Valid NPI for Medicare Advantage Claims - Community Health Plan of Washington - Medicare Advantage

Valid NPI for Medicare Advantage Claims

Valid National Provider Identifier (NPI) for Medicare Advantage Claims

A valid National Provider Identifier (NPI) number is required when submitting Medicare Advantage claims. Previously, CHPW placed a hold on claims and searched our claims system for a valid NPI for the attending provider. If a valid NPI was found, the claims were released from hold and processed as usual.

CHPW received notification that the Centers for Medicare and Medicaid Services (CMS) is implementing software changes to its systems for accepting and processing encounter data. CMS will validate the billing provider NPI submitted for all professional, institutional, and durable medical equipment (DME) encounters submitted by Medicare Advantage Organizations (MAOs), including CHPW, for all dates of service (DOS) from 01/01/2011 forward. Encounters with invalid NPIs will be rejected.

Read more about CHPW’s process for CMS claim submissions.

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A Nap a Day Could Keep The Doctor Away

An older man taking a nap on the couch.Many Americans do not get enough sleep and this can contribute to a number of health issues. Taking a nap during the day can help your body restore itself and promotes brain and heart health. A 20-minute nap has a variety of health benefits – from improved mood, to better focus and memory function. In some cultures, napping is even prescribed as a health treatment by doctors!

If you have trouble sleeping, take steps to improve your quality of sleep.

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