May 17, 2012: Health Care - Medicare and Medicaid NPI: Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation

May 17, 2012

In this issue:

Medicare and Medicaid NPI: Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation

The federal government has deputized National Provider Identification numbers (NPI) to help it fight the good fight against fraud, abuse and waste in federal payment programs. Vulnerabilities in Medicare enrollment procedures have permitted the enrollment of providers and suppliers whose qualifications for meeting Medicare and Medicaid enrollment standards were sometimes questionable. This raised concerns that certain providers and suppliers in federal programs were under-qualified or even fraudulent and has led to efforts to establish more stringent controls on provider and supplier entry into the Medicare and Medicaid programs.

To view the complete publication, click the link under Related Files

5.17.12-Alert: Health Care.pdf