Full Implementation of
the Ordering/Referring Physician Requirement Begins May 1, 2013
As communicated in
Article SE1305, DME MAC claim edits to deny invalid
ordering/referring physician information on a claim will begin on May 1, 2013.
This means that beginning with claims processed on May 1, 2013, if the
ordering/referring physician name and NPI listed on your claim is invalid, then
your claim will be denied. Click here to read the complete story.