tci Medicare Compliance & Reimbursement - 2018 Issue 1

Benchmarking: How Will Your 99285 Claims Stack Up in an Audit?

Location may be a factor in higher levels of emergency department claims. Are you curious about how your practice compares to those of other clinicians in your specialty? A new Comparative Billing Report (CBR) from Palmetto GBA has the details to help you measure your stats against those of other providers nationwide, particularly when it comes to reporting high-level E/M codes in the emergency department (ED). Background: In its recently released CBR, Part B MAC Palmetto GBA focused on claims issues, trends, and benchmarks that the payer has seen for Medicare providers who bill emergency medicine codes, particularly CPT®...

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