Penny Mohr, MS

Phone: 301.656.7401
Fax: 301.654.0629

NORC Walsh Center for Rural Health Analysis
7500 Old Georgetown Road, Suite 600
Bethesda, MD 20814

Completed Projects - (5)

Publications - (3)

  • Establishing a Fair Medicare Reimbursement for Low-Volume Rural Ambulance Providers
    NORC Walsh Center for Rural Health Analysis
    Date: 07/2001
    This National study of ambulance transport costs looks at the advantages and disadvantages of several options for Medicare to compensate low-volume rural ambulance providers. Results show that many low-volume rural volunteer EMS providers will benefit from the new Medicare fee schedule.
  • Federal Funding for Emergency Medical Services
    NORC Walsh Center for Rural Health Analysis
    Date: 07/2002
    Includes recent trend data from 1994 to the present on aggregate Federal spending on EMS and funding targeted explicitly to rural areas. Also discusses the role various Federal agencies have played and traces the history of Federal legislation to support EMS programs. Activities funded under Title XII of the Public Health Service Act. Discussion of pending EMS-related legislation and future goals specified by the agencies included in the study. Report available by contacting the Center.
  • Quality of Medicare Outpatient Claims Data and Its Implications for Rural Outpatient Payment Policy
    NORC Walsh Center for Rural Health Analysis
    Date: 12/2001
    Analyzes Medicare outpatient claims to see if relatively poor quality of small rural hospitals' claims data have amplified the negative effects of the new payment system on small hospitals. Compares three indicators of quality across urban, rural, and small rural hospitals: 1) proportion of claims with missing procedure codes, 2) proportion of claims with multiple procedures codes, and 3) proportion of "low-intensity" versus higher intensity evaluation and management or emergency room services. Finds no significant differences among urban, rural, and low-volume rural hospitals with respect to missing codes; urban hospitals were more likely to have multiple codes; and small rural hospitals were substantially more likely to submit low intensity claims. Study does not refute the possibility that undercoding played a role in CMS's forecasts of negative impact of the outpatient PPS for small rural hospitals. Report available on request by contacting the Center.