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0821 – v3 | Provider Maintenance and Remediation
0821 – v3 | Provider Maintenance and Remediation
0821 – v3 | Provider Maintenance and Remediation
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Video Transcription
Welcome to the STS-ACC TBT Registry August Case Scenario for Version 3. This month, we will provide a tutorial on provider maintenance and remediation for the Version 3 data collection tool. NPI numbers are publicly available from the National Plan and Provider Enumeration System, or NPPES, website. To ensure facilities have the correct NPI number, the Registry recommends beginning the provider maintenance and remediation by validating the provider's individual NPI against this listing available at the NPPES website shown here. Once facilities have validated the provider's individual NPI numbers, begin the provider maintenance process by selecting Data from the homepage of the TBT Registry. Then select Provider Maintenance. Once on the Provider Maintenance screen, users can add a provider, search a provider, reset information in the provider fields, or edit an existing provider. A provider name should only appear once in your data collection tool. Provider information is only received by the NCDR when it is associated with a patient record in your data collection tool and submitted to the NCDR. Updating provider information in the data collection tool will not update previously submitted patient records. To associate the corrected provider information with a prior record, open the patient record, reselect the provider's name, and resubmit to the NCDR. If a provider name has been entered under Provider Maintenance but is not available as a selection in the DCT Provider field, then the provider's name has not been identified as that type of provider or is not available for the registry. Edit the provider and update the types and or registries. To identify that a provider has multiple roles or types and or is associated with multiple NCDR registries, depress the control key, then select all the desired options and save. All participants will utilize the Provider Remediation page to evaluate the status of the provider names associated with the patient records submitted to the NCDR. Begin the provider remediation process by selecting data from the home page of the TVT registry, then select Provider Remediation. Using the filter window, shown here, to review the mismatch, valid match, and NPI not found pages. Mismatches occur when the NPI number submitted to the NCDR matches the CMS listing, but the name does not match. Next steps. If you agree the provider name entered into your DCT is the person on the CMS listing, hit confirm. If you do not agree that the provider name entered in your DCT is the person on the CMS listing, select reject. However, if you reject the match, please revise how the provider name appears in your DCT so that it matches the CMS listing. A valid match is when the NPI number and provider name submitted to the NCDR are an exact match with the CMS listing. The provider information will appear on this screen as a system match, or when the user has confirmed that the provider is the same person despite the name variance noted between the NCDR file and the CMS listing on the mismatch page, the provider will appear on this screen as a user match. NPI not found is when the NPI number found in the NCDR file does not match an NPI number on the NPPES page. Next steps are to visit the NPPES page to validate the NPI number is not found. If the NPI is available on the NPPES page, the NPI will be matched to the CMS listing once the NCDR has updated the internal NPPES file and the file is resubmitted. This is a rare occurrence. If the NPI is not available on the NPPES page, locate the correct NPI number for the provider, update the provider information in your DCT. Thank you for viewing the August 2021 STS-ACC TBT Registry Case Scenario in a tutorial format. See you next month.
Video Summary
This video provides a tutorial on provider maintenance and remediation for Version 3 data collection tool in the STS-ACC TBT Registry. It recommends validating the provider's individual NPI number against the publicly available listing on the NPPES website. Users can add, search, reset, or edit provider information on the Provider Maintenance screen. Updating provider information in the data collection tool does not update previously submitted patient records; to associate corrected provider information with prior records, resubmit them. The Provider Remediation page is used to evaluate the status of provider names associated with patient records submitted to the NCDR. Mismatch, valid match, and NPI not found pages are reviewed, and appropriate actions like confirming, rejecting, or updating provider names are taken.
Keywords
provider maintenance
remediation
NPI number
patient records
updating
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