Guest guest Posted March 17, 2011 Report Share Posted March 17, 2011 Yes. It is easy to obtain online, though my memory is not serving me. Google it! Walters It is my understanding that if we want to give our clients a superbill to file with their insurance then we need to have an NPI # to put on the superbill. Is this correct? Lavergne Mommy's Milk, LLC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2011 Report Share Posted March 18, 2011 All health care providers need the National Provider Identifier (NPI) for billing transactions. While few IBCLCs are using this number at the present time because their services are not billed for, we hope that our ability to bill and be reimbursed as independent professionals will be achieved soon. The USLCA Licensure and Reimbursement Committee is actively working toward this goal. RN-Lactation Consultants can obtain and NPI number currently in the following category Nursing service provider -à Registered NurseàLactation Consultant 163WL0100X Beginning April 1you can obtain a NPI as Non-RN Lactation consultant. New codes added 1/1/2011, effective 4/1/2011 Under the Individual, Other Service Providers Type, the Lactation Consultant, Non-RN Classification, was added: An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. 174N00000X Source: National Uniform Claim Committee You can read more about the NPI number, and apply for a number, by following the links on this webpage. The FAQs have complete information about use of the NPI number. https://nppes.cms.hhs.gov/NPPES/Welcome.do We will be sending more information out about this in the USLCA e-news soon and may also have a USLCA webinar with details as well. Watch for those in your member emails. Have a great day! Judy Judith L. Gutowski, BA, IBCLC, RLC Chair, USLCA Licensure and Reimbursement Committee 135 McGrath Lane P Box 1 Hannastown, PA 15635-0001 Cell Phone Fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2011 Report Share Posted March 19, 2011 Judy does the non-RN IBCLC taxonomy code have two 4's in it? 174400000X? or 17400000X? I thought it had 2, maybe a typo but just wanted to make sure. Thanks, > > All health care providers need the National Provider Identifier (NPI) for > billing transactions. While few IBCLCs are using this number at the present > time because their services are not billed for, we hope that our ability to > bill and be reimbursed as independent professionals will be achieved soon. > The USLCA Licensure and Reimbursement Committee is actively working toward > this goal. > > RN-Lactation Consultants can obtain and NPI number currently in the > following category > > Nursing service provider ---> Registered Nurse-->Lactation Consultant > 163WL0100X > > Beginning April 1you can obtain a NPI as Non-RN Lactation consultant. New > codes added 1/1/2011, effective 4/1/2011 > > Under the Individual, Other Service Providers Type, the Lactation > Consultant, Non-RN Classification, was added: > > An individual trained to provide breastfeeding assistance services to both > mothers and infants. Lactation Consultants are not required to be nurses and > are trained through specific courses of education. The Lactation Consultant > may have additional certification through a national or international > organization. 174N00000X > Source: National Uniform Claim Committee > > > > You can read more about the NPI number, and apply for a number, by following > the links on this webpage. The FAQs have complete information about use of > the NPI number. https://nppes.cms.hhs.gov/NPPES/Welcome.do > > > > We will be sending more information out about this in the USLCA e-news soon > and may also have a USLCA webinar with details as well. Watch for those in > your member emails. > > Have a great day! > > > > Judy > > Judith L. Gutowski, BA, IBCLC, RLC > > Chair, USLCA Licensure and Reimbursement Committee > > 135 McGrath Lane > > P Box 1 > > Hannastown, PA 15635-0001 > > Cell Phone > > Fax > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2011 Report Share Posted March 20, 2011 The Non-RN Lactation consultant category will be- 174N00000X The zeros and x will be replaced by your individual numbers. If you already Have an RN-LC number you may keep it. You may also add to it a NonRN-LC number for yourself for when you work within the LC scope of practice only in a job, rather than within a nurse scope of practice. If you have a number as a general “other service provider” which we know doesn’t mean anything to insurers, I would change it to either of the above. You can sign in to your profile online and go through the steps to change your provider category. I am waiting until I can change my own on April 1 to do the process and then it will be written up with the “how to’s” in USLCA enews. To received e news you should be an ILCA member. There will also be a webinar about in this spring. Judy Judith L. Gutowski, BA, IBCLC, RLC 135 McGrath Lane P Box 1 Hannastown, PA 15635-0001 Cell Phone Fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2011 Report Share Posted March 20, 2011 Thanks for clarifying. I have one for counselor, birth doula and 'specialist'. The specialist NPI is very close to the non-RN LC category and wanted to make sure it was not a typo. I'll wait until April. Thanks > > The Non-RN Lactation consultant category will be- 174N00000X The zeros and > x will be replaced by your individual numbers. If you already > > Have an RN-LC number you may keep it. You may also add to it a NonRN-LC > number for yourself for when you work within the LC scope of practice only > in a job, rather than within a nurse scope of practice. > > If you have a number as a general " other service provider " which we know > doesn't mean anything to insurers, I would change it to either of the above. > You can sign in to your profile online and go through the steps to change > your provider category. I am waiting until I can change my own on April 1 to > do the process and then it will be written up with the " how to's " in USLCA > enews. To received e news you should be an ILCA member. There will also be a > webinar about in this spring. > > Judy > > Judith L. Gutowski, BA, IBCLC, RLC > > 135 McGrath Lane > > P Box 1 > > Hannastown, PA 15635-0001 > > Cell Phone > > Fax > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2011 Report Share Posted March 22, 2011 The “other specialist” NPI number that you obtained previously was a work-around so that you could obtain a number to do billing. Some few IBCLCs around the country have used this number in billing transactions. However, to the insurance industry, this number is not attached to a meaningful category – it is just a general number which at least could be traced back to your identity. If you look at the code sets at this link you can see that each category of practitioner has a specific kind of code. http://www.wpc-edi.com/taxonomy You can go online and log in to your NPI account after April 1 and change your current category from “other service provider” – the general category, to the new “other service provider, Non-rn lactation consultant” code. It seems easy enough to follow the instructions on line to do this as far as I can tell so far, but I haven’t been able to complete the change in category transaction because it isn’t available yet. You can try it on your own on April 1 or after or wait until we know the process and hear from USLCA with instructions. Judy Judith L. Gutowski, BA, IBCLC, RLC 135 McGrath Lane P Box 1 Hannastown, PA 15635-0001 Cell Phone Fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 23, 2011 Report Share Posted March 23, 2011 Any person may have multiple NPI numbers attached to their single identity. For instance, you could have a RN- IBCLC number and a Non-RN IBCLC number. You might use one in your job in a hospital if your duties included RN and IBCLC scope of practice. You could also have a private practice at the same time and not be performing or billing as a nurse, therefore, you would use the Non-RN NPI. The durable medical equipment provider would go on a bill to rent or sell equipment – I think. The determining factor for you is what role you are billing for. You can read the FAQs for NPI numbers on their site and or contact them. I am just learning this myself. Judy Judith L. Gutowski, BA, IBCLC, RLC 135 McGrath Lane P Box 1 Hannastown, PA 15635-0001 Cell Phone Fax Quote Link to comment Share on other sites More sharing options...
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