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Centers for Medicare & Medicaid Services Quality Payment Program
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Additional Procedures Data Now Available on Medicare.gov Compare Tool

 

Topics:

* CMS adds new procedures to gov compare tool
* Background on procedure volume data public reporting
* List of procedures added in July 2024
* Additional resources

*CMS adds new procedures to Medicare.gov compare tool*

As part of the Centers for Medicare & Medicaid Services’ (CMS) ongoing effort to inform patients and caregivers about clinicians’ experiences, CMS has added new procedures to the utilization data on the Medicare.gov compare tool’s [ https://www.medicare.gov/care-compare/ ] profile pages for doctors and clinicians.

*Background on procedure volume data public reporting*

In January 2024, CMS added the first procedure volume data [ https://data.cms.gov/provider-data/topics/doctors-clinicians ] file with information for 12 procedures publicly reported on Medicare.gov compare tool profile pages for doctors and clinicians:


* Hip replacement
* Knee replacement
* Spinal fusion
* Cataract surgery
* Colonoscopy
* Hernia repair – groin (open)
* Hernia repair (minimally invasive)
* Mastectomy
* Coronary artery bypass graft (CABG)
* Pacemaker insertion or repair
* Coronary angioplasty and stenting
* Prostate resection

*List of procedures added in July 2024*

The July 2024 release expands the list of procedures to include:


* Upper endoscopy
* Arthroscopy – upper extremity
* Arthroscopy – lower extremity
* Varicose vein ablation
* Laminectomy/laminotomy (lumbar)
* Lower limb revascularization

The procedures added to profile pages were performed by doctors and clinicians for Original Medicare and Medicare Advantage patients in the previous 12 months, after allowing a three-month claim processing period (for example, claims for dates of service occurring between January 1, 2023, and December 31, 2023, that were processed by April 1, 2024). CMS will continue to add more procedures to Medicare.gov compare tool profile pages periodically, as feasible.

*Additional resources*

The “Utilization (Procedure Volume) Data Published on the Compare Tool on Medicare.gov July 2024 [ https://www.cms.gov/files/document/utilization-procedure-volume-data-published-compare-tool-medicaregov-fact-sheet-july-24-38664-kb.pdf ]” fact sheet (PDF, 386.64 KB) on the Care Compare: Doctors and Clinicians Initiative page [ https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/care-compare-dac-initiative ] provides the full list of procedures and background information about CMS’ reporting of procedure volume data. The current procedure volume data file is available as part of the doctors and clinicians datasets [ https://data.cms.gov/provider-data/search?theme=Doctors%20and%20clinicians ].

If you have any questions about public reporting for doctors and clinicians on the Medicare.gov compare tool [ https://www.medicare.gov/care-compare/ ], contact the Quality Payment Program (QPP) Service Center by email at QPP@cms.hhs.gov, by creating a QPP Service Center ticket [ https://cmsqualitysupport.servicenowservices.com/ccsq_support_central ], or by phone at 1-866-288-8292 (Monday-Friday, 8 a.m. - 8 p.m. ET).

People who are deaf or hard of hearing can dial 711 to be connected to a Telecommunications Relay Services (TRS) Communications Assistant. 

QPP Footer 2023 [ https://qpp.cms.gov/resources/help-and-support ]


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