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NPI (National Provider Identifier) Related to US Health Care Industry, Revenue Cycle

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Jvs Prasad
Jvs Prasad

The National Provider Identifier (NPI) is a 10-digit number that uniquely identifies health care providers. It will replace existing identifiers used in transactions governed by HIPAA. Obtaining an NPI does not guarantee licensure, payment, or enrollment in health plans. The goals of implementing NPIs are to simplify electronic transmission of health information and more efficiently coordinate benefits. All HIPAA-covered health care providers can apply for an NPI online, and must use only NPIs in standard transactions by May 2007. The NPI will not replace Medicare's enrollment or certification processes.

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What is a National Provider Identifier? • The NPI is a 10-digit, intelligence free numeric identifier (10 digit number). Intelligence free means that the numbers do not carry information about health care providers, such as the state in which they practice or their provider type or specialization.
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Why do we need the National Provider Identifier? ,[object Object],[object Object],[object Object]
Who can apply for the NPI? ,[object Object],[object Object],[object Object]
What is a HIPAA-covered health care provider? ,[object Object],[object Object]
Who cannot receive an NPI? ,[object Object]
When and how can we apply for the NPI? ,[object Object]
What is the deadline for applying and when will the NPI be effective? ,[object Object]
For Medicare Providers: ,[object Object],[object Object],[object Object]
Will the NPI replace the Medicare certification or enrollment process? ,[object Object]

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NPI (National Provider Identifier) Related to US Health Care Industry, Revenue Cycle

  • 1. What is a National Provider Identifier? • The NPI is a 10-digit, intelligence free numeric identifier (10 digit number). Intelligence free means that the numbers do not carry information about health care providers, such as the state in which they practice or their provider type or specialization.
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