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Identifiers
Resources | References | Regional Initiatives | Education
Advisories
The NPI Workgroup convened by MHDC has issued a series
of Advisories designed to educate the Massachusetts healthcare
provider community on issues related to the NPI:
Advisory 13 - March 3, 2008
Advisory 12 - September 25, 2007
Advisory 11 - July 9, 2007
Advisory 10 - March 21, 2007
Advisory 9 - February 12, 2007
Advisory 8 - November 6, 2006
Advisory 7 - August 29, 2006
Advisory 6 - April 14, 2006
Advisory 5 - January 4, 2006
Advisory 4 - October 20, 2005
Advisory 3 - May 12, 2005
Advisory 2 - March 1, 2005
Advisory 1 - January 1, 2005
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Resources
- National Provider Identifier (NPI) - Guidance on HIPAA NPI Rule Compliance, April 2, 2007
- NPI: Final
Rule, January 23, 2004
- NPI: CMS
Questions & Answers
- NPI: CMS Overview Tool on How to Apply
- NPI: CMS Information on Medicare Subpart Expectations
- NPI: CMS Medlearn Matters articles:
- Implementation Contingency Plan - April 24, 2007 (#MM5595) -
This article was revised on April 24, 2007, to reflect changes
from original CR5595 issued April 20, 2007.
- Revised Medicare Policy on Subpart Designation
(#SE0608)
-- This article was revised to contain web addresses that conform to the new CMS web site and to show they are
now MLN Matters articles. All other information remains the same.
- Medicare Policy on Subpart Designation - February 24, 2006
(#SE0608)
- Medicare's Implementation of the National Provider Identifier (NPI): The Second in the Series of Special
Edition Medlearn Matters Articles on NPI-Related Activities - October 3, 2005
(#SE0555)
- CMS Announces the National Provider Identifier (NPI) Enumerator Contractor and Information on Obtaining NPIs
- May 12, 2005 (#SE0528)
- MA Health Plan NPI informational web sites:
- Employer Identifier - Final
Rule, May 31, 2002
- Decision Tree for Determination of Organizational NPI Subparts

(as put together by FOX Systems, Inc. - July 2006)
References
National Provider Identifier (NPI):
"National
Provider Identifier: Implementing the Next Wave of Health Care
Reform," presentation by Patricia Peyton, HHS/CMS/Office
of HIPAA Standards, to CMS Region I, Worcester, Massachusetts,
September 22, 2004
Overview
of the Final HIPAA Rule on the National Provider Identifier
(NPI), Midwest Center for HIPAA Education (MCHE), April
2004 (courtesy of Walter Suarez, MD)
NPI
Transition Plan, essay by Kepa Zubeldia, Claredi, Inc.,
April 5, 2004
Final
Rule Summary, courtesy of Bob Davis, NAHDO, January 26,
2004
Regional Initiatives
National Provider Identifier (NPI):
- In November, 2004, the Consortium convened a workgroup to focus
on issues related to the NPI. The workgroup created three sub-groups
as follows:
- Communications Sub-group: the goal of this sub-group
is to determine the messages, vehicles, and target audiences
regarding NPI requirements. The sub-group is co-chaired by
representatives from BCBSMA (Roberta Zackman and Tanya Trombly)
and Children's Hospital (Nancy Dunn and David Gates)
- Implementation Sub-group: the goal of this sub-group
is to develop community-based approaches to NPI implementation
that make the process easier for all parties. There is a
planning group consisting of members from the Board of Registration
in Medicine (Dan Murphy), CareGroup (Larry Markson MD), the
state Medicaid program MassHealth (Elizabeth Shields), the
Massachusetts Medical Society (Dana Cooper), and Harvard
Pilgrim Health Care (Rita Hunt and Natalie Cunningham).
- Sub-Parts Sub-group: the goal of this sub-group
is to identify issues and develop best practices related
to the NPI sub-parts requirements. It is chaired by Linda
Guerra of the Beth Israel Deaconess Physician Organization.
- The Implementation Sub-group has worked with the Board of Registration
in Medicine (BORIM), Massachusetts' physician licensing agency,
to develop an approach to bulk enumerate physicians in the state.
You can find this initiative described in their press
release.
Education
National Provider Identifier (NPI):
- December 12, 2006 - Audio Cast
WEDI NPIOI Offers "Atypical Providers
Audio Cast"
- December 7, 2006 - Audio Cast
WEDI NPIOI To Host "NPI Industry
Readiness Survey Data Unleashed: How Do You Measure Up?"
- November 29, 2006 - Audio Cast
WEDI NPIOI Announces "Second in Early
Adopter Series: Highmark (Payer)"
- November 6, 2006 - WEDI NPIOI
to host 5th NPI Industry Forum - A Pre Conference Event (PDF)
WEDI NPIOI will conduct its Fifth NPI Industry Forum, T-Minus 198 Days and Counting, on Monday, November 6, 2006 at
the Hyatt Regency Phoenix at Civic Plaza in Phoenix, AZ. This one-day event is in conjunction with the WEDI Annual
Conference, Continuing the Quest: Administrative and Clinical Integration and Interoperability.
-- NPI Industry Forum
(Pre-conference event) information sheet (PDF)
-- WEDI Annual
Conference details
- February 28, 2006 - Audio Conference
"National Provider Identifier (NPI):
How to Prepare for NPI"
- July 26, 2005 - Audio Conference
"National Provider Identifier (NPI):
The Standard Unique Health Identifier for Health Care Professionals"
- May 19, 2005 - Audio Conference
"National Provider Identifier (NPI):
The Standard Unique Health Identifier for Health Care Professionals"
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