Medical Review of Claims / 5 Tips for Using Comparative Performance Reports

Article Overview

This article discusses how Medicare carriers use comparative performance reports to monitor evaluation and management service utilization and compare physicians with their specialty and locality peers. It is aimed at physicians, practice managers, and coding staff who need to understand why these reports are issued, what broad areas of documentation and claim review they raise, and how practices can respond to potential review activity. The article covers the general purpose of the reports, the types of information they summarize, and broad practice management steps for follow-up.