about - Npi Numbers and patrimony Numbers - New Rules As of May 23, 2008 For Billing medical assurance Claims
Medical Insurance! Again, for I know. Ready to share new things that are useful. You and your friends.On May 23, 2008 guarnatee carriers were suppose to accept Npi only on all paper & electronic claims. Not only were you required to include the Npi number, but you were required to Exclude the legacy numbers. Some guarnatee carriers were not ready for the deadline and applied for an postponement (like Nys Medicaid). But Medicare was ready and if you include your Ptan (legacy) whole on your claims they are being rejected.
What I said. It is not outcome that the real about Medical Insurance. You see this article for information on a person need to know is Medical Insurance.How is Npi Numbers and patrimony Numbers - New Rules As of May 23, 2008 For Billing medical assurance Claims
For the guarnatee carriers who were ready for this deadline, you must make sure you do not have the legacy whole in the shaded area of box 24J or box 32A & 33A. If your software is set up to automatically print the legacy whole in this box you need to remove it. If you submit claims electronically, make sure your vendor has it set up to exclude the legacy number.
For the guarnatee carriers who were not ready and applied for an extension, you will need to continue along with the legacy whole until they have complied. This makes things a microscopic messy. You need to make sure you are submitting the claims that require the legacy whole with it, and the ones that do not allow it, without. Crazy, but it is what we billing people have to do to make sure the money keeps arrival in.
Another microscopic crazy thing to worry about is the Npi whole entered in 24J. If you are set up with Medicare as an individual victualer (not a group) and you only have a type I Npi, you must leave the Npi part of box 24J blank. You cannot include the individual Npi whole here. If you are an individual victualer and you put your Npi whole in 24J, Medicare may reject your claims.
If you are a group with Medicare then you need to continue putting the rendering providers individual Npi in box 24J and the group Npi (type Ii) in box 33A. If you are not sure if you are an individual or a group you can tell by your Ptan number. If you only have one Ptan whole then you are an individual. If you have a Ptan for the individual victualer and a detach Ptan for the custom name then you are a group. Just when you idea it couldn't get much more confusing!
If you want to keep your cash flow steady it is leading to make sure you are submitting the claims correctly. If you have any interrogate as to what a particular guarnatee carrier requires, give them a call. Better to have it right the first time than to have to resubmit!
Copyright 2008 - Michele Redmond
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