Dr. Fairley,
My firm is recommending that the NPP be developed and implemented as soon as possible 
just for the reason you mention:  otherwise every patient who walks in the door on 
4/15 will need to be provided with this document, any discussion/questions, etc.  If 
you can implement this part of the Rule now, by 4/15 only new patients or those who 
haven't been in for a few months will need to be provided with your NPP.  By beginning 
sooner than 4/15 there's a secondary benefit:  by that date this may be SOP for front 
desk staff.

Unfortunately, mailing the NPP does not suffice as a good faith effort to obtain the 
individual's acknowledgement unless you use a signature-on-receipt mail service - 
which could get expensive.  If you do include an acknowledgement form (that is a good 
idea, by the way), then your staff will only have to collect them.  Some practices are 
updating their patient registration form to include a statement of acknowledgement.  
As you know, this is a good time of the year to have all patients update their 
personal & insurance info.

Jean Acevedo, LHRM, CPC, CHC
711 Golf Court
Delray Beach, FL  33445

> On April 15, 2003, we are anticipating that we simply do not have the staff 
>available to supply all patients that walk in our door with our NPP.  It's hard to 
>find someone to do a job like this for only 3-4 months!  We plan to hire college 
>students to accomplish this task when school let outs in May.   
> Nevertheless, in order to be compliant with the April 15, 2003 deadline, is it 
>acceptable to mail out our NPP to scheduled patients ahead of time?  
> Is the fact that we are mailing them out  (and let's say we can keep track of who 
>got SENT one) sufficient in itself to meet the requirement of a "Good faith effort to 
>obtain acknowledgement of receipt of NPP"?  That is, is simply mailing out the NPP 
>adequate?   If such a plan is not adequate, what about if we included an 
>acknowledgement form in the mailing and asked the patient to return the form (and we 
>did NOT supply an envelop or stamp)?  Would that be enough, even if no one 
> returns it? 
> Thanks.
> Rich Fairley MD
> Dubuque, IA 

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