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Provider Enrollment

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Delay of Enrollment Requirement for Audiologists (GEN)
Posted April 9, 2008

On February 29, 2008, the Centers for Medicare & Medicaid Services (CMS) issued Change Request (CR) 5717, titled, "Update to Audiology Policies." Transmittal 1470 of that change request provided clarifications to the Medicare Claims Processing Manual (Pub. 100-02). In Pub 100-02, Chapter 12, §30.3, the manual instructions state, ". . . the audiologist's NPI [National Provider Identifier] is required on all claims for services furnished by audiologists." Use of the NPI in the primary identifier field on a claim requires Medicare enrollment.

Note that CMS is instructing contractors to, prior to October 1, 2008, continue to process claims without the NPI of the audiologist. All other instructions in CR 5717 remain unchanged.

CMS will require the use of the NPI on claims for diagnostic test services furnished by audiologists on or after October 1, 2008. Audiologists are encouraged to obtain an NPI and enroll as soon as possible.
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This page updated
April 9, 2008



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