A unique identifier assigned to healthcare providers by the Centers for Medicare & Medicaid Services (CMS) in the United States. It is used for billing purposes and to track provider participation in Medicare and/or Medicaid programs.
The Centers for Medicare & Medicaid Services is a federal agency within the United States Department of Health and Human Services (HHS) responsible for administering the Medicare and Medicaid programs.
A federal health insurance program in the United States primarily for people aged 65 and older, some younger individuals with disabilities, and people with end-stage renal disease.
A joint federal and state program that provides health coverage to low-income individuals and families, including children, pregnant women, elderly adults, and people with disabilities.
A healthcare professional, facility, or organization that delivers medical services or supplies to patients
A unique 10-digit identification number for covered healthcare providers, required by the Health Insurance Portability and Accountability Act (HIPAA). It is used for standardizing electronic healthcare transactions.
The process through which healthcare providers apply to participate in the Medicare and/or Medicaid programs and obtain their MPN.
The criteria that healthcare providers must meet to participate in the Medicare and/or Medicaid programs, which may include licensing, certification, accreditation, and compliance with program rules and regulations.
Periodic review and renewal of a provider’s enrollment in Medicare and/or Medicaid to ensure continued compliance with program requirements.
The process of submitting claims for services provided to Medicare and/or Medicaid beneficiaries using the MPN, and receiving payment from the respective programs for those services rendered.