Data Analysis

NOTICE: The payment penalty phase will not begin January 1, 2023 even if the PHE for COVID-19 ends in 2022. Until further notice, the educational and operations testing period will continue. CMS is unable to forecast when the payment penalty phase will begin.

NOTICE: All CDSMs and PLEs qualified as of July 2022 will remain qualified through this cycle. Applications for initial qualification or re-qualification will not be accepted for the 2023 application cycle.

During the CY 2017 Physician Fee Schedule (PFS) rulemaking cycle, the following data were made available to stakeholders to inform their review of priority clinical area proposals. The first list of priority clinical areas was established in the CY 2017 PFS final rule.

Medicare Claims Data Methodology and Background (PDF)

CMS engaged the MITRE Corporation (MITRE), which is a CMS Alliance to Modernize Healthcare (CAMH) Federally Funded Research and Development Center (FFRDC) contractor, to begin developing efficient and effective processes for managing current and future health technology assessments. MITRE generated an independent report that presents a summary of findings from 2014 Medicare claims data and utilization of advanced imaging procedures.

Page Last Modified:
10/25/2022 04:01 PM