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CMS Releases New Utilization & Payment Data for Medical Equipment & Supplies

Thursday, October 08, 2015  
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CMS Releases New Utilization & Payment Data for Medical Equipment & Supplies

As a part of their ongoing efforts to provide greater transparency around Medicare data, the Centers for Medicare and Medicaid Services (CMS) recently released new data sets as a 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 on physicians and other healthcare professionals who referred DMEPOS products and services for Medicare beneficiaries. 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.

 

The data provides information on the more than 385,000 Medicare providers who referred beneficiaries for DMEPOS products and services in Calendar Year (CY) 2013, representing over 100 million claims and $11 billion in Medicare-allowed amounts.

 

To view more information and a fact sheet on the Referring Provider DMEPOS PUF, please click here. To view a press release, announcing the data release, please click here