Medicare’s 2017 Physician Utilization Database

The Physician and Other Supplier Public Use File (PUF) provides information on services and procedures provided to Medicare beneficiaries by physicians and other healthcare professionals. The Physician and Other Supplier 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 place of service. This PUF is based on information from CMS administrative claims data for Medicare beneficiaries enrolled in the fee-for-service program. The data in the PUF covers calendar year 2017. The interactive database can be found at:

 2017 Interactive Dataset: Medicare Physician and Other Supplier PUF

HBP also creates customized reports for pathology and other specialties based on the twenty-six fields of the database, including HCPCS code, state and place of service. Interested in what others in your city/state are charging? This information is available by procedure code.

Contact us for additional information.

VIEW SAMPLE REPORT  PAGES 

HBP Announces Panel of National Pathology Leaders (PNPL)

PRESS RELEASE – Panel of National Pathology Leaders – June 2019 – FINAL

HBP Services, Inc., and McDonald Hopkins, LLC, are pleased to announce the formation of the Panel of National Pathology Leaders (PNPL), a national think tank dedicated to advancing best practices and creating value-based business solutions for Pathology groups. The group’s inaugural strategy session was held in Miami in March 2019, and a subsequent planning meeting took place in New Orleans at the end of April.

The mission of PNPL is to develop innovative strategies and solutions for the Pathology and lab medicine industry in response to operational and financial challenges, and to demonstrate value in an increasingly value-based healthcare delivery system. PNPL will work collaboratively with existing Pathology and laboratory associations on issues of common concern.

To learn more, please contact Allegra Klein at aklein@hbpworld.com

2019 Executive War College

HBP’s Senior Reimbursement Consultant, Robert Tessier, participated in two sessions at the 2019 Executive War College in New Orleans:

  1. “Negotiating Win-Win Part A Pathology Contracts with Hospitals and Health Networks: Best Approaches to Adding At-Risk Incentives that Deliver Value, Establishing Commercially Reasonable Arrangements, and Determining Fair Market Value for Part A Services” – Presenter, May 1, 2019
  2. “Anatomic Pathology Groups and Their Labs: Effective Strategies for Maintaining Clinical Excellence and Financial Stability During Disruptive Times – Panelist, April 30, 2019

If you would like a copy of Bob’s presentation, please email info@hbpworld.com