Comparative Billing Reports: More Ways Payers Lie With Statistics - DoctorsManagement Comparative Billing Reports: More Ways Payers Lie With Statistics - DoctorsManagement

Comparative Billing Reports: More Ways Payers Lie With Statistics

By Frank Cohen, Director of Analytics and Business Intelligence

As originally published by Racmonitor.com

As if being a healthcare provider wasn’t tough enough, payers continue to use bad statistics to challenge how evaluation and management (E&M) services are billed.

While not a new payer tool, the Comparative Billing Report, or CBR, is being used by more payers that ever before. In the last month alone I have received dozens of CBRs addressed to my physician clients from both private and government payers. This may just be a coincidence, but I think that it is related to the May 5 release of the 2014 Centers for Medicare & Medicaid Services (CMS) physician utilization file.

CBRs, as stated above, can come from both private payers as well as Medicare and Medicaid. For Medicare, they are issued by a government contractor called eGlobalTech. According to its website:

“Comparative Billing Reports (CBRs) are educational tools administered by the Centers for Medicare & Medicaid Services (CMS). They are developed and disseminated under contract by eGlobalTech, a woman-owned federal services firm based in Arlington, Va.”

Read the full article on Racmonitor.com