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MIR-2007 06AB, June 2007
MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)
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Article Revisions Due to National Provider Identifier (NPI) Contingency Plan
CMS has revised the articles listed below by adding the following statement to each article.
This article was revised on May 7, 2007, to add this statement that Medicare FFS has announced a contingency plan regarding the May 23, 2007 implementation of the NPI. For some period after May 23, 2007, Medicare FFS will allow continued use of legacy numbers on transactions; accept transactions with only NPIs; and accept transactions with both legacy numbers and NPIs. For details of this contingency plan, see the MLN Matters article, MM5595, at http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5595.pdf  on the CMS Web site.
Disclosure Desk Reference for Provider Contract Centers
MLN Matters Number: MM5089 - Revised
Pub. 100-9, Transmittal# R16COM, CR# 5089
Related CR Release Date: July 21, 2006
Effective Date: October 1, 2006
Implementation Date: October 2, 2006
Stage 2 Requirements for Use and Editing of National Provider Identifier (NPI) Numbers Received in Electronic Data Interchange Transactions, via Direct Data Entry Screens or Paper Claim Forms
MLN Matters Number: MM4023 Revised
Pub. 100-4, Transmittal# 190, CR# 4023
Related CR Release Date: November 3, 2005
Effective Date: April 1, 2006
Implementation Date: April 3, 2006
Stage 2 National Provider Identifier (NPI) Changes for Transaction 835, and Standard Paper Remittance Advice, and Changes in Medicare Claims Processing Manual, Chapter 22 – Remittance Advice
MLN Matters Number: MM5081 - Revised
Pub. 100-4, Transmittal# R996CP, CR# 5081
Related CR Release Date: June 30, 2006
Effective Date: October 1, 2006
Implementation Date: October 2, 2006
Modification of National Provider Identifier (NPI) Editing Requirements in CR4023 and an Attachment to CR4320
MLN Matters Number: MM5229 - Revised
Pub. 100-20, Transmittal# R234OTN, CR# 5229
Related CR Release Date: August 18, 2006
Effective Date: October 1, 2006
Implementation Date: October 2, 2006
Claims Submitted With Only a National Provider Identifier (NPI) During the Stage 2 NPI Transition Period (This article has a May 4, 2007 revision date)
MLN Matters Number: MM5378
Pub. 100-20, Transmittal# R249OTN, CR# 5378 - Revised
Related CR Release Date: November 13, 2006
Effective Date: October 1, 2006
Implementation Date: November 20, 2006
CMS Announces the National Provider Identifier (NPI) Enumerator Contractor and Information on Obtaining NPIs
Related Change Request (CR) #: N/A
Medlearn Matters Number: SE0528 - Revised
Related CR Release Date: N/A
Important Guidance Regarding National Provider Identifier (NPI) Usage in Medicare Claims
MLN Matters Number: SE0659 - Revised
Related Change Request (CR) #:N/A
Effective Date: N/A
Extension for Acceptance of the CMS-1500 Form (12-90)
MLN Matters Number: MM5568 - Revised
Pub. 100-4, Transmittal# R1208CP, CR# 5568
Related CR Release Date: March 19, 2007
Effective Date: April 1, 2007
Implementation Date: April 2, 2007
Reporting the National Provider Identifier (NPI) on Physician Claims for Clinical Diagnostic Services Purchased Outside of the Local Carrier’s Jurisdiction
MLN Matters Number: MM5289 - Revised
Pub. 100-20, Transmittal# R243OTN, CR# 5289
Related CR Release Date: October 27, 2006
Effective Date: April 1, 2007
Implementation Date: April 2, 2007
Provider Education for Handling Issues Related to Deceased Providers
MLN Matters Number: MM5508 - Revised
Pub. 100-4, Transmittal# R1216CP, CR# 5508
Related CR Release Date: March 30, 2007
Effective Date: May 23, 2007
Implementation Date: April 30, 2007
Common Billing Errors to Avoid when Billing Medicare Carriers
MLN Matters Number: SE0712 - Revised
Related Change Request (CR) # N/A
Effective Date: N/A
The following articles were revised on May 8, 2007 with the same paragraph.
Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims
MLN Matters Number: MM5243 Revised
Pub. 100-4, Transmittal# R1133CP, CR# 5243
Related CR Release Date: December 19, 2006
Effective Date: January 1, 2007
Implementation Date: January 2, 2007
Revised American National Standards Institute (ANSI) X12N 837 Institutional Health Care Claim Companion Document
MLN Matters Number: MM5334 - Revised
Pub. 100-4, Transmittal# R1116CP, CR# 5334
Related CR Release Date: November 24, 2006
Effective Date: January 1, 2007
Implementation Date: January 2, 2007
Revisions to Incomplete or Invalid Claims Instructions Necessary to Implement the Revised Health Insurance Claim Form CMS-1500 (Version 8/05)
MLN Matters Number: MM5391- Revised
Pub. 100-4, Transmittal# R1187CP, CR# 5391
Related CR Release Date: February 23, 2007
Effective Date: May 23, 2007
Implementation Date: May 23, 2007
Additional Requirement Necessary to Implement the Revised Health Insurance Claim Form CMS-1500
MLN Matters Number: MM5060 Revised
Pub. 100-4, Transmittal# R1058CP, CR# 5060
Related CR Release Date: September 15, 2006
Effective Date: January 1, 2007
Implementation Date: January 2, 2007
Claims Submission Instructions for Institutional Providers Billing Vaccine claims in Cases Where a NPI is Not Available
MLN Matters Number: MM4239 - Revised
Pub. 100-4, Transmittal# R1051CP, CR# 4239
Related CR Release Date: September 8, 2006
Effective Date: May 23, 2007
Implementation Date: May 23, 2007
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