Outlier Practice Patterns in Mohs Micrographic Surgery: Defining the Problem and a Proposed Solution

No abstract is available for this paper.

• Publication year

  2017

• Venue

  JAMA dermatology

• Publication date

  2017-06-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.1001/jamadermatol.2017.1450PMID 28453605PMCID PMC5817605
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Improving Wisely Using Physician Metrics

  2018cited by this paper
• Variation in Physician Spending and Association With Patient Outcomes

  2017cited by this paper
• Physician Peer Comparisons as a Nonfinancial Strategy to Improve the Value of Care.

  2016cited by this paper
• Direct Cost-Analysis of Mohs Micrographic Surgery and Traditional Excision for Basal Cell Carcinoma at Initial Margin Clearance

  2016cited by this paper
• Trends in Mohs Surgery From 1995 to 2010: An Analysis of Nationally Representative Data

  2015cited by this paper
• Consensus for Nonmelanoma Skin Cancer Treatment: Basal Cell Carcinoma, Including a Cost Analysis of Treatment Methods

  2015cited by this paper
• National utilization patterns of Mohs micrographic surgery for invasive melanoma and melanoma in situ.

  2015cited by this paper
• Spending patterns in region of residency training and subsequent expenditures for care provided by practicing physicians for Medicare beneficiaries.

  2014cited by this paper
• Urologists' use of intensity-modulated radiation therapy for prostate cancer.

  2013cited by this paper
• The Role of Medicare Fee-for-Service in Inefficient Health Care Delivery

  2013cited by this paper
• Reply to "Comment on 2012 appropriate use criteria for Mohs micrographic surgery".

  2013cited by this paper
• Mohs Micrographic Surgery Utilization in the Medicare Population, 2009

  2012cited by this paper
• Cost Analysis: Mohs Micrographic Surgery

  2012cited by this paper
• AAD/ACMS/ASDSA/ASMS 2012 Appropriate Use Criteria for Mohs Micrographic Surgery: A Report of the American Academy of Dermatology, American College of Mohs Surgery, American Society for Dermatologic Surgery Association, and the American Society for Mohs Surgery

  2012cited by this paper
• AAD/ACMS/ASDSA/ASMS 2012 appropriate use criteria for Mohs micrographic surgery: a report of the American Academy of Dermatology, American College of Mohs Surgery, American Society for Dermatologic Surgery Association, and the American Society for Mohs Surgery.

  2012cited by this paper
• The 7th edition AJCC staging system for cutaneous squamous cell carcinoma accurately predicts risk of recurrence for heart and lung transplant recipients.

  2012cited by this paper
• Mohs Versus Traditional Surgical Excision for Facial and Auricular Nonmelanoma Skin Cancer: An Analysis of Cost‐Effectiveness

  2009cited by this paper
• Why don't physicians follow clinical practice guidelines? A framework for improvement.

  1999cited by this paper

• Evaluation of Practice Patterns for 6-Sinus Balloon Sinus Dilation.

  2025cites this paper
• Frozen Section Mohs

  2025cites this paper
• National Trends in Repair Type Selection After Mohs Micrographic Surgery: A Benchmark Analysis Using TriNetX.

  2025cites this paper
• Toward Sustainable Dermatology: Cutting Waste, Eliminating Low-Value Care, and Increasing Efficiency.

  2025cites this paper
• Higher socioeconomic status of practice location, urban setting, and mean office visit level of service are associated with higher skin closure costs.

  2025cites this paper
• Balloon Sinus Dilation Use.

  2025cites this paper
• Appropriateness of Care Measures: A Novel Approach to Quality.

  2024cites this paper
• Elliptical Mohs layer to reduce number of Mohs stages and increase clinical efficiency

  2024cites this paper
• A Comparative Analysis of Keratoacanthomas and Cutaneous Squamous Cell Carcinoma Treated with Mohs Micrographic Surgery.

  2024cites this paper
• Dermatologist Characteristics Associated With Outlier Performance of Destruction for Benign Lesions

  2024cites this paper
• Senior Podiatrists in Solo Practice are High Performers of Nail Excisions.

