NAME TYPE LENGTH
------------------------------------- ------
76. CPO Organization CHAR 10
NPI Number
The National Provider Identifier (NPI) number
of the HHA or Hospice rendering Medicare ser-
vices during the period the physician is pro-
viding care plan oversight. The purpose of
this field is to ensure compliance with the
CPO requirement that the beneficiary must be
receiving covered HHA or Hospice services
during the billing period. There can be only
one CPO provider number per claim, and no
other services but CPO physician services are
to be reported on the claim. This field is only
present on the non-DMERC processed carrier claim.
NOTE: Effective May 2008, the NPI will become the
national standard identifier for covered health
care providers. NPIs will replace the current
legacy provider numbers (UPINs, PINs, OSCAR
provider numbers, etc.) on the standard HIPPA
claim transactions. (During the NPI transition
phase the capability was there for the NCH to receive
NPIs along with an existing legacy number (UPIN, NPIs,
OSCAR provider numbers, etc.)).
NOTE1: CMS has determined that dual provider iden-
tifiers (legacy numbers and NPIs) must be avail-
able on the NCH. After the 5/08 NPI implementation,
the standard system maintainers will add the legacy
number to the claim when it is adjudicated. Effect-
tive May 2008, no NEW UPINs (legacy number) will be
generated for NEW physicians (Part B and Outpatient
claims) so there will only be NPIs sent in to the
NCH for those physicians.
DB2 ALIAS : CPO_ORG_NPI_NUM
SAS ALIAS : CPO_NPI
LENGTH : 10
SOURCE : CWF