tci Medicare Compliance & Reimbursement - 2008 Issue 16

Code Utilization: Compare Your Top 10 Billed Codes To CMS Statistics

Medicare released its latest claims processing data -- and the results may surprise you If you've ever wondered whether your billing patterns are out-of-whack with the rest of the country's, the time to find out the answer is here. Medicare recently released its utilization statistics for Part B services that it paid in 2006, revealing the top five codes that CMS reimbursed. Medicare paid practices for established patient E/M code 99213 more than 100 million times in 2006, making it the top-billed code overall, followed by 36415 (blood collection via venipuncture), 99214 (established patient E/M), 99232 (inpatient E/M) and...

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