To evaluate the completeness of available data on cancer specialty, we compared the information on physician specialty contained in three data sources: (1) the Medicare claims obtained with the linked SEER-Medicare data, (2) the UPIN
Registry, and (3) the AMA Masterfile.
Brandt noted that an encrypted or password-accessed system would be necessary, given that "people have been able to get access to [the UPIN
director] who shouldn't have been able to get access to it.
To select the physician sample used in this study, pairs of terminal digits of the UPIN
were chosen randomly and then used as selection rules in drawing physicians.
In their review of a sample of 500 UPINs
, researchers also determined that 52% of the providers in the database had inaccurate information in at least one of their records and 44% of UPINs
had never been used, or were no longer used, to bill Medicare.
They also reviewed all active UPIN
database records to identify inconsistent, missing, and questionable information.
The inspector general's report found that nearly half of the services ordered with a surrogate UPIN
either had no written order or certificate of medical necessity to support the service, or had incomplete information, such as no physician's name, signature, or description of the item.
Physicians can have their UPIN
co-opted for a variety of reasons, yet the doctor doesn't get any kind of report" on how much medical equipment was ordered under the number, Dr.
The Centers for Medicare and Medicaid Services agreed with the OIG's recommendation to validate and update UPIN
CMS plans to use information from the UPIN
database to launch its new National Provider System (NPS), which will be issuing new National Provider Identifiers.
The inspector general also found that for at least 61% of the services processed with a surrogate UPIN
, ordering physicians already had permanent UPINs
at the time the services were provided.
Tenders are invited for Providing 36 watt lamp UPIN
The probe, from the Senate Permanent Subcommittee on Investigations, found that from 2000 through 2007, Medicare paid for at least 478,500 claims that contained the UPINs
of deceased doctors.