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NPI Contingency Planning

Transcript for 4/18/07 NPI Roundtable Now Available

The transcript for the NPI Roundtable on the Contingency Guidance is now posted as "NPI Roundtable Transcript 4-18-07" in the Downloads section below. 

Medicare Fee-For-Service (FFS) Contingency Plan Announced!

FFS Medicare has announced its contingency plan.  View the associated Change Request at, as well as the related MLN Matters article in the Downloads section below.

CMS CLARIFIES GUIDELINES FOR NPI DEADLINE IMPLEMENTATION

CMS announced that through May 23, 2008, CMS will not impose penalties on covered entities that deploy contingency plans to facilitate the compliance of their trading partners (e.g. those healthcare providers who bill them).  The posted guidance document can be used by covered entities to design and implement a contingency plan.  Details are contained in a CMS document entitled, "Guidance on Compliance with the HIPAA National Provider Identifier (NPI) Rule" available in the Related Links Inside CMS section below.  

The final rule establishing the NPI as the standard unique health provider identifier for health care providers was published in 2004 and requires all covered entities to be in compliance with its provisions by May 23, 2007, except for small health plans, which must be in compliance by May 23, 2008.  

CMS encourages health plans to assess the readiness of their provider communities and determine the need to implement contingency plans to maintain the flow of payments, while continuing to work toward compliance.

The CMS guidance and resultant contingency plans that may be implemented by covered entities does not remove the requirement and expectation for health care providers to acquire an NPI.  Getting an NPI is easy and free.  Click on the How to Apply page to the left of this screen to learn more.


Downloads
NPI Roundtable Transcript 4-18-07 [PDF, 132KB]

Medicare FFS Contingency Plan Change Request [PDF 127KB]

MM5595 - Medicare Fee-For-Service (FFS) National Provider Identifier (NPI) Implementation Contingency Plan [PDF 80KB]

Related Links Inside CMS

Guidance on Compliance with the HIPAA National Provider Identifier Rule [PDF, 16KB]

NPI Frequently Asked Questions (FAQs)
Related Links Outside CMSExternal Linking Policy

There are no Related Links Outside CMS

Page Last Modified: 08/29/2008 9:14:35 AM
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