healthcare: honest NPPES framing -- stale != out of business / no auto-penalty

An old NPPES last_updated date does NOT mean the practice closed or that CMS
penalizes them: an NPI never expires and there is no NPPES login schedule. Many
records are stale precisely because nothing changed. Removed the overclaim that
an old record 'has almost certainly drifted' and the false 'attest periodically'
duty. Now states the real rule (correct NPPES within 30 days of a change) and
makes the harm conditional ('if anything has changed since then, your record is
now out of date'). Keeps NPPES distinct from Medicare revalidation/PECOS, which
is the separate segment that actually carries deactivation stakes.

data/hc_campaigns/hc_nppes_outdated.html

@@ -14,11 +14,11 @@
 <tr><td class="pw-pad" style="padding:28px;font-family:Inter,system-ui,sans-serif;color:#1f2937;">
   <p style="font-size:15px;margin:0 0 18px;line-height:1.5;">Hi {{ .Subscriber.Name }},</p>
   <h2 style="font-size:19px;margin:0 0 14px;color:#0f172a;line-height:1.3;">Your NPPES record hasn&rsquo;t been updated since {{ .Subscriber.Attribs.nppes_last_updated }}</h2>
-  <p style="font-size:14px;line-height:1.7;margin:0 0 18px;">The public NPPES NPI Registry shows the record for <strong>{{ .Subscriber.Attribs.practice }}</strong> (NPI {{ .Subscriber.Attribs.npi }}) was <strong>last updated on {{ .Subscriber.Attribs.nppes_last_updated }}</strong> &mdash; roughly <strong>{{ .Subscriber.Attribs.nppes_years_stale }} years ago</strong>. CMS requires providers to keep their NPPES record current and to attest to it periodically, and a record that old has almost certainly drifted from your real address, taxonomy, or contacts. You can confirm the date yourself below &mdash; it&rsquo;s exactly what payers and CMS see.</p>
+  <p style="font-size:14px;line-height:1.7;margin:0 0 18px;">The public NPPES NPI Registry shows the record for <strong>{{ .Subscriber.Attribs.practice }}</strong> (NPI {{ .Subscriber.Attribs.npi }}) was <strong>last updated on {{ .Subscriber.Attribs.nppes_last_updated }}</strong> &mdash; about <strong>{{ .Subscriber.Attribs.nppes_years_stale }} years ago</strong>. Your NPI never expires, so an out-of-date record never flags itself &mdash; but CMS requires you to update NPPES within <strong>30 days of any change</strong> to your address, phone, taxonomy, or authorized official. If anything has changed since then, your record is now out of date &mdash; and payers, clearinghouses, and CMS all pull from NPPES. Confirm the date yourself below; it&rsquo;s exactly what they see.</p>
 
   <table role="presentation" width="100%" cellpadding="0" cellspacing="0" style="margin:22px 0;"><tr><td style="background:#ecfdf5;border:2px solid #6ee7b7;border-radius:10px;padding:18px;">
     <h3 style="margin:0 0 10px;font-size:15px;color:#065f46;font-weight:700;">Why it matters</h3>
-    <div style="font-size:13px;color:#065f46;line-height:1.7;">Payers, clearinghouses, and CMS pull from NPPES. A stale address, taxonomy, or contact can cause <strong>claim denials, mail you never receive, and failed credentialing</strong>. CMS also requires you to attest your NPPES data periodically.</div>
+    <div style="font-size:13px;color:#065f46;line-height:1.7;">Payers, clearinghouses, and CMS pull from NPPES. A stale address, taxonomy, or contact can cause <strong>claim denials, mail you never receive, and failed credentialing</strong>. CMS requires you to correct your NPPES record within 30 days of any change.</div>
   </td></tr></table>
 
   <!-- Official-record card: NPPES is fully public, so this mirrors the registry. -->
@@ -34,7 +34,7 @@
             <tr style="border-bottom:1px solid #e5e7eb;"><td style="padding:9px 0;color:#64748b;">Registered to</td><td style="padding:9px 0;font-weight:600;text-align:right;color:#0f172a;">{{ .Subscriber.Attribs.practice }}</td></tr>
             <tr><td style="padding:9px 0;color:#64748b;">Last updated</td><td style="padding:9px 0;font-weight:700;text-align:right;color:#b45309;">{{ .Subscriber.Attribs.nppes_last_updated }} &middot; ~{{ .Subscriber.Attribs.nppes_years_stale }} yrs ago</td></tr>
           </table>
-          <p style="margin:10px 0 0;font-size:11px;color:#94a3b8;line-height:1.5;">Source: NPPES NPI Registry (npiregistry.cms.hhs.gov), public &ldquo;Last Updated&rdquo; field for this NPI. CMS requires providers to keep NPPES current and attest periodically &mdash; review your record on the official registry below.</p>
+          <p style="margin:10px 0 0;font-size:11px;color:#94a3b8;line-height:1.5;">Source: NPPES NPI Registry (npiregistry.cms.hhs.gov), public &ldquo;Last Updated&rdquo; field for this NPI. CMS requires NPPES to be corrected within 30 days of any change &mdash; review your record on the official registry below.</p>
         </td></tr>
       </table>
     </td></tr>