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Thread: E/M Bell-Curve

  1. #1
    Join Date
    Apr 2007

    Default E/M Bell-Curve

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

  2. #2
    Join Date
    Apr 2007


    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?
    Evangelina Frohna, CPC, CEMC

  3. #3
    Join Date
    Apr 2007


    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.
    Jenny Berkshire, CPC, CEMC, CGIC

  4. #4


    I had heard in the past that Medicare will provide an office with a Provider Comparison report. I think there was a fee involved.
    ~Amy, CPC, CPMA, CEMC~

  5. #5
    Join Date
    Apr 2007


    Thanks to all who responded. This was very helpful

  6. #6


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

    Susan Rowe, CPC
    Last edited by SusanRowe; 10-02-2009 at 12:13 PM. Reason: added my name

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