National Provider Identifier (NPI) for a Service Facility
Does the "requirement" to indicate the service facility's NPI on your Medicare claim submissions confuse you? You are not alone.
Claim form instructions in the Centers for Medicare & Medicaid Services' (CMS) Internet-Only Manual (IOM), Publication 100-04, Chapter 26, Section 10.4 states the following for item 32A:
Item 32A Form CMS-1500 (08-05) - Enter the NPI of the service facility as soon as it is available. The NPI may be reported on the Form CMS-1500 (08-05) as early as January 1, 2007, and must be reported May 23, 2007, and later.
CMS defines a service facility as a hospital, clinic, laboratory, or facility other than the patient's home or physician's office.
CMS recently clarified that although you are not required to submit a service facility NPI in item 32A, it must be an NPI if you choose to enter a service facility identifier on any form CMS-1500 submitted on or after May 23, 2007.
You can view CMS Publication 100-04 at the following CMS Website address:
http://www.cms.hhs.gov/manuals/downloads/clm104c26.pdf 
Page Last Updated: Tuesday, 15-Jul-2008 10:45:23 CDT
