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Get smarter compliance insights into your ordering, referring, prescribing, and attending physician populations.

Drive operational efficiencies and align workflows between the ordering, registration, scheduling, and care teams as well as others in the revenue cycle process. Rest assured that your physician populations remain compliant.

Simplify the complexity of monitoring your non-employed physician populations.

Meet Dash, the smarter monitoring solution for referring & ordering providers.

Dash is the customizable, ongoing compliance monitoring solution for your entire population of referring, ordering, prescribing, and attending physicians.

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Referring & Ordering Physician Compliance FAQ

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare and Medicaid Services (CMS), and is obtained through NPPES. Having an NPI number is required to enroll in Medicare through PECOS.

The NPPES assigns a unique national provider identifier (NPI) in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) which mandated the standard unique identifier for healthcare professionals, replacing the Unique Provider Number (UPN). PECOS is a centralized national data repository established by the Centers for Medicare and Medicaid Services (CMS) for Medicare enrollment information utilized by Medicare Administrative Contractors throughout the country. Medical providers must register through NPPES first to get an NPI number before they can enroll in Medicare through PECOS.

Yes. The latest Special Advisory Bulletin issued by the OIG states “Healthcare organizations may be subject to Civil Monetary Penalties liability should they provide services at the medical direction or on the prescription of an excluded person, even if the excluded person does not receive payments from the provider for his or her services (e.g., a non-employed excluded physician who is a member of a hospital’s medical staff).” In addition, the OIG recommends monthly monitoring of referring, ordering, and prescribing physicians, in accordance with the update frequency of the OIG LEIE (List of Excluded Individuals and Entities).

A list of providers and prescribers who are precluded from receiving payment for Medicare Advantage (MA) items and services or Part D drugs furnished or prescribed to Medicare beneficiaries.

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