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CMS Bell Curve

  1. #1
    Default CMS Bell Curve
    Medical Coding Books
    Good morning,
    is there a website where I can get my physician's bell curve compared to the national Medicare averages?

    Thanks!
    J

  2. #2
    Default
    Quote Originally Posted by AuditU View Post
    Good morning,
    is there a website where I can get my physician's bell curve compared to the national Medicare averages?

    Thanks!
    J
    I don't know of any website, but there are books. I use MGMA Coding Profile Sourcebook. They are quite pricey though. Good luck.
    Evangelina Frohna, CPC, CEMC

  3. #3
    Location
    Kansas City, MO
    Posts
    434
    Default
    You can get the numbers from the CMS website for free. If you can run reports in your office and are handy with an excel spread sheet, you can make up some comparative graphs on your own. I just did this last week.
    if you need any help please feel free to email me directly and I will help any way I can...lou2lin@sbcglobal.net

    http://www.cms.gov/NonIdentifiableDa...ryDataFile.asp
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC, AAPC Fellow
    PMCC Licensed Instructor
    2018 Chapter President, Kansas City, MO

  4. #4
    Default
    If you need comparison of E&M services, here is the link to CMS 2008 CY data: http://www.cms.gov/MedicareFeeforSvc...es&next=Accept

    As Linda said above, you can easily make your own excel sheets and create your bell curve from the data related to your specialty. You will need to total the number of services in each category of E&M and calculate the percentages.
    Jenny Berkshire, CPC, CEMC, CGIC

  5. #5
    Location
    Los Alamitos,
    Posts
    16
    Smile Evaluation and Management (E&M) bell curve
    Quote Originally Posted by AuditU View Post
    Good morning,
    is there a website where I can get my physician's bell curve compared to the national Medicare averages?

    Thanks!
    J
    hi,
    here is a website:
    http://reimbursementspecialist.com/D...uidelines.html

    happy graphing! :-)

  6. Default
    Quote Originally Posted by vimenchaca View Post
    hi,
    here is a website:
    http://reimbursementspecialist.com/D...uidelines.html

    happy graphing! :-)

    The numbers's on the above site are either severely outdated or incorrect based on current CMS numbers.

    The AAPC has a built in tool that is correct with current numbers.

    https://www.aapc.com/resources/em_utilization.aspx
    Karl M. Ellzey, BAE, CDC, President
    Ellzey Coding Solutions and DermCoder.com online coding tools

  7. Default
    The data in the AAPC's too is based on 2015 data.

  8. #8
    Default
    Quote Originally Posted by bkisakye View Post
    The data in the AAPC's too is based on 2015 data.
    The site that was referenced prior to the AAPC site uses 2006 data. The 2016 data is just barely out (maybe 60 days ago?) so 2015 is still pretty current compared to that other source.
    CPC-P-A (11/2016), COC-A (9/2016), CPC-A (11/2015), PAHM (2010)
    Fee Schedule Configuration Specialist - Remote

    15 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

  9. Default
    Karl M. Ellzey, BAE, CDC, President
    Ellzey Coding Solutions and DermCoder.com online coding tools

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