Is your Medicare billing information being released?

The answer is “yes.”

The government is committed to shining a light on what used to be private billing information.

In April 2014, the government released the Medicare billing information for all doctors. The information surprised many patients and doctors.  For the first time, CMS released utilization and payment data to the public so patients could see how much doctors got paid and how often they were ordering tests and procedures.

Many doctors have complained that the data is being misinterpreted by the public since it is released in a raw data format.  CMS does not intend to stop looking at the data and releasing the information.

The initial data showed that only a tiny fraction of the 880,000 doctors and healthcare providers are receiving the majority of the $77 billion Medicare payments.  4,000 doctors received over $1 million dollars from Medicare in 2012.  One single Florida ophthalmologist received over $21 million in one year.

What does this mean to doctors going forward?

  1. Your billing information is now being reviewed by more people than ever.
  2. Make sure you are billing all insurance companies correctly.
  3. Be sure to review the reports you receive comparing you to your peers.  Know if you are an outlier.
  4. Keep current on your compliance audits to make sure you are billing correctly.

If you or your entity needs assistance with compliance and billing issues, please do not hesitate to contact our office – we can help.  For assistance CLICK HERE.

Get “News You Can Use” delivered directly to your e-mail inbox. Click here to Subscribe.

Related Posts


Recent Posts

Breaking: New Self-Disclosure Policy
March 21, 2023
What is a Power of Attorney?
March 16, 2023
Can Your EHR Template Land You in Prison?
March 14, 2023
What Happens When You Don’t Fund Your Trust?
March 9, 2023
What is the Cost of a Data Breach?
March 7, 2023


Enter your email to subscribe now and receive your FREE HIPAA Risk Assessment book!

An essential tool for all healthcare providers, Easy Guide to HIPAA Risk Assessments breaks down the requirements of HIPAA so you can successfully complete your required risk assessment.


Get it now for FREE (an $8.99 value!)

One more step! Please check your email to confirm your subscription and receive your FREE book!