E/M Coding: Use CBR Insight to Back Up Your Claims

Why This Topic Matters

Benchmarking can help practices spot unusual billing patterns before they become compliance problems or audit issues. Understanding the kinds of comparative reports available and how they fit into routine oversight can improve internal review processes.

Article Sections

1. See Where Your Practice Falls

   This section discusses comparing a practice’s billing patterns with specialty and geographic peers using Medicare comparative data. It focuses on using the information as a broad benchmark for internal review.

2. Pull Charts at Random for Best Audit Results

   This section covers the use of random chart review as part of a self-audit process. It also addresses how documentation review and claim review fit into broader compliance monitoring.

3. Measure Your Stats Against Local Peers

   This section describes comparing coding patterns among clinicians within the same practice. It emphasizes using internal variation to identify areas for review and education.

4. Don’t Forget to Mobilize Your EHR for Benchmarking, Too

   This section explains that practice systems and EHR reporting can support auditing and benchmarking efforts. It focuses on using system-generated utilization data for practice-wide review.