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2. National Provider Identifier - Wikipedia

   en.wikipedia.org/wiki/National_Provider_Identifier

   NPI data is downloadable from CMS. The downloadable database was updated monthly until December 2012, and has been issued weekly since. A data structure file is available separately from CMS. [6] As of June 2024, the file download size is 947.84 MB, and the raw database file (npidata_pfile_20050523-20240512.csv) is 9.3 GB when extracted. [7]

3. National Practitioner Data Bank - Wikipedia

   en.wikipedia.org/wiki/National_Practitioner_Data...

   The National Practitioner Data Bank (NPDB) is a database operated by the U.S. Department of Health and Human Services that contains medical malpractice payment and adverse action reports on health care professionals. Hospitals and state licensing boards submit information on physicians and other health care practitioners, including clinical ...

4. What is FISS in Medicare - AOL

   www.aol.com/lifestyle/fiss-medicare-133916101.html

   Claims for Original Medicare (Parts A and B) usually involve a superbill that includes the price of the service, information about you, a National Provider Identifier Standard (NPI) number, as ...

5. Medical billing - Wikipedia

   en.wikipedia.org/wiki/Medical_billing

   Achieving a high clean claims rate is a key metric for measuring the efficiency of the billing cycle. Creation of the claim is where medical billing most directly overlaps with medical coding because billers take the ICD/CPT codes used by the medical coders and creates the claim. Step 6: Monitoring payor Adjudication [4]

6. What is HETS in Medicare? - AOL

   www.aol.com/lifestyle/hets-medicare-013800100.html

   HIPAA Eligibility Transaction System (HETS) is an online tool for healthcare professionals to confirm Medicare eligibility and access information about coverage, deductibles, and other important ...

7. Physician Quality Reporting System - Wikipedia

   en.wikipedia.org/wiki/Physician_Quality...

   In 2015 CMS identified 254 quality measures for which providers may choose to submit data. The measures map to U.S. National Quality Standard (NQS) health care quality domains: [4]

8. Unique physician identification number - Wikipedia

   en.wikipedia.org/wiki/Unique_physician...

   A unique physician identification number (UPIN) was a six-character alpha-numeric identifier used by Medicare to identify doctors in the United States. They were discontinued in June 2007 [ 1 ] and replaced by National Provider Identifier , or NPI numbers.

9. Healthgrades - Wikipedia

   en.wikipedia.org/wiki/Healthgrades

   Healthgrades evaluates hospitals solely on risk-adjusted mortality and in-hospital complications. [17] Its website evaluates roughly 500 million claims from federal and private reviews and data to rate and rank doctors based on complication rates at the hospitals where they practice, experience, and patient satisfaction. [8]