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March 29, 2007

New Insurance Billing Procedures to Take Effect Soon

For those of you who bill Insurance for either third party or for Workman's Comp and Auto Accident, important changes are coming soon. To get a good understanding we'd advise reading this article in the last issue of Acupuncture Today. Here are the basics of what is soon to change.

HCFA Form Update

• As of Jan. 1, 2007, all insurance companies are required to accept the existing CMS-1500 (HCFA) form and the new one (dated 08/05 on the bottom-right corner of the form). Practitioners may continue using the old form until the end of March 2007 if they wish.
• As of April 1, 2007, all claims submitted to insurance companies are required to be printed on the new HCFA form. The old form will no longer be accepted.
• The new form requires use of your NPI in reference to the provider/practitioner and those who refer patients to the provider. After May 23, 2007, all submitted CMS-1500 forms must include an NPI number.

National Provider Identifier (NPI)

• To obtain an NPI for free and acquired instantly through the Centers for Medicare and Medicaid Services' National Plan and Provider Enumeration System. Online, go to: https://nppes.cms.hhs.gov/NPPES/Welcome.do
• Or call 1-800-465-3203.

Posted by smavros at March 29, 2007 11:59 PM