How to Screen Referring, Ordering, and Prescribing Physicians
Learn how to screen your non-employed provider populations (referring, ordering, prescribing physicians with NPI verification and ongoing sanction/exclusion monitoring.
Tag: NPI
Best Practices for DEA and FDA Physician Screening
Learn how to screen DEA and FDA databases for sanctioned physicians and prescribers.
How to Leverage an NPI for Provider Directory Accuracy
Learn more about the challenges of maintaining provider directories and how to utilize an NPI to fill in the gaps of provider data.
How to Lookup Physicians and Healthcare Organizations with an NPI
Discover how to utilize the NPI Registry to lookup physicians and healthcare organizations and learn how NPIs can help make your provider data smarter.
Three Things to Know about NPI in Healthcare
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.