General Surgery Coding Alert - 2019 Issue 15
See If Your State Is in the Top Ranks
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Article Overview
This article presents a high-level review of state-by-state comparative billing data released by RELI Group Inc. It is aimed at readers who monitor Medicare billing trends, utilization patterns, and geographic outliers. The article focuses on broad comparative statistics for a small set of billing measures and points readers to the underlying report for more detail.
Why This Topic Matters
Understanding how a state compares with national and peer-state billing patterns can help compliance, auditing, and revenue integrity teams identify unusual trends and areas that may warrant closer review.
What You Will Learn
- How the article frames state-level comparative billing patterns
- Which broad Medicare Part B metrics are highlighted
- How the report presents high and low state comparisons
- Where to find the referenced comparative billing report
Who Should Read This
- Medical coders
- Compliance auditors
- Revenue integrity professionals
- Healthcare administrators
- Payer policy analysts
Codes Discussed
Modifiers Discussed
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