Resources for Health Insurance Portability and Accountability Act (HIPAA)

Billions at risk to providers unprepared for ID deadline

www.govhealthit.com

The fast-approaching May 23 deadline for health care providers to use a National Provider Identifier (NPI) — intended to smooth the path toward electronic claims processing — could mean significant decreases in reimbursements for providers.

That is the conclusion of a report from Emdeon Business Services, a Nashville, Tenn.-based health care financial services firm. Emdeon reviewed a sampling of 10 million claims they received during the week of April 28 and analyzed whether the claims would be paid or rejected after the deadline based on the NPI requirement.

Emdeon concluded that a provider NPI was missing in more than 7 percent of professional claims that would therefore not be paid. The firm is a member of the financial systems committee of the Healthcare and Information Management Systems Society.

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