Under current law, CMS issues NPI numbers without verification of the licensure information submitted, which allows non-physicians to obtain NPI numbers and opens up the possibility that they may fraudulently bill commercial health insurance. Senators Chris Van Hollen (D-Md.), Rick Scott (R-Fla.), John Cornyn (R-Texas), and Catherine Cortez Masto (D-Nev.) introduced the Medical License Verification Act to prevent fraud in the healthcare system by requiring the Centers for Medicare & Medicaid Services (CMS) to verify that an applicant’s medical license is valid and in good standing prior to issuing them a National Provider Identifier (NPI) number, which is required by healthcare providers to bill for insurance.
FebruVan Hollen, Colleagues Introduce the Medical License Verification Act
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