Centers for Medicare & Medicaid Services Standard Grant/Cooperative Agreement Terms and Conditions

Centers for Medicare & Medicaid Services  Standard Grant/Cooperative Agreement Terms and Conditions                                         Recipient. The Recipient is the Grantee designated in the Notice of Award (NoA). Acceptance of Application & Terms of Agreement. Initial drawdown of funds by the Recipient constitutes acceptance of this award. Funding Opportunity Announcement (FOA). All relevant project requirements outlined in the FOA… Continue reading Centers for Medicare & Medicaid Services Standard Grant/Cooperative Agreement Terms and Conditions

Medicare Fee-for-Service Recovery Audit Program

Medicare Fee-for-Service Recovery Audit Program Additional Documentation Limits for Medicare Institutional Providers (i.e. Facilities)   Baseline Additional Documentation Request (ADR) Limits In November 2015, the Centers for Medicare & Medicaid Services (CMS) modified the additional documentation request (ADR) limits for the Medicare Fee-for-Service Recovery Audit Program for institutional providers, which became effective January 1, 2016.… Continue reading Medicare Fee-for-Service Recovery Audit Program

National Provider Identifier Implementation for Tribal Sites

National Provider Identifier (NPI) Implementation FOR TRIBAL SITES  For Tribal pharmacies (currently using a NCPDP number) that do not yet have a tribal NPI.  This does NOT apply to IHS pharmacies. The transition to using NPI in place of the Pharmacy NCPDP takes place on May 23, 2007.  If you do not yet have a… Continue reading National Provider Identifier Implementation for Tribal Sites

National Provider Identifier Final Rule Overview [NPI]

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated that the Secretary of Health and Human Services (HHS) adopt a standard unique health identifier for health care providers. On January 23, 2004, HHS published the Final Rule that adopts the National Provider Identifier (the NPI) as the standard unique health identifier for health… Continue reading National Provider Identifier Final Rule Overview [NPI]

NPI Registry FAQ

WHAT IS THE NATIONAL PROVIDER IDENTIFIER (NPI)? Today, health plans assign identification numbers to health care providers — individuals, groups, or organizations that provide medical or other health services or supplies. The result is that providers who do business with multiple health plans have multiple identification numbers. The NPI is a unique identification number for… Continue reading NPI Registry FAQ

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