Description:

This presentation provides a comprehensive, practical overview of the National Plan and Provider Enumeration System (NPPES) and how healthcare providers and organizations obtain, manage, and maintain National Provider Identifiers (NPIs) using current CMS systems and requirements. The presentation discusses important terms and acronyms associated with NPPES and explains the different NPI types and uses. It provides details on how to create an NPPES account in the Identity and Access Management System, discusses the various user roles and associated responsibilities, and walks users through CMS approval and verification processes for NPI numbers. Attendees will learn about the recent changes to the NPPES Registry portal and be informed of best practices and tips for avoiding errors that delay processing or cause claims denials.

Learning Objectives:-

• Important Terms & Acronyms
• What is NPPES?
• Why You Need an NPI
• NPPES Registry Portal Changes
• Accessing the NPPES Website
• Creating & Managing an Account
• Applying for an NPI
• Updating NPI Information
• Tips for Smooth Navigation

Areas Covered:-

The presentation is designed to help providers, credentialing professionals, and administrative staff:

• Understand what NPPES is and why NPIs are required
• Navigate recent NPPES Registry Portal changes
• Create and manage Identity & Access Management (I&A) accounts
• Apply for, update, and maintain NPIs accurately and efficiently
• Avoid common errors that delay processing or cause claim denials

Who Should Attend?

• Credentialing specialist
• Payer enrollment specialist
• Onboarding specialist
• Licensing specialist
• Practice managers
• Practice Administrators
• New Physicians
• Physician practices
• CVOs
• Payer enrollment agencies
• Medical staff offices.