Author Archives: Medical Coding Analytics

About Medical Coding Analytics

Founded by a physician and technologist with over 20 years of medical practice experience, the focus for Medical Coding Analytics is to provide data analytic information on healthcare costs and outcomes. "Knowledge is power. Information is liberating. Education is the premise of progress, in every society, in every family." -- Kofi Annan

HCC Bucket Analytics by Risk Adjusting ICD10 codes from Clinical Text

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HCC bucket analytics on HIE data

REPORT: Number of terms searched 105 Bucket Term Count Diabetes Diabetes 23 CHF ECHO 2 PVD ABI 3 PVD Vascular 30 PVD PAD 1 PVD Atherosclerosis 2 PVD Ulcers 8 PVD calcification 3 MDD Depression 26 Substance Dependence Alcohol 44 … Continue reading

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Medicare Payments Profile for a Wound Care Practice

Wound_Care_Practice

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Which States Are Friendliest to Independent Practice?

In choosing a state in which to set up a practice, physicians should study tax and regulatory policy, writes third-year family medicine resident Philip Eskew, D.O., J.D., M.B.A. The winter issue of the Journal of American Physicians and Surgeons features … Continue reading

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Summary of Medicare Payments to Ohio Internal Medicine Physicians

By quartile of total revenue and category of services.  Same analysis as applied to Family Physicians.  Internal Medicine physicians tend to perform a wider range of different types of services.

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Summary of Medicare Payments to Family Physicians in Ohio

This graph breaks down the average billing category revenue amounts by Quartile of Total Revenues for Family Physicians in Ohio for 2012.  (This is not a “per provider” average, but an average revenue earned by providers providing that service in … Continue reading

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Service Intensity and Physician Income

Service Intensity and Physician IncomeConclusions From Medicare’s Physician Data Release ONLINE FIRST Jonathan Bergman, MD, MPH1,2,3; Christopher S. Saigal, MD, MPH1,3,4; Mark S. Litwin, MD, MPH1,5 [+] Author Affiliations JAMA Intern Med. Published online December 08, 2014. doi:10.1001/jamainternmed.2014.6397 Text Size: A A A http://archinte.jamanetwork.com/article.aspx?articleid=1984245 Results: These data … Continue reading

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Quartiles of Medicare Revenue for Family Physicians in Ohio

Broken down by quartiles of total Medicare revenues (from the 2012 payments dataset),  the top 25% of Family Physicians in Ohio received between $100k to $521k  in payments. The bottom 75% of Family Physicans recieved less than $100k in payments … Continue reading

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The Medicare 2012 Payments Dataset has wealth of information

This payments dataset contains information identifying the healthcare provider (name, address, credentials, provider_type, Medicare Participation status) and  detailed information about every Medicare procedure code payment connected to these providers (HCPCS code, number of services, number of unique beneficiaries serviced, and … Continue reading

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Mission Statement

CPT(*) or HCPCS procedural coding is how physicians and healthcare providers are paid.  Up until about 2014, physicians and healthcare providers have had only limited access to information about coding and payments. The release of the  9 million line Medicare … Continue reading

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