Expansion of the national provider identifier under a proposed rule published in April would be problematic, according to the Federation of American Hospitals.

The rule would require “organization covered” providers who are prescribers to obtain an NPI. These are providers such as hospitalists and residents who are not covered entities under HIPAA because they do not conduct standard transactions. Pharmacies, however, had had issues with getting claims without a NPI processed and the problem has become exacerbated under the Medicare Part D prescription drug benefit program.

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