Getting to know Medicare CBR
CBR stands for Comparative Billing Report. Medicare CBRs are sent to healthcare providers whose billing or prescribing pattern differs from their peers within the same specialty state- and nationwide. Such reports are aimed at notifying and educating healthcare providers of significant divergence. For example, a provider may receive a CBR because he/she may have billed certain procedure codes at a greater frequency than the providers from the same specialty in the same geographical area. At the same time, having a higher-than-average allowed amount per claim, as well as the number of procedures performed per Medicare beneficiary may also be a reason for a CBR. The report always includes the following data for each of the mentioned indicators:
• National average
• State average
• Provider’s average
Each chart in the CBR covers the extent to which the intended provider’s indicators are higher within a specific date range.
Comparative Billing Reports are not the same as audits. Moreover, they do not require any response from an affected healthcare provider. However, carefully reviewing such reports is a good way to analyze your practice and act on your future billing pattern, if applicable.
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