The Centers for Medicare & Medicaid Services (CMS) is reporting it has learned some electronic billing clearinghouses are stripping the National Provider Identifier (NPI) prior to submission of the claim to Medicare. This will adversely affect physicians and other eligible professionals in that these claims will not count toward Physician Quality Reporting Initiative (PQRI) participation. CMS urges physicians who use clearinghouses to check and assure NPIs are not being stripped from claims. If the physician determines their clearinghouse is stripping NPIs from the claim, they may want to consider other billing options.

Back to News Headlines