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New Medicare Utilization & Payment Data Available For Medical Equipment, Supplies

Posted on Friday, October 9, 2015 10:59 AM

As part of the Administration's efforts to make healthcare more transparent, affordable, and accountable, CMS has posted a new data set as part of the Provider Utilization and Payment files. This data set, called Referring Provider Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Public Use File (PUF), provides information healthcare professionals who referred DMEPOS products and services, such as wheelchairs, walkers, and diabetes supplies for Medicare beneficiaries. “The data set made available today is part of a wider set of initiatives by the Administration to achieve better care, smarter spending, and healthier people throughout our health care system,” said Acting CMS Administrator Andrew Slavitt. “CMS is providing this data to support insight and innovations in health care delivery.” The Referring Provider DMEPOS PUF contains information on utilization, payment (allowed amount and Medicare payment), and submitted charges organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code and supplier rental indicator. This PUF was created from CMS administrative claims data for Medicare beneficiaries enrolled in the fee-for-service program available from the CMS Chronic Condition Data Warehouse. Click here to read more.

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