  2024cites this paper
• Factors Influencing Margin Clearance and the Number of Stages of Mohs Micrographic Surgery in Basal Cell Carcinoma: A Retrospective Chart Review

  2024influential citation
• 5-Year Follow-Up of a Physician Performance Feedback Report Intervention to Reduce Overuse and Excess Cost: A National Cohort Study

  2024cites this paper
• Immediate reconstruction of nasal alar defects after malignant skin tumor excision without mohs surgery

  2023cites this paper
• Preoperative evaluation of high-risk basal cell carcinoma with line-field confocal optical coherence tomography (LC-OCT) reduces Mohs micrographic surgery stage number: a case-control study

  2023cites this paper
• High Frequency Ultrasound of Basal Cell Carcinomas: Ultrasonographic Features and Histological Subtypes, a Retrospective Study of 100 Tumors

  2023cites this paper
• Identifying Critical Quality Metrics in Mohs Surgery: A National Expert Consensus Process.

  2023cites this paper
• Years of dermatology experience and geographic region are associated with outlier performance of excision or destruction for nonmelanoma skin cancer

  2023cites this paper
• Operative expectations for Mohs surgery in patients with chronic lymphocytic leukemia: A multicenter retrospective cohort study

  2023cites this paper
• Hospital Volume and Quality of Care for Emergency Gynecologic Care

  2023cites this paper
• Mohs micrographic surgery for keratinocyte carcinomas: clinicopathological predictors of the number of stages

  2023cites this paper
• Second-Intention Healing in Mohs Micrographic Surgery: A Single-Center Academic Experience

  2022cites this paper
• Handheld Optical Polarization Imager Delineates Surgical Margins of Basal Cell Carcinoma

  2022cites this paper
• Predicting Mohs surgery complexity by applying machine learning to patient demographics and tumor characteristics

  2022cites this paper
• Practice Patterns for Mohs Surgeons of Varying Clinical Experience: A Cross-Sectional Analysis of a Medicare Claims Database

  2022cites this paper
• A Peer Data Benchmarking Intervention to Reduce Opioid Overprescribing: A Randomized Controlled Trial

  2022influential citation
• Reinforcement of Key Concepts in Daily Practice Quality Corner:

  2022influential citation
• Survey on the Educational Gap in Dermatologic Procedural Billing and Coding

  2021cites this paper
• Otolaryngologist Characteristics and Outlier Use of Balloon Sinuplasty in the Medicare Population

  2021cites this paper
• Practice Variation in Utilization of Flap or Graft Reconstruction Among Veterans Affairs Surgeons After Extirpation of Keratinocyte Carcinoma on the Nose

  2021cites this paper
• Serial Excision for Treatment of Non-melanoma Skin Cancer

  2021cites this paper
• Giant Darier–Ferrand dermatofibrosarcoma protuberans of the abdomen and pelvis: a case report

  2021cites this paper
• A process evaluation of the improving wisely intervention: a peer-to-peer data intervention to reduce overuse in surgery

  2021cites this paper
• Debulking followed by intralesional 5‐fluorouracil for the treatment of cutaneous squamous cell carcinoma and keratoacanthoma: A retrospective analysis

  2021cites this paper
• Imaging Technologies for Pre-surgical Margin Assessment of Basal Cell Carcinoma.

  2021cites this paper
• Risk Factors That Are Associated With Outliers in Mohs Micrographic Surgery in the National Medicare Population, 2018

  2021influential citation
• Trends in Medicare Reimbursement, Use Rates, and Overall Expenditure for Skin Cancer Procedures: 2012-2017

  2020cites this paper
• Overuse of early peripheral vascular interventions for claudication.

  2020cites this paper
• Characteristics of Opioid Prescriptions by Mohs Surgeons in the Medicare Population.

  2020cites this paper
• Modified Mohs micrographic surgery with rim and deep margin technique

  2020cites this paper
• Presurgical evaluation of basal cell carcinoma using combined reflectance confocal microscopy-optical coherence tomography: A prospective study: Combined Reflectance Confocal Microscopy-Optical Coherence Tomography for Basal Cell Carcinoma.

