Update the MCS System to Validate National Provider Identifiers (NPIs) in Place of Unique Physician Identification Numbers (UPINs)
This instruction requests MCS to modify base system functions, as necessary, to use NPIs in place of UPINs. The areas impacted include but are not limited to the following:
hard coded edits and audits; participating provider count derivation; the focused provider analysis process; the ARGUS file format; population of fields on the Medicare Summary Notices; population of fields on the
master provider record and monitoring/control reports. This instruction is effective with process date January 1, 2007.
Effective Date: May 23, 2007
Implementation Date: January 2, 2007 for MCS’ analysis
April 2, 2007 for MCS’ design and coding
July 2, 2007 for MCS to complete coding, documentation, and testing with final
implementation for MCS and its users.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 24, 2007
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.