NPI Verification for Physician and Non-Physician Practitioner Providers for Critical Access Hospital (CAH) Claims Processed by Medicare Fiscal Intermediaries and Part A Medicare Administrative Contractors (A/B MAC).
Currently, the Centers for Medicare and Medicaid Services (CMS) does
not have the capability to identify the specialty codes associated with the physicians and non-physician
practitioners that are in an approved status on the PECOS file when a claim is submitted by a CAH. As a
result, the CMS will implement an NPI verification for physician and non-physician practitioner providers
for CAH claims processed by Medicare Fiscal Intermediaries and Part A Medicare Administrative
Contractors (A/B MAC).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 14, 2010
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