tool is provided to compare a physician's, or an entire practice's, evaluation and
management (E/M) CPT code utilization to peers in the same specialty. The distribution
of utilization by code within each E/M subcategory is benchmarked to the distribution
of paid Medicare claims for physicians in the same specialty nationally (based on
published 2010 Medicare Part B data).
Remember that the data is useful with some precautions. The data is provided by
specialty and shows how physicians are using E/M codes. The expected use of any
E/M code range is a bell-shaped curve. If the physician(s) in your practice are
outside the expected use of E/M codes, there is some risk of audit. If you should
find that your data deviates significantly from national and local norms, an appropriate
next step may be a focused coding assessment.
the errors noted below (in red):