Medicare: Comparative Billing Reports
The Medical Review Department continues to mail CBRs to providers whose billing is identified as being significantly different compared to their peers. A CBR provides comparative data on how an individual health care provider compares to other providers by looking at utilization patterns for services, beneficiaries, and diagnoses billed. CBRs can serve as a helpful self-audit tool for providers. NGS has mailed CBRs for the following services:
JK Part B
- Chiropractic Services (98940‒98942)
- Hospital Outpatient Observation Services (99224‒99226)
- Subsequent Hospital Visits (99231‒99233)
- Chronic Care Management Service (99490 and 99487)
- Nursing Home Visits (99309‒99310)
- Urine Drug Test(s) (80307)
- Physical and Occupational Therapy (all applicable codes billed with GP modifier)
- Initial Hospital Visits (99221‒99223)
