What is the Difference Between NPI and PTAN Numbers?

The Centers for Medicare & Medicaid Services (CMS) recently updated its MLN Matters SE1216 which examines the difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN). According to CMS, the NPI is different from a PTAN in the following ways: A provider’s NPI is issued by the National Plan and Provider Enumeration System, which was developed by CMS to comply with the HIPAA Administrative simplification provisions for standard transactions. It is used by all health… Read More >

RE-EVALUATING HIPAA IN LIGHT OF TECH CONCERNS

In a recently published article, Roll Call reported that tech firms are asking Congress to redefine medical privacy rules.  The article cites to the June 2014 Round Table meeting of the House Energy and Commerce Committee where tech industry leaders told Congressional leaders the current HIPAA security rules are inhibiting technology innovation and create difficulties in negotiating contracts due to business associate requirements. In July 2014, the House Energy and Commerce Subcommittees on Communications, Technology, and Health held a joint… Read More >

EHR Deadline Extended for 2014 CEHRT Adoption, But Not For 2015 Meaningful Use Reporting

On August 29, 2014, the Department of Health and Human Services (HHS) released a final rule modifying the Electronic Health Record (EHR) Meaningful Use Incentive program. The Final Rule, which will be published in the Federal Register on September 4, 2014, gives providers additional time to begin using 2014 Edition Certified EHR Technology (CEHRT).  However, this extension is only available for providers who could not fully implement 2014 Edition CEHRT for the EHR reporting period of 2014 due to delays… Read More >

CMS Proposes Settlement Option to Resolve Patient Status Claim Denials Pending in the Medicare Appeals Process

On August 29, 2014, CMS announced it will offer “an administrative agreement to any hospital willing to withdraw their pending appeals in exchange for timely partial payment (68% of the net allowable amount)”, in an effort to quickly reduce the volume of inpatient claim denials pending in the Medicare appeals process. Currently, Acute Care Hospitals (including those paid via Prospective Payment System (PPS), Periodic Interim Payments (PIP), and Maryland waiver; as well as Critical Access Hospitals are eligible to submit… Read More >