Taxonomy Required on NF Claims (See http://www.dads.state.tx.us/providers/communications/2014/letters/IL2014-68.pdf)
NFs will be required to enter the appropriate Healthcare Provider Taxonomy Code associated to the National Provider Identifier (NPI) of the billing entity on all Long Term Care (LTC) NF institutional claims submitted to TMHP using TexMedConnect or Electronic Data Interchange (EDI). Taxonomy codes further define the type, classification, and/or specialization of the health care provider. If a provider attempts to submit a claim to TMHP without a valid taxonomy code, regardless of the date of service, the claim will be rejected and providers will receive an error message.
According to the Centers for Medicare and Medicaid Services (CMS), all health care providers must select a taxonomy code(s) when applying for an NPI. NF claim submitters should enter the taxonomy code which best describes the service being billed on the claim. The most common NF taxonomy codes are:
• 314000000X = Skilled NFs; and • 313M00000X = Other NFs.
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