Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Trends in Medicare Billing Among Mohs Surgeons

Dermatolog Surg; ePub 2018 Sep 7; Tsai, et al

There is significant variability in practices of Mohs micrographic surgeons in the US, according to a recent retrospective cohort study of the 2012 Medicare Physician and Other Supplier Public Use Files, which includes all physicians who billed Medicare for Mohs micrographic surgery. Researchers found:

  • There were 2,067 physicians who billed Medicare for MMS in 2012.
  • American College of Mohs Surgery (ACMS) members took a significantly higher average number of head and neck (H&N) and trunk layers compared with American Society for Mohs Surgery (ASMS) members and those with no membership.
  • Male surgeons, surgeons with more experience (≥21 years), surgeons in private practice, and those practicing in rural populations closed a significantly greater proportion of cases with flaps or grafts, as compared to females, those with less experience (<21 years), surgeons in academic practice, and those practicing in urban or cluster populations, respectively.

Tsai S, Kooistra LJ, Conic RZ, Bordeaux JS. Trends in Medicare billing among Mohs surgeons in the United States during 2012: A retrospective cohort study. [Published online ahead of print September 7, 2018]. Dermatolog Surg. doi:10.1097/DSS.0000000000001665.