AMA CPT® Assistant - 1996 Issue 10 (October)
1994 Medicare Procedure User File: Selected Statistics (October 1996)
October 1996 pages 5-7 Coding Communication 1994 Medicare Procedure User File: Selected Statistics The following information presents selected statistics from the 1994 Medicare Procedure User File (MPUF). The 1994 MPUF summarizes HCFA data for Medicare physician/supplier services processed by Medicare Part B carriers for calendar year 1994. The HCFA data are edited and trimmed to create the MPUF. The tables below provide information on Medicare physician payment schedule services. These are codes that are active or carrier-priced under the Medicare payment schedule as defined in the December 2, 1993, Federal Register and anesthesia services. Part B services that are...
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Article Overview
This article summarizes selected 1994 Medicare Procedure User File statistics for Medicare Part B physician and supplier services. It is useful for coding, reimbursement, and policy audiences who want a high-level view of how Medicare charges were distributed across service categories, specialties, and major procedure groups, as well as the scope of the underlying payment schedule data.
Why This Topic Matters
The article helps readers understand which broad types of services and specialties accounted for most Medicare allowed charges in 1994 and how the dataset was organized for analysis. It is most relevant for anyone studying historical Medicare coding patterns, payment-schedule utilization, or specialty-level service mix.
Article Sections
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October 1996 pages 5-7
Publication context and the source pages for the Medicare Procedure User File summary.
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Coding Communication
Introductory framing for the statistical report and its Medicare coding focus.
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1994 Medicare Procedure User File: Selected Statistics
Overview of the data source, scope, and kinds of Medicare physician payment schedule information included in the tables.
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Total Medicare Charges
Summary of overall allowed charges and the concentration of charges across procedures.
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Accounting for Medicare Charges
Discussion of how allowed charges are distributed among the most frequently used codes.
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Charges by Type of Service or Code
Breakout of allowed charges by broad service categories and grouped code ranges.
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Charges by Specialty
Distribution of charges across specialties and provider types included in the Medicare data.
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Breakout of Total Charges
Summary of charge mix across conversion-factor categories and provider groups.
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Tables
Presentation of the statistical tables supporting the article’s Medicare charge analysis.
What You Will Learn
- How the 1994 Medicare Procedure User File was compiled and summarized
- What broad categories of services were included in the analysis
- How charges were concentrated among frequently used procedures
- How the data were grouped by specialty and provider type
- How the article presents Medicare payment schedule utilization in tabular form
Who Should Read This
- Medical coders
- Billing and reimbursement professionals
- Health policy analysts
- Practice administrators
- Researchers studying historical Medicare utilization
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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