2 HDX Services – NPI Implementation Strategy NPI Overview HDX Eligibility Service HDX Electronic Claims Service HDX Electronic Remittance Service
3 NPI Overview Final Rule mandated 5/23/2007 Standard unique identifier for Health Care Providers –Type 1: Individual –Type 2: Organizational Providers must apply for their NPIs NPPES assigns NPIs: www.nppes.cms.hhs.gov/NPPES/Welcome.do 10 digit number – last digit is a self check digit (ISO Luhn)
4 HDX Eligibility Service Goals Implementation Strategy Timeline
5 HDX Eligibility Service - Goals Utilize the Dual Use Strategy proposed by WEDI Insulate Providers from varying Payer timelines Ability to react to Payer changes quickly Provide a solution that requires only one set of changes for the Providers
6 HDX Eligibility Service – Implementation Strategy Providers send both Legacy identifiers and NPI on eligibility requests –Option 1: NPI as primary, Legacy as secondary –Option 2: Legacy as primary, NPI as secondary HDX preference is Option 1 HDX will maintain a transparent table of all payers indicating their NPI processing requirements HDX will map the identifiers according to the payers’ requirements Transaction will be successful as long as the Provider’s eligibility request contains the data needed for the Payer.
7 HDX Eligibility Service - Timeline October 1, 2006 - Communication to all our Provider Integration Partners December 1, 2006 - Internal Testing with Provider Integration Partners January 2007 - HDX Eligibility Service changes implemented in Production January 2007 - Providers begin sending NPI
8 HDX Electronic Claims Service Goals Implementation Strategy Timeline
9 HDX Electronic Claims Service - Goals Utilize the Dual Use Strategy proposed by WEDI Enable Providers to Migrate Individually Provide a solution that requires only one set of changes for the Providers Enable Providers to easily submit their NPI’s
10 HDX Electronic Claims Service – Implementation Strategy ECS Customer Option –Supports NPI at both the facility and doctor level –Recommend confirmation of third-party, payer, and remittance software readiness ECS Payer Option –INVISION/UNITY customers MUST submit NPI’s to Siemens ERSCONTACT.MED@SIEMENS.COM –NPI is used to route transactions and reports –Recommend confirmation of payer and remittance software readiness
11 HDX Electronic Claims Service - Timeline NPI ready NOW October 31, 2006 – Customer Memo Z061031C ECS Payer Option: –INVISION/Unity Providers must submit NPI –Contact us now via: ERSCONTACT.MED@SIEMENS.COM –NPI ready - once NPI submission process is complete January 2007 – can submit NPI via web page
12 HDX Electronic Remittance Service Goals Implementation Strategy Timeline
13 HDX Electronic Remittance Service - Goals Utilize the Dual Use Strategy proposed by WEDI Enable Providers to Migrate Individually Provide a solution that requires only one set of changes for the Providers Enable Providers to easily submit their Payee level NPI’s Early Adopter Testing
14 HDX Electronic Remittance Service – Implementation Strategy Supports WEDI advocated Dual-Use transition strategy Customers MUST submit Payer level NPI’s to Siemens Siemens must load NPI into Enrollment Database –Update OML for Invision/Unity customers NPI will be used to route transactions and reports to appropriate destination Submit your NPPES NPI Enumeration documents
15 HDX Electronic Remittance Service - Timeline October 31, 2006 – Customer Memo Z061031C November 2006: –Contact Siemens to initiate NPI submission process –Contact us now via: ERSCONTACT.MED@SIEMENS.COM December 2006 – Claims & Remit 3.8 Customer Memo December 2006 – begin Early Adopter testing January 2007 - submit NPI via web page (if not already submitted) Jan/Feb 2007 – Changes implemented in Production
16 For Your HDX NPI Information www.hdx.com – –Read about HDX NPI strategy or WEDI press releases –Read additional information on related links sidebar –Upcoming Customer Memos WEDI Call to Arms listed on website Contact us: HDXSERVICESNPI.MED@SIEMENS.COM
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