Benchmarking: Find Out If Your NPs’ High-Level E/M Reporting Is Above Average

Why This Topic Matters

High-level evaluation and management claims are often scrutinized in audits, so comparing local billing patterns with national benchmarks can help practices identify potential documentation and reporting concerns before they become compliance issues.

Article Sections

1. Check the Percentage of Allowed Units

   This section describes one benchmark metric used to compare high-level evaluation and management utilization across nurse practitioner claims. It outlines the general method used to calculate the percentage and notes how practices can use national averages for comparison.

2. See the Percentage of Beneficiaries Who Received Level 4 and 5 Visits

   This section covers a second benchmark metric that evaluates how often beneficiaries received higher-level evaluation and management services. It also discusses the broader compliance context and the importance of aligning documentation with the reported service level.