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September 2026 - Data Release Notes

Latest updates to the data powering MedScout.

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Written by MedScout Support

Commercial data is now current through: 9/8/26
Medicare FFS data is now current through: 6/30/26

  • Payer coverage

    • More observed patients for several payers, including Highmark BCBS, Anthem BCBS, and more.
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  • Site of Care

    • Site of care membership updated to better consolidate billing entities, using a new organizational mapping layer.

    • Site types are now more accurate

      • More ASCs classified, fixes for "Hospitals" that are not truly Hospitals

    • More intelligent campus mapping ensures separate entities with different ownership remain as their own sites

    • More consistent system-level mapping of bed counts

      • MedScout now uses staffed beds, instead of licensed, as our metric

    • Site of Care names are cleaner and more accurate

  • Centralized Billing

    • Better site attribution for Anesthesiology and Radiology claims - Anesthesiologists are assigned to the hospital where they practice, not the location of their billing group.

    • Encounters searches now use same centralized billing logic as other searches

  • Reimbursement

    • We now account for Professional fees that are bundled into Institutional claims (revenue codes 096X-098X)

    • Minimum of 30 rates (by Payer and code) required to be surfaced

    • TC and 26 classified respectively as physician and institutional fees

    • Stricter overall thresholds on outlier payments

  • Medicare FFS Mapping

    • More Medicare volumes mapped for 9xxxx CPT codes.

  • Referrals

    • New fallback site tier for referrals, meaning better referral mapping for sites

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