Hospital outpatient department billing is a poor indicator of primary care practice integration with hospital systems
Saumya Chatrath,
Eugene C. Rich,
Ann S. O'Malley
et al.
Abstract:ObjectiveTo test the reliability of Medicare claims in measuring vertical integration. We assess the accuracy of a commonly used measure of integration, primary care physician (PCP) practices billing Medicare as a hospital outpatient department (HOPD) in claims.Data Sources and Study SettingMedicare fee‐for‐service claims, IQVIA, and CPC+ practice surveys for this study.Study DesignWe compare measures of integration from Medicare claims to self‐reported indicators of integration from IQVIA and a survey of CPC+… Show more
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