At 1ˢᵗ Credentialing we know that when our clients place their trust in us, we take that responsibility seriously by communicating with our clients to create a transparent and collaborative partnership.
Healthcare organizations of every size realize that hiring 1ˢᵗ Credentialing is the most economical and efficient way to solve their credentialing needs. We have the training, expertise and commitment it takes to keep a complex process moving forward at all times.
1ˢᵗ Credentialing supports healthcare practices of all sizes - from health systems, to community hospitals, to large group practices, to smaller organizations. We help get your providers up and practicing as fast as possible.
Learning more about the credentialing process benefits us and our clients. 1ˢᵗ Credentialing offers regular videos and newsletter updates to bring our clients and those interested in innovations in credentialing up to speed.
National Provider Identifiers: What You Need to Know
A National Provider Identifier (NPI) is a specific identification number for covered health care providers issued by the Centers for Medicare and Medicaid Services (CMS). The purpose of the NPI system is to improve efficiency of the electronic transmission of health information and all covered health care plans and providers are required to use their NPIs for administrative and financial transactions.
Facts about NPIs that you should know:
An NPI is mandatory for payer enrollment—your Medicare enrollment application will be turned down without an NPI. Any provider covered under HIPAA must obtain and NPI.
Your NPI will uniquely identify you as a health care provider for transactions such as claims, inpatient medical record systems, prescriptions and coordination of benefits.
An NPI is a 10-digit intelligence-free identifier. What this means is that the numbers are assigned randomly and do not contain any other information about a health care provider such as medical specialty, location, etc.
You are required to give your NPI to other entities that may need it for billing transactions. These entities include health plans, other providers and clearinghouses.
Apply for an NPI online here or you can request a paper application by calling 800-465-3203 which you can then fill out and mail in.
If you move, you must notify NPPES of a change of address within 30 days of the effective date of the change. Address changes may be submitted online here.
If you require medical credentialing and payer enrollment needs for your practice or medical facility, please contact 1st Assistant. Our experienced and dedicated specialists will provide all credentialing and enrollment services quickly and will monitor your account for ongoing updates and re-attestations. Heidi Henderson, our company owner and President, is eager to meet you and discuss your payer enrollment needs. Please call us at 512.201.2668 or contact us via the website.
Our credentialing experts are here to help you assess exactly which solutions you need and let you know how inexpensively we could put you on the right track. 1ˢᵗ Credentialing includes primary source verification and payor enrollment for all insurance networks including Medicare, Medicaid, Medi-Cal and insurance networks. Don’t wait another minute, contact our terrific team today!