We love helping our customers improve their overall healthcare compliance program. Take a look at how we enhanced this organization's ongoing monitoring of referral networks with NPI validation.
September HHS OIG Work Plan updates include COVID-19 data and guidance, MAO provider identifier suggestions, FDA reviews, and more.
Learn how to screen your non-employed provider populations (referring, ordering, prescribing physicians with NPI verification and ongoing sanction/exclusion monitoring.
Learn how to screen DEA and FDA databases for sanctioned physicians and prescribers.
Learn more about the challenges of maintaining provider directories and how to utilize an NPI to fill in the gaps of provider data.
Discover how to utilize the NPI Registry to lookup physicians and healthcare organizations and learn how NPIs can help make your provider data smarter.
Covered entities under HIPPA must use NPI's to identity health care providers in HIPPA standard transactions. The NPI number is required to submit claims or conduct other transactions specified by HIPPA. By definition, a health care provider" is an individual, group or organization that provides medical or other health service or supplies." This would include physicians an other practitioners, physician/practitioner groups, institutions such as hospitals, laboratories and nursing homes, health maintenance organizations and suppliers such as pharmacies and DME companies. However, it does not include health industry workers such as admissions and billing personnel, housekeeping staff, orderlies and those who support the provision of health care, but do not provide health care services.
