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Printed Date: 9/22/2015
Now You Can Access Your Personal Data to See Who Has Been Using Your NPI
Electronic Utilization (eUtilization) reports are now available in the eServices online provider portal. eUtilization reports provide rendering providers and ordering and referring providers access to their personal data. This data can be reviewed to ensure providers are aware of when and by whom their NPI is being used for billing Medicare services and when their NPI is entered on a Medicare claim as the ordering referring physician. This will provide providers with the ability to identify possible misuse of their NPI. Providers will be able to select a period from 1-12 months for the previous 12 months of data. This data will be updated monthly so that providers can trend their data over time.
Ordering and Referring
This function enables an individual physician to view all Medicare claims billed where their NPI was entered as the ordering and referring provider for a beneficiary. The report will also allow providers to click and see a summary by the type of code for the services billed.
This will allow an individual provider who is part of a group practice or multiple groups to pull a data report for their NPI, which will enable them to view their utilization for each associated provider ID for a specified time period.
How to Sign Up to Receive This Data:
In order to access your data, you will need to have an eServices account. You can sign up at www.palmettogba.com/eservices.
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Last Updated: 2/01/2020