Physician groups find fault with medicare payment data release

April 25, 2014
Physician groups find fault with medicare payment data release

(HealthDay)—Physician groups cite major problems associated with the release of Medicare payment data, according to an article published April 16 in Medical Economics.

According the author of the article, Alison Ritchie, physician groups say that when the Centers for Medicare and Medicaid Services (CMS) published the 2012 Medicare information ($77 billion payments for 880,000 physicians identified by name) they failed to provide context for the data.

Ritchie notes that the American Medical Association (AMA) has outlined the following problems with the data: (1) physicians were not provided the opportunity to review or correct the data prior to publication; (2) quality measurements were not included; (3) it's not clear who provided the services, as midlevel providers may bill under the national provider identifier; (4) the data reflects fixed payment prices, not what was charged; (5) private insurance and Medicaid patients were not included and patient demographics were not provided; (6) location of service provision was not provided; (7) specialty descriptions and practice types were not provided; and (8) geographical differences in billing were not taken into account.

"The information released by CMS, will not allow patients or payers to draw meaningful conclusions about the value or quality or care," said Ardis Dee Hoven, M.D., president of the AMA, according to the Medical Economics article.

Explore further: AMA provides resources to aid physicians' collections

More information: More Information

Related Stories

AMA provides resources to aid physicians' collections

April 6, 2014
(HealthDay)—The American Medical Association (AMA) has released resources to help doctors confront policy jumpers who may pose a financial risk to physicians during the Affordable Care Act's 90-day premium grace period, ...

AMA supports overhaul of Medicare doctors' pay

February 10, 2014
The American Medical Association says it strongly supports legislation that would change the way Medicare pays doctors, to emphasize quality care and not just sheer volume of services.

CMS implementing physician quality reporting system

June 21, 2013
(HealthDay)—To promote the reporting of quality information by eligible professionals, the Physician Quality Reporting System is being implemented, according to a report from the Centers for Medicare & Medicaid Services ...

Improvements made to CMS online directory of physicians

July 16, 2013
(HealthDay)—The Centers for Medicare and Medicaid Services (CMS) has reworked and redesigned their online directory of physicians (Physicians Compare) after errors were discovered throughout the site.

American medical groups protesting physician cuts

November 25, 2013
(HealthDay)—Medical societies are taking action against the mass cancellations of physicians in Medicare Advantage plans in many states, according to an article published online Nov. 22 in Medical Economics.

CMS: No more delays to ICD-10 implementation deadline

March 3, 2014
(HealthDay)—There will be no more delays to the Oct. 1, 2014, deadline for implementation of the International Classification of Diseases, 10th Revision (ICD-10), according to an article published Feb. 27 in Medical Economics.

Recommended for you

To combat teen smoking, health experts recommend R ratings for movies that depict tobacco use

July 21, 2017
Public health experts have an unusual suggestion for reducing teen smoking: Give just about any movie that depicts tobacco use an automatic R rating.

Aging Americans enjoy longer life, better health when avoiding three risky behaviors

July 20, 2017
We've heard it before from our doctors and other health experts: Keep your weight down, don't smoke and cut back on the alcohol if you want to live longer.

Opioids and obesity, not 'despair deaths,' raising mortality rates for white Americans

July 20, 2017
Drug-related deaths among middle-aged white men increased more than 25-fold between 1980 and 2014, with the bulk of that spike occurring since the mid-1990s when addictive prescription opioids became broadly available, according ...

Parents have critical role in preventing teen drinking

July 20, 2017
Fewer teenagers are drinking alcohol but more needs to be done to curb the drinking habits of Australian school students, based on the findings of the latest study by Adelaide researchers.

Fresh fish oil lowers diabetes risk in rat offspring

July 19, 2017
Fresh fish oil given to overweight pregnant rats prevented their offspring from developing a major diabetes risk factor, Auckland researchers have found.

High-dose vitamin D doesn't appear to reduce the winter sniffles for children

July 18, 2017
Giving children high doses of vitamin D doesn't appear to reduce the winter sniffles, a new study has found.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.