A requirement of the Health Insurance Portability and Accountability Act (HIPAA), the National Provider Identifier (NPI) serves as an administrative simplification standard. The National Provider Identifier (NPI) is a one-of-a-kind identifying number that is assigned to all insured health care providers.
In order to comply with the regulations imposed by HIPAA regarding administrative and financial activities, all health care clearinghouses, health plans, and covered health care providers are required to utilize NPIs. The NPI is a numeric identification that consists of 10 positions and does not include any intelligence (10-digit number).
This indicates that the data do not contain any further information on healthcare providers, such as the state in which they reside or the medical speciality that they practice. When it comes to HIPAA standards transactions, the usage of the NPI is required to take the place of historical provider IDs.
- Covered providers are required to share their National Provider Identifier (NPI) with other providers, health plans, clearinghouses, and any other entity that may need it for billing purposes.
- This requirement is outlined in the federal regulation known as The Health Insurance Portability and Accountability Act of 1996 (HIPAA).
There is further information that may be found on the sites that are listed in the column on the left hand side of this page.
What does the NPI legislation mean for pharmacists?
The provision in the NPI law that expressly recognizes pharmacists as possible providers who are permitted to submit an application for an NPI number is undoubtedly the most fascinating aspect of the bill. NPI numbers are required for any pharmacist who wants to be able to submit a charge for cognitive services, and this requirement is likely to become mandatory in the near future.
What is a HIPAA NPI?
A national provider identifier, often known as an NPI, is a ten-digit identification number that is completely unique to the healthcare provider and is needed by HIPAA for all covered providers in the United States.