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Middle names and suffixes of ordering or referring providers

Posted Apr 09 2013 8:42pm

Effective May 1, 2013, CMS will turn on the edits to deny Part B, Durable Medical Equipment (DME), and Part A Home Health Agency (HHA) claims that fail the ordering/referring provider edits. Physicians and others who are eligible to order and refer items or services need to establish their Medicare enrollment record with a valid NPI and must be of a specialty that is eligible to order and refer.

If the ordering/referring provider is listed …

The post Middle names and suffixes of ordering or referring providers appeared first on The Healthcare Entrepreneur Blog .

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