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AUDIOCONFERENCE ON TAPE OR CD

Sponsored by HIPAA NPI Road Map

presented on March 20, 2007

There's no doubt that the NPI implementation and the impending deadline has you asking a lot of questions including how you'll get paid, what details you need from clinicians and payers, and how you get ready to meet the May 23 deadline.

Expert advice to develop a strategic NPI implementation plan

This audioconference features key tactics to prepare for the NPI implementation date—even if you're just getting started and worried that it may be too late.

At the end of the program, you will be able to:

• understand the possible impact of changing subpart NPIs
• obtain NPIs from NPPES into your systems
• prepare for day 1 problems
• describe how to legitimately "share" NPI's with payers
• state what contingencies need to be in place

NOTE: This is an intermediate-level program. Participants listening to this audioconference should already have a basic understanding of what an NPI is, what National Plan and Provider Enumeration System (NPPES) is, what the deadline is, and what NPI implementation problems are on their list.

TAKE A LOOK AT OUR AGENDA

1. Strategies to obtain NPIs from physicians
   • Approach NPPES, EFIOs, group practice offices before going after individual practitioners
   • Communication tactics
     • Chief of medical staff to prompt providers to get and share their NPIs
     • Call referring providers based on historical volume and geographic distance
   • Credentialing: Pros and cons of denying privileges
   • Operational ideas: spreadsheets, phone calls, web sites, mail
2. What happens when you're missing NPIs on May 23: A contingency plan
   • Scheduling and registration staff to collect NPIs if time permits
   • Check accounts on 5/24 that don't have required physician NPIs?
   • Short-term lines of credit to cover immediate expenses
3. Dealing with possible backlog at NPPES around 5/1 and after
   • Communicating the urgency: will NPPES ramp up?
   • Is NPPES search criteria is adequate to ensure credibility of NPIs
   • Increase internal staff resources to contact physicians and update internal files
4. Making subpart changes after sharing NPI(s) with payers: Test, implement, make changes
   • How do you get these changes to payers that you have already shared NPIs with?
   • Will payers still be able to pay correctly under your new enumeration?
   • Will payer's "dual use" period, if supported, capture these changes?
   • If NPPES is available, how do you alert payers that the NPIs they originally looked up have now changed?
5. Other relevant issues
   • Other transactions that will require NPI
   • Cross referencing before and after 5/23 transition date
   • Taxonomy or no taxonomy on crossovers
   • Vendor readiness?
6. Question and answer session

FEATURED SPEAKERS

Susan Miller, JD is chief operating officer and chief privacy officer of HealthTransactions.com. She is a former compliance manager, a founding co-chair of the Workgroup for Electronic Data Interchange (WEDI) SNIP Security and Privacy Work Group, and active in the ongoing NPI groupings for WEDI.

Rich McNeil, MBA is an MIS project leader on the financials team at Southcoast Hospitals Group, a three-hospital system based in New Bedford, MA. He has been involved with HIPAA transaction implementation for several years and is an active participant with Massachusetts Health Data Consortium, the New England Healthcare EDI Network, and WEDI on these efforts.

WHO SHOULD LISTEN?

PFS/patient account directors, CIOs, vice presidents of revenue systems, patient access/admitting directors, medical staff /credentialing office, IS/IT staff, HIM directors, corporate compliance officers, billing staff, VPs of finance, revenue cycle managers

BONUS MATERIALS INCLUDED IN YOUR MATERIAL PACKET!

In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials along with helpful project plans and tools. These materials are provided with PDF links.

Purchase a tape or CD of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

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