E/M Bell-Curve

[lschaum]

Does anyone have information on how to conduct a collection of data to create a bell-curve comparison with local same specialty physicians?

[efrohna]

Ischaum,
The MGMA (Medical Group Management Association) publishes books titled, "Coding Profile Book." There is one for Primary Care and another one for other Medical Specialties.

I use these books all the time for stats. They provide a wealth of information which include the most used E/M codes, CPT codes, ICD-9 codes and a number of other items for each specialty.

The only drawback is these books are quite expensive and they are not as current. Usually they are 2 years behind because of the collection of the stats. Hope this helps?

[j.berkshire]

In the past, I've gone directly to CMS's site (http://www.cms.hhs.gov/MedicareFeefo...es&next=Accept) to calculate the E&M bell curve by specialty. The most recent year in the files is 2006. Decision Health offers a book/CD with codes already calculated, but you can do the calculations on your own. Then you run your practice report by code and make the comparisons. It's a nice snapshot of utilization with comparison.

[okiesawyers]

I had heard in the past that Medicare will provide an office with a Provider Comparison report. I think there was a fee involved.

[lschaum]

Thanks to all who responded. This was very helpful

[SusanRowe]

Jenny,
How do I do the calculation from the cms website you sited. I found the specialty codes, but how do I get the percentage?

Thanks
Susan Rowe, CPC