NPI Luhn Check Digit Calculation

If you need to make up a fake NPI, you can’t just throw any 10 digits together and have it wind up as a valid NPI. NPI for those who don’t know is National Provider Identifier. You probably know that if you’re looking for a way to generate them though. The first digit has to be one or two and the last digit is actually a check digit of the rest of the digits plus a prefix that’s applied to the NPI to make a different...

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Healthcare 5010 Conversion

Healthcare 5010 Conversion

The deadline for 5010 conversion is quickly approaching, and I must say that this should not be that big of a deal. Anyone that processes a 5010 transaction should simply have to update their systems to accommodate for the new format. However, it is causing alot more issues than I think people realize, and there are two reasons that stick out in my mind. Reason 1: Software vendors are slow. Software vendors are notoriously slow for putting...

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Medicaid Claims Rejections

Medicaid decided to start rejecting some electronic claims because there were too many NDC codes on the claim. Now I’m not a rocket scientist, but shouldn’t a claims processor be able to handle more than 1 NDC code per claim? They’re stating that if more than 1 NDC is present, it’s treated like a compound drug, which shouldn’t be an issue either because compound drugs have their own NDC’s. Therefore you must...

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G.I.F.T. – Extenstion

I recently saw a good deal of chatter about Pox parties, and swapping infectious diseases in the mail. This program that Sanofi is running is in direct contrast with that. They are actually using proceeds from paid vaccinations to fund vaccinations for children that cannot afford insurance coverage. Let me first say that I have no issue with parents wanting to let their child get chicken pox naturally. Yes there is a vaccine against it,...

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Capitation Lists

Capitation Lists

Keystone Mercy decided to change the way they electronically give providers their capitation lists now. It’s bad enough that this information should be available at the beginning of the month and usually isn’t until the middle of the month. By changing the format from a CSV file to a PDF, it throws off the automated importing of this list into an EMR that could save time in verifying a patient’s insurance. This is one HUGE...

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MS risk increased in teens who work night shifts

MS risk increased in teens who work night shifts

MS risk increased in teens who work night shifts So new research confirms that people aren’t meant to work at night. I’m going to say this isn’t a big surprise. People were meant to get up when the sun was shining and go to bed when the sun set. Now that we have artificial light, people can do work in the dark, eliminating the need for natural sunlight for alot of jobs. But how is that affecting our health? This new study...

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