Medicare still doesn't have it right...big bunch of queries to match up the old with the new it appears...and when it doesn't match...well we know that one...no $$....your clearinghouse may not be the suspected problem after all...and are having issues themselves with much of the same...BD
Washington -- Thousands of physicians could see Medicare claims delays or rejections because of discrepancies between the program's new identification system and doctors' old ID numbers, said organizations representing physicians and practice managers. The Centers for Medicare & Medicaid Services instructed carriers starting Sept. 4 to no longer accept claims from physicians whose new ID numbers could not be matched with their older "legacy" numbers in a "crosswalk" file designed to link the old and new IDs. Medicare is in the process of transitioning to a system in which all physicians who submit electronic claims to payers are identified by a national provider identifier, a 10-digit number that eventually will replace UPINs and all other identifiers.
The AMA and MGMA noted that some physician practices that will be required to have both individual and organizational NPIs under the new system may encounter special problems unless they also have multiple PINs from the old system that carriers can use to link their information. The organizations asked CMS to clarify whether practices will need to go so far as to re-enroll in Medicare to obtain the necessary identifiers.
AMNews: Oct. 1, 2007. Flaw exposed in new Medicare ID system ... American Medical News
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