tci Part B Insider - 2017 Issue 4

Benchmarking: Why Are Your Hospital H&P Claims Denied? Level 3 E/M Codes Might Be to Blame

Keep in mind that discharges and subsequent hospital visits cannot fall on the same day. Have you ever wondered how your claims stack up against your peers? Comparative Billing Reports, also known as benchmarking, highlight Medicare claims trends in the industry, focusing on a particular service and specialty. Whether your claims fall within the norm or are way off the mark, this useful tool can help your practice rectify billing issues. Part B MAC Palmetto GBA published a Comparative Billing Report (CBR) in October to highlight the trends and benchmarks that the payer has seen when Medicare providers who...

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