Clinical Edge

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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.
Citation:

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.

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