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Report identifies may errors in Medicare's UPIN files: nearly 50% are inactive.(Practice Trends)

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| December 01, 2003 | Frieded, Joyce | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

WASHINGTON -- Nearly half of the Unique Physician/Practitioner Identification Numbers in the Medicare program are either no longer in use or have never been used, according to a report from the Department of Health and Human Services' Office of Inspector General.

"We recognize that the Centers for Medicare and Medicaid Services has made an effort to improve the completeness and accuracy of the UPIN Registry," the report's authors wrote. "However, the findings of our report demonstrate that the information housed in the UPIN Registry continues to be inaccurate.... When information housed in this Registry is unreliable, CMS's oversight functions may become less effective."

Researchers looked at a sample of 500 UPINs and asked the providers to verify the information contained in the database for each of their active practice settings. They also reviewed all active UPIN database records to identify inconsistent, missing, and questionable information.

The researchers found that 52% of the providers in the database had inaccurate information in at least one of their records (see chart), and 44% of UPINs have never been used, or are no longer ...


    
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Source: HighBeam Research, Report identifies may errors in Medicare's UPIN files: nearly 50% are...

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