New Fiscal Intermediary Shared System Edit to Validate Attending Provider NPI

MLN Matters Number: MM12889
Related CR Release Date: October 6, 2022
Related CR Transmittal Number: R11633CP
Related Change Request (CR) Number: 12889
Effective Date: April 1, 2023
Implementation Date: April 3, 2023

CR 12889 tells you about:

  • A new consistency edit that validates the attending provider NPI.
  • Organizational NPIs can’t be used in place of individual NPIs, unless exception conditions are met.

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)12889.

            Last Updated Wed, 12 Oct 2022 19:53:34 +0000