The information provided here applies to Medicare coding. Be sure to check with your Medicare Administrative Contractor (MAC) for additional information and clarification on these and other items. You should also contact your local insurance carriers to determine if private insurers follow Medicare's lead on all coding matters.
Order and Referral Services for Medicare Beneficiaries Residing in Home Health Agencies
When billing Medicare, Home Health Agencies (HHAs) must use the individual National Provider Identifier (NPI) of the physician who orders or refers services, not the NPI of the physician’s group practice. If an HHA asks for your NPI, be sure to provide your individual NPI for proper billing. You may verify your NPI on the CMS website at https://npiregistry.cms.hhs.gov/NPPESRegistry/NPIRegistryHome.do.