Reprinted with permission from Part B News and DecisionHealth
Surrogates particularly will have an easier time with the NPPES step in the provider enrollment process thanks to recent changes.
On May 15, 2017, CMS’ National Plan and Provider Enumeration System – NPPES, the registry through which providers get and maintain their national provider identifier (NPI) numbers -- went to version 3.0. According to David Zetter, president of Zetter Healthcare Management Consultants in Mechanicsburg, Pa., who was a beta-tester for the new version, NPPES now allows surrogates to access both NPPES and PECOS for all the providers they represent with the same log-in.
“Before you can do anything you need an NPI, and you get that through NPPES,” says Zetter. “Surrogates have been waiting for NPPES 3.0 so the system would work in conjunction with the surrogacy program. Now any surrogate can have access to all their provider accounts in NPPES just as they do in PECOS.” And with NPPES 3.0 “you don’t need the physician log-in,” says Zetter – the surrogate log-in will do. “And you can create an NPI for any provider or entity yourself with your login.”
More information can be entered.Previously you could only enter only one practice location and one business address at a time in NPPES. Now you can add information for multiple locations. You can also add practice hours and languages spoken.
Information easier to download. In the old system, if you wanted a record of the complete information in the NPPES file, you literally had to make screenshots, says Zetter. The new system lets you print out the whole record for the NPI and save it as a pdf. “It generates the NPPES email as before, with the taxonomy and NPI number – the one all the payers want for proof of enrollment -- but that email has only a little information,” says Zetter. “Now you can also pull down a full printout of what’s in the file. That wasn’t available before.”
“The old system was bare-bones and even though it was simple it was difficult to work through to obtain a copy of the entire file,” says Zetter. “This one, is a little different and you have to get used to it, but once you do you get much more and more accurate information.
You can learn more about the new NPPES – and recent changes to PECOS and the CAQH practice administrator module – at Zetter’s annual recap, Provider Enrollment 2018: What’s New That You Need to Know Now, available at http://www.codingbooks.com/products/training-education/view-all-webinars/ympda062817.