decisionhealth Newsletters, Part B News - 2008 Issue 11 (November)
Physician resource use reports won't be used against you
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Article Overview
This article explains CMS’s Physician Resource Use Feedback program, including its pilot rollout, the kinds of claims-based information used to create resource use reports, and the agency’s stated privacy and transparency goals. It is relevant to physicians, medical practice administrators, and coding or compliance professionals who want to understand how the program is being introduced and what categories of data are being analyzed.
Why This Topic Matters
The article matters because it describes an early CMS initiative tied to physician performance and resource use measurement, which could affect how practices view claims data, benchmarking, and future reporting. It also provides context for how the program was being phased in through pilots and how CMS framed the relationship between cost and quality information.
What You Will Learn
- What CMS’s Physician Resource Use Feedback program is intended to do
- How the report data are described at a high level
- How the program was being introduced through pilot sites
- What CMS said about confidentiality, benchmarking, and transparency
- Why physicians and practices might care about resource use reporting
Who Should Read This
- Physicians
- Medical practice managers
- Medical coders
- Compliance staff
- Health policy readers
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