Medicare Participating Providers
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2 terms
Terms | Definitions |
|---|---|
Participating Providers | signed agreement with MACs and carrier - Providers must report any change in practice within 60 days, Provider agrees to accept the Medicare Fee Schedule amount as pymnt in full - accepting assignment, Block 27 on CMS-1500 |
National Provider Identification (NPI) | 10 digit number assigned to all covered healthcare providers - designed to provide one unique identifier for all providers as part of HIPAA, eliminates the need for additional numbers by other carriers, Block 17b on CMS-1500 |
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