Showing posts with label npi pecos medicare dme leie oig physicians billing. Show all posts
Showing posts with label npi pecos medicare dme leie oig physicians billing. Show all posts

July 19, 2013

New data on Physicians, Groups and Hospitals

We are delighted to announce that our new Extended Physician, Group and Hospital (EPGH) dataset is in beta release, and is available for CarePrecise subscribers to download. The new data adds rich physician information, including verified hospital and group affiliations and education data, to the popular CarePrecise Access Complete database of U.S. healthcare providers.

Practice groups and hospitals, as well as physicians and other professionals are all inter-linked within the vast relational database representing nearly 4 million healthcare providers in all. But the data is made accessible by CarePrecise's unique compression and record-linkage processing, so that it can be used in popular desktop database software, such as Microsoft Access and FileMaker.

The combined CPAC/EPGH database offers a 360-degree view of U.S. healthcare providers' data, and assimilates in a single database the information contained in the federal NPI database (NPPES), the Medicare database (PECOS), the federal excluded provider database (LEIE), Hospital Compare and Physician Compare databases. It is the only comprehensive source of this data in a single database environment, and it can be used on ordinary laptop and desktop computers with ordinary office database software.

The new EPGH dataset is not available separately, but as an add-on to the CarePrecise Access Complete (CPAC) database of all HIPAA-covered U.S. healthcare providers. Currently in beta release, the EPGH add-on is now available only to current quarterly and monthly subscribers to the CPAC product, pending the full release scheduled for this fall.

To review the fields in the new dataset, see the field list table on the CarePrecise Access Complete documentation page. Standard pricing of CarePrecise data products provides a single-user license; multi-user licenses and derivative product (limited publication) licenses are also available. Contact CarePrecise Sales at (877) 782-2294.

January 7, 2012

CMS Redacts NPI in PECOS File: Solution

The PECOS Ordering and Referring Report has been a tremendous resource for those of us who have to know whether a business partner is eligible to bill Medicare. A great example is the DME supplier who needs to know that the physician who orders a patient's medical equipment is authorized to do that; could cost him money when the claim is rejected. Well, that report has just gotten a mite less useful.

(UPDATE: Here's a press release we just sent on this issue, and a page on our website with details.)

Starting with the current release, CMS has blocked out the first 6 digits of the NPI number. It looks like ******1234. Utterly useless if you want to incorporate that file into your business systems. We have a solution!

CarePrecise specializes in healthcare record linkage projects. We collect data files from many sources and, using our QoRelate record "linking and shrinking" system, match them into our NPI database. The PECOS Ordering and Referring Report and the pending enrollment files are no exception. Our system can still tell you which providers are enrolled to bill Medicare or have a pending enrollment -- with their NPI number and a lot of additional information the PECOS reports never offered.

In fact, we not only match up NPI numbers with PECOS enrollment, we also do it with the federal List of Excluded Providers (LEIE), the now deprecated but still useful UPIN registry, state license numbers, phone and fax numbers, both mailing and practice addresses, economic data from the US Dept of Commerce, and much more. Now we can even tell you how many providers practice at the same location, and give you the providers who report as a multi-specialty or single specialty practice group.

It's all in CarePrecise Gold (and everything except the economic data is in our basic dataset, CarePrecise Access), for 3.5 U.S. healthcare million providers.