The Physician and Other Supplier Public Use File contains information on utilization, payment (Total submitted charges, Medicare allowed amount, Medicare Payment amount, Medicare standardized payment amount) organized by National Provider...
Geographic adjustments are intended to ensure that the Medicare Program does not overpay hospitals and practitioners in certain areas and underpay in other as a result of geographic difference in...
The list of patient-facing encounter codes is used to determine the non-patient facing status of MIPS eligible clinicians. A non-patient facing MIPS eligible clinician is: An individual MIPS eligible clinician...
The basic idea behind MPPR is that when a physician performs multiple (two or more) procedures, that are related, during the same session, Medicare and some commercial insurance companies won't...
This data package contains the Accountable Care Organization's (ACO) Public Use File (PUF) from 2013 to 2016. Shared Savings Program (SSP) Accountable Care Organization (ACO) data Public Use File (PUF),...