NPIs: Don't Leave Your Home Address In The Database

Subscribe or sign in to view the full article.

articles:   
Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a CMS update about a new National Provider Identifier lookup database built from National Plan and Provider Enumeration System data. It is relevant to providers, billing teams, and compliance staff who need to understand how the database will be made available, how often it will be updated, and why provider records should be reviewed before publication.

Why This Topic Matters

Accurate provider identification data affects claims processing and compliance workflows, and the article highlights a CMS resource intended to help organizations find referring physicians’ NPIs while encouraging timely record maintenance.

Article Sections

  1. Overview of the new NPI lookup database

    Introduces the planned CMS database and its purpose for provider lookup in claims and compliance workflows.

  2. Availability and format of the database

    Describes when the file will be released, where it will be accessible, and the general ways it may be used online.

  3. Updating provider records before publication

    Discusses the importance of reviewing provider information in advance of the database release and maintaining current enumeration data.

  4. Reviewing other provider identifier types

    Notes CMS guidance to check related identifier fields associated with provider enumeration records.

What You Will Learn

  • What the new CMS provider lookup database is intended to support
  • How the database will be distributed and accessed
  • Why providers should review and update enumeration records before publication
  • What categories of provider data CMS is asking organizations to verify

Who Should Read This

  • Health care providers
  • Home health agencies
  • Billing and claims staff
  • Compliance staff
  • Revenue cycle professionals

Subscribe or sign in to view the full article.

articles:   

Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?