Medicare Reimbursements

When major health systems acquire off-campus clinics, they’ve historically been able to use their main hospital’s assigned 10-digit National Provider Identifier (NPI) number to bill Medicare for routine visits at the off-campus site, securing significantly higher facility-level reimbursements. But starting in 2028, a new bipartisan policy will require hospitals to use distinct NPIs when billing for Medicare services provided at their off-campus outpatient sites. This concept of “site-neutral payment” will impact urgent care centers, essentially …