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42 U.S.C. § 1395w-6 - U.S. Code - Unannotated Title 42. The Public Health and Welfare § 1395w-6. Empowering beneficiary choices through continued access to information on physicians' services

Current as of January 01, 2024 | Updated by Findlaw Staff

(a)In general

On an annual basis (beginning with 2015), the Secretary shall make publicly available, in an easily understandable format, information with respect to physicians and, as appropriate, other eligible professionals on items and services furnished to Medicare beneficiaries under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.).

(b)Type and manner of information

The information made available under this section shall be similar to the type of information in the Medicare Provider Utilization and Payment Data: Physician and Other Supplier Public Use File released by the Secretary with respect to 2012 and shall be made available in a manner similar to the manner in which the information in such file is made available.

(c)Requirements

The information made available under this section shall include, at a minimum, the following:

(1) Information on the number of services furnished by the physician or other eligible professional under part B of title XVIII of the Social Security Act (42 U.S.C. 1395j et seq.), which may include information on the most frequent services furnished or groupings of services.

(2) Information on submitted charges and payments for services under such part.

(3) A unique identifier for the physician or other eligible professional that is available to the public, such as a national provider identifier.

(d)Searchability

The information made available under this section shall be searchable by at least the following:

(1) The specialty or type of the physician or other eligible professional.

(2) Characteristics of the services furnished, such as volume or groupings of services.

(3) The location of the physician or other eligible professional.

(e)Integration on Physician Compare

Beginning with 2016, the Secretary shall integrate the information made available under this section on Physician Compare.

(f)Definitions

In this section:

(1)Eligible professional; physician; Secretary

The terms “eligible professional”, “physician”, and “Secretary” have the meaning given such terms in section 1395w-5(i) of this title.

(2)Physician Compare

The term “Physician Compare” means the Physician Compare Internet website of the Centers for Medicare & Medicaid Services (or a successor website).

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Cite this article: FindLaw.com - 42 U.S.C. § 1395w-6 - U.S. Code - Unannotated Title 42. The Public Health and Welfare § 1395w-6. Empowering beneficiary choices through continued access to information on physicians' services - last updated January 01, 2024 | https://codes.findlaw.com/us/title-42-the-public-health-and-welfare/42-usc-sect-1395w-6/

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