Provider Alert! FAQS: Ordering, Referring, and Prescribing Providers
Ordering, Referring, and Prescribing Providers Frequently Asked Questions 1) What is the new enrollment requirement for ordering, referring, and prescribing providers? –– Federal regulations at 42 CFR 455.440 require claims for payment of items or services that were ordered, referred or prescribed to contain the National Provider Identifier of the physician or other professional who ordered, referred or prescribed the items or services. Additionally, federal regulation 42 CFR 455.410 requires all ordering, referring or prescribing providers to be enrolled as participating providers in...
