2021 NPI Update: Changes You Need to Know
NPI, or National Provider Identifier, is a unique identification number assigned to healthcare providers in the United States. It was established in 1996 under the Health Insurance Portability and Accountability Act (HIPAA) and has since been a crucial component of electronic health record (EHR) systems.
As the healthcare industry continues to evolve, so do the regulations and updates surrounding NPI. Here are the changes you need to know for 2021:
Expanded Definition of a Healthcare Provider
The Centers for Medicare & Medicaid Services (CMS) has expanded the definition of a healthcare provider, allowing more entities to obtain NPIs. This includes healthcare clearinghouses, billing services, and entities that provide non-medical support services to healthcare providers.
This change is intended to improve the accuracy and completeness of NPI data, which is essential for identifying and tracking healthcare providers and ensuring secure information exchange across the industry.
Use of NPI for Prescriptions
Starting in 2021, all prescriptions issued by a healthcare provider must include their NPI. This is a new requirement under the SUPPORT Act, designed to combat opioid abuse by improving tracking and monitoring of prescription medications.
While some providers may already include their NPI on prescriptions, the new law makes it mandatory for all prescriptions written for Medicare Part D beneficiaries. This means that healthcare providers need to ensure their NPIs are properly registered and up-to-date.
Revalidation and Updates
As part of ongoing efforts to enhance data accuracy and integrity, CMS requires all healthcare providers to revalidate their NPIs every five years. In addition, providers need to update their NPI information whenever there are changes to their practice, such as a new location or billing address.
This ensures that NPI data is current and reliable, which is critical for effective communication and coordination between healthcare providers.
Conclusion
Staying up-to-date with NPI regulations and updates is essential for healthcare providers, billing services, and entities across the industry. By understanding the recent changes, providers can ensure they are compliant with regulations and provide the best possible care to their patients. Remember to revalidate your NPI every five years and update your information as needed to stay ahead of the game.
(Note: Do you have knowledge or insights to share? Unlock new opportunities and expand your reach by joining our authors team. Click Registration to join us and share your expertise with our readers.)
Speech tips:
Please note that any statements involving politics will not be approved.