Importance of Correct, Up-To-Date Medicare Billing Numbers in the EHB

EHB LogoHRSA has asked that MPCA take a moment to remind all Health Center Program grantees and FQHC Look-Alikes of the importance of maintaining up-to-date Medicare billing numbers for each site in your approved scope of project through the Electronic Hand Book (EHB).

Under the Medicare program (Program Assistance Letter 2011-04) each permanent and seasonal site operated by a Health Center Program grantee or FQHC Look-Alike must be enrolled independently and the Health Center must bill for services provided at the site using a unique Medicare Billing Number.

HRSA has published a wonderful set of Frequently Asked Questions on Medicare site enrollment and billing numbers, including how they differ from NPIs and situations in which it is acceptable to not enter a unique number for a site listed on Form 5B.

MPCA encourages all Health Center Program grantees and FQHC Look-Alikes to take a moment to review and update/correct (if necessary) their Medicare billing number information in the EHB. For each site listed on Form 5B, there is a field for a Medicare Billing Number. (Medicare Billing Numbers are not required for locations listed on Form 5C.) This is a self-updateable field, located in the third block of fields, to the right of “Site Operational By.”

Bureau of Primary Health Care staff are reviewing all Form 5B entries to verify that a unique Medicare billing number is listed for all appropriate sites, and will follow-up with Health Centers regarding any data irregularities.

If you have questions please contact Phillip Bergquist at MPCA.

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