New Contractor Steps in to Handle Suppliers Billing Number Privileges

Published in Government Relations on November 08, 2022

Ronda Buhrmester

There is a new contractor coming on board to handle suppliers' billing number privileges (PTAN). We know the common name National Supplier Clearinghouse (NSC) that has been contracted with Palmetto GBA.  

Changes are coming this fall. Beginning Nov. 7, Novitas is the name of the contractor taking over for all the states east of the Mississippi River.  

There are now two Jurisdictions for the now-named National Provider Enrollment contractor (NPE). Palmetto GBA, the current contractor, is handling states west of the Mississippi River as NPE west. Then there is NPE East which is Novitas handling states east of the Mississippi River. 

Those suppliers with locations east of the Mississippi River will need to update the certificate holder to the general liability policy. Currently, it will reference the NSC, Palmetto GBA, as the certificate holder name, this needs to be updated to Novitas NPEast at the time of renewal.  

For suppliers west of the Mississippi River, while the contractor continues to be Palmetto GBA, the certificate holder's name needs to be updated to reflect Palmetto NPWest. This can be done at the time of renewal. 

In addition, this is a suitable time to review all your licenses, insurance, surety bond, etc. for expirations and renewals. If you have updated a license, insurance policy, surety bond, or any other documents related to the supplier standards, this information needs to be updated with the National Provider Enrollment contractor! Do not wait for them to come to you because at that point it is too late and could end up with deactivation or revocation. If this happens, it will disrupt your cash flow.  

Please review all these documents for updates. 

More to come as we transition into the changes. See the article for more information on general liability insurance updates. 

From Our Experts

CMS Rule Phases Out Fax Machines, Snail Mail to Save Taxpayers $781.98 Million a Year thumbnail CMS Rule Phases Out Fax Machines, Snail Mail to Save Taxpayers $781.98 Million a Year As reported by CMS: “The Centers for Medicare & Medicaid Services (CMS) is slashing wasteful spending and antiquated paperwork by swapping out faxing and mailing for streamlined electronic transactions. This action lets providers spend less time on administrative hassle and more time caring for patients. PAMES Raises Critical Concerns Over Sole-Source Supply Shift thumbnail PAMES Raises Critical Concerns Over Sole-Source Supply Shift PAMES and DME suppliers across Washington are taking an important stand on behalf of both providers and patients. The Tacoma Daily Index recently reported on the state's plan to move to a sole-source contract for incontinence and urological supplies. Under this decision, the Health Care Authority intends to transition all Medicaid recipients to receiving these products from a single vendor. SBA Advocacy: Your Input Matters thumbnail SBA Advocacy: Your Input Matters Make your voice heard about how the CBP has affected your business. New Bipartisan Senate Bill Aims to Improve Access to Diabetes Technology & Education for Medicare Beneficiaries thumbnail New Bipartisan Senate Bill Aims to Improve Access to Diabetes Technology & Education for Medicare Beneficiaries U.S. Senators Jeanne Shaheen (D-NH) and Susan Collins (R-ME), Cochairs of the Senate Diabetes Caucus, have introduced the Diabetes Interventions Addressing Barriers to Enrollment, Technology, and Education Services (DIABETES) Act, S.4037. VGM Reintroduces the Fraud, Waste & Abuse Reporting Resource Center thumbnail VGM Reintroduces the Fraud, Waste & Abuse Reporting Resource Center VGM Government Relations is proud to announce the reintroduction of its Fraud, Waste & Abuse (FWA) Reporting Resource Center—a newly refreshed online hub designed to protect the integrity of the DMEPOS industry and reinforce our unwavering commitment to ethical, compliant care. Celebrating Another DME Champion of Change: Thom Harvill of Above and Beyond Medical thumbnail Celebrating Another DME Champion of Change: Thom Harvill of Above and Beyond Medical We're proud to once again recognize a true Champion of Change in the DME industry: Thom Harvill of Above and Beyond Medical in Tennessee. Thom has dedicated many years to the DME community—consistently showing up, speaking out, and pushing the industry forward. He's the kind of advocate who never stops asking, “Who else can I reach out to about this?” Federal Actions This Week Signal The Administration Is Doubling Down On Its Goal To Eliminate Fraud Waste And Abuse thumbnail Federal Actions This Week Signal The Administration Is Doubling Down On Its Goal To Eliminate Fraud Waste And Abuse This week, the Trump administration, through the Centers for Medicare & Medicaid Services (CMS), announced a significant deferral of federal Medicaid matching funds to Minnesota alongside the release of a new Request for Information (RFI) tied to the administration's Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH) initiative. These actions along with the changes to DMEPOS accreditation and enrollment signal the administration's aggressive posture on Medicaid and Medicare... VGM Response To CMS Moratorium On New DMEPOS Provider thumbnail VGM Response To CMS Moratorium On New DMEPOS Provider The federal moratorium on new DME suppliers presents a defining moment for us as an industry—an opportunity to demonstrate that the VGM members serving patients are the gold standard. We have long shown that our members operate with integrity, excellence in compliance, and unmatched commitment to service, efficiency, and patient outcomes. Now, we must elevate that message.