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NPI / Locations for Place of Service (USA)

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NPI / Place of Service Location (POS)

 

This table contains a link of all User Defined NPI associated with Places of Service for each branch office which customizes the CMS-1500 form. It combines the items in the CMS-1500 Place of Service table (see above) with a user defined code allowing for duplicated codes for different locations to exist. For example you can have multiple code 11-Office,each with the address of a different branch office.

 

(Note: the User-Defined Place of Service Code must be unique)  By selecting a Place of Service from this list in the Invoice screen, the CMS-1500 form will use the information of the record selected to fill-in Item 24b and item 32, 33  and 32a and 33a of the CMS-1500 form. If there is no default for the Place of Service Location defined, then the default is "11", which represents "Office".

 

CMSPlaceofservicelocations

 

Default POS for the specified office:  If a check mark exist all claims from this branch office will use this assigned POS code by default.

 

Office Name: a drop down of the offices defines ion Filopto. (only available in Filopto EE (multi-location edition).

 

Place of Service Name: Selected when you double click on the record to be entered or selected.

 

P.O.S. Code:  The place of service code to use with this branch office when submitting a claim.(in most cases it will be code 11).

 

CMS 1500 Item#  32:  You must enter the name and address of the facility where the services were rendered, office address for each location. DO NOT LEAVE THIS FIELD BLANK YOUR CLAIMS WILL BE REJECTED IF THE INFORMATION IS INCORRECT

 

CMS 1500 Item#  32a:  You must enter the office NPI for each location. DO NOT LEAVE THIS FIELD BLANK YOUR CLAIMS WILL BE REJECTED IF THE INFORMATION IS INCORRECT This NPI can be a different number than the Providers NPI entered in the providers employee file.

 

CMS 1500 Item#  33:  You must enter the billing name and address for each location. DO NOT LEAVE THIS FIELD BLANK YOUR CLAIMS WILL BE REJECTED IF THE INFORMATION IS INCORRECT

 

CMS 1500 Item#  33a:  You must enter the billing NPI for each location. DO NOT LEAVE THIS FIELD BLANK YOUR CLAIMS WILL BE REJECTED IF THE INFORMATION IS INCORRECT This NPI can be a different number than the Providers NPI entered in the providers employee file (see below).

 

End User POS Code: the user defined POS code to be used.

 

 

The National Provider Identifier (NPI) is a 10-digit nationally assigned standard Identifier that will replace payer-specific identifiers for all healthcare providers no later than May 23, 2007. Individual healthcare providers are eligible for a single Type 1 Individual NPI. Healthcare organizations are eligible for a Type 2 Organization NPI.

 

Group Practices are also eligible to obtain a Type 2 Organization NPI. HIPAA is mandating enrollment of Group Practices in order to maintain group affiliations with the individual practitioners.  This is required so that the payor can identify situations where individual providers belong to more than one group, or where providers have their own practice as well as belonging to a group, and determine where to send payments in these situations.

 

Healthcare organizations may also decide to subpart, or obtain multiple NPIs, based on location, unit, department, certification, licensure, or other billing and payment needs.  How an organization subparts may impact how they bill, where payments are sent, and if they need to include taxonomy codes on their claim submissions.

 

Although an NPI may correspond to several different service locations, the payor will only send payments for a single NPI to one Provider Name, one Payment Address, one Remittance Advice Address, one EFT Account Number, one Federal EIN (or SSN) for Tax/1099 purposes, and one Service Center/Receiver for electronic transactions outbound to the Provider.

 

 

Visit the federal government CMS web site for more information and up-to-date manuals on how to fill-out your CMS-1500 form.  This site contains the official CMS 1500 Completion Manual.

 

http://www.cms.hhs.gov/