tci Medicare Compliance & Reimbursement - 2022 Issue Q3

Reader Questions: Utilize Free Medicare Billing Advice

Question: Our primary care practice has seen an uptick in denials of our Part B claims. Is it worthwhile to request a Comparative Billing Report (CBR) from our Medicare Administrative Contractor (MAC) and contrast our billing practices against other local providers? Indiana Subscriber Answer: Yes, benchmarking is an incredibly useful tool and can offer insight into your billing problems. Not only can CBRs help your practice identify outlier behavior, but the data garnered from the reports can enhance your compliance planning. “The Comparative Billing Report (CBR) for Part B providers furnishes a detailed examination of the comparative data...

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