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The Misclassification of Behavior Analysts: How National Provider Identifiers (NPIs) Fail to Adequately Capture the Scope of the Field
Behavior Analysis in Practice ( IF 2.1 ) Pub Date : 2020-09-09 , DOI: 10.1007/s40617-020-00451-w
Erick M Dubuque 1 , Marissa E Yingling 2 , R Allan Allday 3
Affiliation  

To remain in compliance with the Health Insurance Portability and Accountability Act of 1996, U.S. health care providers are required to register for a National Provider Identifier (NPI). When applying for an NPI, providers must select the Healthcare Provider Taxonomy Code(s) that most closely describes the services they offer. Three distinct taxonomies describe the services offered by behavior analysts. Two of these codes, the Behavior Analyst (103K00000X) and the Assistant Behavior Analyst (106E00000X) taxonomies, specify that the health care provider must hold either a certification from the Behavior Analyst Certification Board or a state-issued credential to practice behavior analysis. The purpose of this study was to investigate the concordance between health care providers who utilize these behavior-analytic NPI taxonomy classifications and health care providers who meet the credential qualifications specified in the code descriptions. Results indicated that there are potentially more than 20,000 U.S. health care providers who do not hold the behavior analyst credentials specified in the taxonomy descriptions linked to their accounts. The implications of providers being mistakenly classified as credentialed behavior analysts and credentialed assistant behavior analysts in federal data and how the field should respond are discussed.

中文翻译:

行为分析师的错误分类:国家提供商识别码 (NPI) 如何未能充分掌握该领域的范围

为了遵守 1996 年《健康保险流通和责任法案》,美国医疗保健提供者必须注册国家提供者标识符 (NPI)。申请 NPI 时,提供商必须选择最能描述其所提供服务的医疗保健提供商分类代码。三种不同的分类法描述了行为分析师提供的服务。其中两个代码,行为分析师 (103K00000X) 和助理行为分析师 (106E00000X) 分类法,指定医疗保健提供者必须持有行为分析师认证委员会的认证或国家颁发的证书才能进行行为分析。本研究的目的是调查使用这些行为分析 NPI 分类法分类的医疗保健提供者与满足代码说明中指定的证书资格的医疗保健提供者之间的一致性。结果表明,可能有超过 20,000 家美国医疗保健提供者不持有与其账户关联的分类描述中指定的行为分析师资格。讨论了联邦数据中提供商被错误地归类为有资格的行为分析师和有资格的助理行为分析师的影响以及该领域应如何应对。
更新日期:2020-09-09
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