NPI and the HealthPro8000

The new claim form, formally known as the CMS 1500 (08-05), is designed to allow health care providers to use new National Provider Identifier (NPI) numbers when filing Medicare paper claims. The new CMS 1500 (08-05) is required for the filing of Medicare paper claims effective as of now. Users of the HealthPro8000 had access to the new claim form over 6 months before it was mandated. We made it a top priority to have it tested and implemented well in advance as to provide peace of mind for our users. The software contains the ability to print both to the new form and the older version of the form know as the CMS-1500 (12-90) as there are still some insurance companies not accepting the new version.

The major difference between Form CMS 1500 (08-05) and Form CMS-1500 (12-90) is the addition of split provider identifier fields. The split fields will enable NPI reporting in the fields labeled as NPI and corresponding legacy identification number reporting in the unlabeled block above each NPI field. Legacy identifiers are pre-NPI provider identifiers such as: PINs (Provider Identification Numbers); UPINs (Unique Physician Identification Numbers); OSCARs (Online Survey Certification & Reporting System numbers); and NSCs (National Supplier Clearinghouse numbers) for durable, medical equipment claims.

HIPAA and the HealthPro8000

Forté Holdings is committed to facilitating our customers' full compliance with the HIPAA (Health Insurance Portability and Accountability Act) regulations. The Department of Health and Human Services has adopted regulations for two National Standards - complete with deadlines - that all covered entities must abide by. The HIPAA regulations affect Forté Holdings as a healthcare software provider, and may apply to you. Forté Holdings is committed to doing its part to help our customers achieve compliance with the Transactions and Code Sets and the Privacy HIPAA regulations in a way that does not unduly disturb established business processes. We believe the best first step is clear and accurate communication.