Submit Claims With the Correct Billing Number/NPI

The Centers for Medicare & Medicaid Services (CMS) has the following important reminder for all Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) suppliers:

To ensure accurate claims processing, it is critically important for DMEPOS suppliers to submit each claim using the billing number/National Provider Identifier (NPI) of the location that furnished the item or service being billed. This has been a long standing CMS policy. If you submit a claim using a billing number/NPI for a location that is not the location that furnished the item or service, your claim may be denied. This is particularly important in competitive bidding areas, where only contract suppliers, grandfathered suppliers and suppliers furnishing competitively bid items under a program exception are eligible to furnish and be paid for competitively bid items.

Last Updated: 12/29/2010