MEPS Medical Expenditure Panel Survey
Medical Care Provider Participants’ Corner
Medical Care Provider FAQs
1. Why should medical care providers
participate?
2. How are medical care providers chosen for the
MEPS Medical Provider Component?
3. Why didn’t you get all of the
information needed from the patient? Why collect
information from the medical care providers?
4. How are medical care providers contacted?
5. How long will it take to provide the needed
information?
6. Will the medical care providers be compensated
for providing this information?
7. Will a medical care provider be contacted more
than once?
8. What specific information is needed from
medical care providers?
1. Why should medical care providers
participate?
Your participation will contribute to an important
effort to develop an accurate and comprehensive
picture of health care expenditures in the United
States. The availability and cost of health care is an
issue of major concern to individuals and families, to
employers, to health care providers, and to public and
private policy-makers across the country. For private
planning as well as for public policy decisions, we
all benefit from having accurate information available
to inform our deliberations. By signing the MEPS
Authorization Form, participants have asked you to
share their data with the study.
2. How are medical care providers chosen for
the MEPS Medical Provider Component?
Medical care providers are identified by participants
in the MEPS Household Component as sources from which
they received health care. These household
participants have signed HIPAA-compliant forms
authorizing and requesting each of their medical care
providers to release the information sought by the
study. Practitioners who provide services within the
hospital but bill separately from the hospital are
identified by the participating hospitals.
3. Why didn’t you get all of the
information needed from the patient? Why
collect information from the medical care
providers?
It is often difficult for people to answer questions
about the specific health care services they receive
and about the cost of those services, which are often
paid in full or in part by third party sources. We
contact medical care providers to give us information
to supplement and verify the information provided by
household participants.
4. How are medical care providers
contacted?
Most medical care providers are contacted by
telephone, after which a clerk in the
respondent’s doctor’s office or hospital
provides the information requested.
5. How long will it take to provide the needed
information?
It usually takes between 5 and 10 minutes per patient.
The time it takes generally depends on how many
medical events are asked about and the accessibility
of the medical provider’s records.
6. Will the medical care providers be
compensated for providing this information?
Although compensation is typically not provided to
medical provider participants, the study will
reimburse reasonable charges for staff time spent
responding to our request and/or for copying and
mailing costs.
7. Will a medical care provider be contacted
more than once?
It is possible that a medical care provider will be
contacted more than once to clarify a response and/or
to ask about other MEPS respondents/patients. Because
MEPS is a continuous on-going survey where
participants are in the study for about 2 years and
each year brings in a new sample of participants, a
provider may also be contacted again in future years
if it is identified as a continued source of medical
care by current MEPS household participants or
identified as a source of medical care by new MEPS
household participants.
8. What specific information is needed from
medical care providers?
For each patient, we need information about services
provided during a specific calendar year. For each
event of service, we need:
- the date of service
- diagnoses (ICD-10 or DSM 5 codes)
-
services provided (CPT-4, DRG, or other relevant
codes)
- full established charge
-
method of reimbursement (fee-for-service or
capitated)
- sources that paid for the service
- amount paid by each source
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