Message From Your Region 4 Representatives: Kiosha Forston and Norma Panther
We are living in the age of big data and The Centers for Medicare and Medicaid (CMS) is no exception. Physicians should be cognizant of CMS’s use of Comparative Billing Report (CBR), especially if they are billing certain services. Most recently, CBR announced they are reviewing reports on upper and lower endoscopy on different dates of service, atherectomy only as initial intervention, and breast re-excision. Previous services examined this year include use of the 25 modifier by dermatology and air ambulance transports. Providers who appear to have aberrant billing practices will receive an individual CBR. If you are billing any of the services under review and did not receive a CBR, your billing practices appear to follow that of the majority of your peers. If a provider suspects they should have received a report and did not, they may contact CBR through their website. The CBR website, https://cbr.cbrpepper.org/Home, also provides educational webinars on the services it’s reviewing.
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