  2020cites this paper
• Machine Learning and the Future of Medicare Fraud Detection.

  2020cites this paper
• Dual-Wavelength Optical Polarization Imaging for Detecting Skin Cancer Margins.

  2020cites this paper
• Discrete-event simulation and scheduling for Mohs micrographic surgery

  2020influential citation
• Skin Biopsy and Skin Cancer Treatment Utilization in the Medicare Population, 1993-2016.

  2020cites this paper
• Review of Geospatial Technology for Infectious Disease Surveillance: Use Case on COVID-19

  2020cites this paper
• Analysis of Outlier Nail Biopsy Practice Patterns in the Medicare Provider Utilization and Payment Database 2012-2017.

  2020cites this paper
• Commentary on A Systematic Review of Mohs Micrographic Surgery in the treatment of Invasive Cutaneous Fungal Infections.

  2020cites this paper
• Safety and Efficacy of Mohs Micrographic Surgery in Children and Adolescents: A Systematic Review.

  2019cites this paper
• Future considerations for clinical dermatology in the setting of 21st century American policy reform: Corporatization and the rise of private equity in dermatology.

  2019cites this paper
• Current controversies in mohs micrographic surgery.

  2019cites this paper
• Outcomes of Mohs Micrographic Surgery at the American Society for Dermatologic Surgery International Traveling Mentorship Program International Mohs Fellowship Recognition Units: A Retrospective Survey of 5889 Cases From South Africa, Romania, and the Netherlands.

  2019cites this paper
• Trends in Medicare Billing Among Mohs Surgeons in the United States During 2012: A Retrospective Cohort Study

  2019cites this paper
• Significant physician practice variability in the utilization of endovenous thermal ablation in the 2017 Medicare population.

  2019cites this paper
• Insurance Reimbursements for Routinely Recommended Adult Vaccines in the Private Sector.

  2019cites this paper
• Insurance reimbursements for human papillomavirus vaccination in the private sector, 2007–2014

  2019influential citation
• Assessment of Use of Arteriovenous Graft vs Arteriovenous Fistula for First-time Permanent Hemodialysis Access.

  2019cites this paper
• Physicians Respond to Accurate, Actionable Data on Their Performance.

  2019cites this paper
• Evaluation of a Peer-to-Peer Data Transparency Intervention for Mohs Micrographic Surgery Overuse.

  2019cites this paper
• Cutaneous Carcinosarcoma of the Medial Canthus Discovered on Mohs Debulk Analysis.

  2019cites this paper
• Surgeon Re-Excision Rates after Breast-Conserving Surgery: A Measure of Low-Value Care.

  2019cites this paper
• Clinical Characteristics of Basal Cell Carcinoma in African Americans: A 10-Year Retrospective Review at a Single Academic Institution

  2019cites this paper
• Opioid Prescribing Patterns After Micrographic Surgery: A Follow-up Retrospective Chart Review

  2019cites this paper
• Association Between Board Certification, Maintenance of Certification, and Surgical Complications in the United States

  2019cites this paper
• Single Institution Review of Mohs Surgery for Vulvar Neoplasms.

  2019cites this paper
• Topical timolol for Kaposi sarcoma: An innovation

  2018cites this paper
• Volume outlier benchmark proposal for Australian Mohs surgery

  2018influential citation
• The Impact of Price Transparency for Surgical Services

  2018cites this paper
• Clinical features and repair options for nonmelanoma skin cancers of the eyebrow

  2018cites this paper
• Avoiding and Managing Medicare Fraud and Abuse Investigations of Mohs Surgery: Mohs in the Crosshairs.

  2018cites this paper
• Collagen disruption as a marker for basal cell carcinoma in presurgical margin detection

  2018cites this paper
• Incorrect P Value in Table 3.

  2017cites this paper
• Validation and Application of the Webb and Rivera Score in the Academic Setting

  2017cites this paper