REQUEST FOR NATIONAL PROVIDER IDENTIFICATION NUMBER

ICR 200705-2900-001

OMB: 2900-0702

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
2900-0702 200705-2900-001
Historical Active
VA 2900-New
REQUEST FOR NATIONAL PROVIDER IDENTIFICATION NUMBER
New collection (Request for a new OMB Control Number)   No
Emergency 08/17/2007
Approved with change 09/20/2007
Retrieve Notice of Action (NOA) 06/27/2007
Approved consistent with VA memo clarifying security provisions used to ensure protection of NPI data.
  Inventory as of this Action Requested Previously Approved
03/31/2008 6 Months From Approved
200 0 0
10 0 0
3 0 0

Health care providers for veterans in the private sector (non-VA providers) are asking local VA medical centers for the National Provider Identifier (NPI) numbers for VA facilities and VA clinicians who have referred patients to them. The non-VA providers need these NPIs in order to receive payments from Medicare or other payers. The consequence of VA’s not providing this information is that these non-VA providers cannot get the Medicare payments and other insurance payments they deserve; some have indicated that if NPIs are not furnished, they may refuse to take care of our veterans.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires, as of May 23, 2007, that large payers and all health care providers use the new National Provider Identifiers (NPIs) for health care organizations and individual practitioners on all HIPAA-standard electronic health care transactions, which include reimbursement claims.

PL: Pub.L. 104 - 191 1174 Name of Law: HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996
  
None

Not associated with rulemaking

  72 FR 123 06/27/2007
No

1
IC Title Form No. Form Name
REQUEST FOR NATIONAL PROVIDER IDENTIFICATION NUMBER 10-0449A REQUEST FOR NATIONAL PROVIDER IDENTIFICATION NUMBER

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 200 0 200 0 0 0
Annual Time Burden (Hours) 10 0 0 10 0 0
Annual Cost Burden (Dollars) 3 0 0 3 0 0
Yes
Miscellaneous Actions
No
This is a new collection. The HIPAA legislation was passed in 1996 and included provisions that are implemented at later dates. The need for the National Provider Number was one of these. VHA has complied by acquiring NPIs for all facilities and clinicians. In the past month VHA field stations began receiving requests from outside health care providers for NPI numbers for referring facilities and clinicians in order to complete their claim processes. VHA was not aware of this need until requested by the outside entities. To simplify the process for providing this information VHA developed VA Form 10-0499A. Because this form collects data from private sector businesses it needs OMB approval.

$424
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/27/2007


© 2024 OMB.report | Privacy Policy