Author Topic: Billing / Facilty/ Rendering/ group NPI numbers?  (Read 9195 times)

newton5boys

  • Newbie
  • *
  • Posts: 1
Billing / Facilty/ Rendering/ group NPI numbers?
« on: July 08, 2012, 11:48:00 PM »
Can someone plase tell me The difference between Billing NPI, Rendering NPI, Facilty NPI, and Group NPI? And the websites I can get them from? Im opening my own Clinc and Im get comfused On this hole NPI stuff please help!!

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
Re: Billing / Facilty/ Rendering/ group NPI numbers?
« Reply #1 on: July 09, 2012, 01:37:57 PM »
a provider has an individual npi.  if you are part of a group, you will also have a group npi that each provider in the group will be linked to.  You will go to https://nppes.cms.hhs.gov/NPPES/Welcome.do to get registered.
Regina

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4708
    • Solutions Medical Billing
Re: Billing / Facilty/ Rendering/ group NPI numbers?
« Reply #2 on: July 17, 2012, 12:51:59 PM »
rendering NPI is the provider who rendered the services, billing NPI is the provider or group who should receive payment, facility NPI is the NPI of the location where the services were performed.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

dnyljhrisn

  • Newbie
  • *
  • Posts: 1
Re: Billing / Facilty/ Rendering/ group NPI numbers?
« Reply #3 on: July 17, 2012, 01:58:47 PM »
so is there any logic for using the Rendering MD NAME but the GROUP NPI in Box 33, if the Group is where you want the payemnt?  ( new office environment....trying to figure out why they did this )
thanks

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4708
    • Solutions Medical Billing
Re: Billing / Facilty/ Rendering/ group NPI numbers?
« Reply #4 on: July 17, 2012, 06:09:54 PM »
The NPI in box 33A must match the name in box 33.  You can't mix and match.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

PMRNC

  • Hero Member
  • *****
  • Posts: 4218
    • One Stop Resources & Networking for Medical Billers
Re: Billing / Facilty/ Rendering/ group NPI numbers?
« Reply #5 on: July 18, 2012, 12:03:16 PM »
The NPI also has to EXACTLY match the info IRS has.. I have a client who had a mess with NPI because the IRS had the zip code wrong!
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com