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NPI's with Clearinghouses

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MaxeeleeCol:
According to my research, Individual providers can only have 1 NPI whereas an organization can have 1 or more than one NPIs. This is probably the reason that EMR system allows only one NPI integration.

RichardP:
Max - whether individual or organization, the distinction between who did the work and who gets paid still holds.  If an EMR does not have a billing module incorporated into it, as many don't, it will only be concerned with who owns the business / who gets paid.  They will not be concerned with who did the work.

As I stated above, billing software needs to forward the NPI # for who did the work and who gets paid - so it needs both.  The EMR software (without a billing module) only needs to know who owns the business / who gets paid.  So it only needs one NPI #.

But if the EMR license is sold as only one provider per instance of the EMR, then it will will only have space for the NPI number of the owner of that license.

MaxeeleeCol:
I see, thanks so much for the info. I'm doing my research, will ask here if find anything troubling.

RichardP:
Max - have you read Pages 5 & 6 at the following CMS link?

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/NPI-What-You-Need-To-Know.pdf

MaxeeleeCol:
Rich, I've read it. Thanks for sharing.

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