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The Hospital Price Transparency Enforcement Activities and Outcomes dataset contains information related to enforcement actions taken by CMS following a compliance review of a hospital's obligation to establish, update…
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The Accountable Care Organization (ACO) REACH Providers Public Use File (PUF) data details Participant Providers and Preferred Providers in the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC)…
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Accountable Care Organization (ACO) REACH Eligible Beneficiary Public Use File (PUF) data details Medicare Beneficiaries who were used as the reference population for comparison to aligned to the ACO REACH Model,…
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The Medicare Current Beneficiary Survey (MCBS) - Cost Supplement File Microdata Public Use File (PUF) dataset provides information on expenditures and payment sources for all services used by Medicare beneficiaries,…
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This reference provides significant summary information about health expenditures and the Centers for Medicare & Medicaid Services' (CMS) programs. The information presented was the most current available at the…
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The Medicare COVID-19 Hospitalization Trends dataset contains aggregate information from Medicare Fee-for-Service claims, Medicare Advantage encounter, and Medicare enrollment data. It provides insight around the groups…
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A provider level summary of Inpatient Prospective Payment System (IPPS) discharges, average charges and average Medicare payments for the Top 100 Diagnosis-Related Groups (DRG)
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Decisions issued by Administrative Law Judges of the Departmental Appeals Board's Civil Remedies Division concerning fraud and abuse determinations by the Office of the Inspector General (OIG) or the Centers for…
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Decisions of the Departmental Appeals Board's Medicare Appeals Council involving claims for entitlement to Medicare and individual claims for Medicare coverage and payment filed by beneficiaries or health care…
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Decisions of the Departmental Appeals Board's Medicare Appeals Council involving claims for entitlement to Medicare and individual claims for Medicare coverage and payment filed by beneficiaries or health care…
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Decisions issued by the Chair and Board Members of the Departmental Appeals Board concerning determinations in discretionary, project grant programs, including disallowances, terminations and denials of refunding, cost…
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This data set provides information about the appeals received by the Office of Medicare and Hearings for Fiscal Year 2005 - 2012.
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To inform the HHS, Congress, and the public about the efficiency, effectiveness, and integrity of HHS programs and to recommend actions to promote those goals.
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Decisions issued by the Chair and Board Members of the Departmental Appeals Board concerning determinations in discretionary, project grant programs, including disallowances, terminations and denials of refunding, cost…
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Our objective is to ensure that providers who bill Federal health care programs do not submit claims for services furnished, ordered or prescribed by an excluded individual or entity. The LEIE is updated monthly with…
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The HPSAs Eligible for the Medicare Physician Bonus Payment advisor tools allows the user (physician) to determine if an address is eligible for bonus payments. Medicare makes bonus payments to physicians who provide…
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The Pioneer Accountable Care Organization (ACO) Model Public Use File (PUF) provides information on ACOs participating in the model. This dataset includes information on each ACO regarding beneficiaries, financial and…
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The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator 11 (PSI-11) Measure Rates dataset provides information on provider-level measure rates regarding one preventable complication (postoperative…
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This blog post was posted on May 6, 2016.
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This blog post was posted by Cara James on April 20, 2016. It was written by Cara V. James, Ph.D., Director of the Office of Minority Health at the Centers for Medicare and Medicaid Services