June 02, 2021
The Centers for Medicare and Medicaid Services (CMS) recently issued a second letter in the Special Edition Comparative Billing Report (CBR) series on Part B claims for critical care evaluation and management (E/M) services.
The CBR program was created by CMS as an educational tool for providers, intended to enhance accurate billing and/or prescribing practices and support providers’ internal compliance activities.
CBRs reflect a specific provider’s billing and/or prescribing patterns as compared to his/her peers’ patterns within a service area that may be prone to improper Medicare Part B payments. Each CBR is unique to a single provider, is disseminated only to that individual provider, and is not publicly available.
Receiving a CBR is not an indication of or precursor to an audit, and it requires no response on a provider’s part.
Look for an email from firstname.lastname@example.org to access your report. Update your email address in the Provider Enrollment, Chain, and Ownership System (PECOS) to ensure delivery.
CMS is also hosting a live webinar on June 9, 2021, from 12-1 pm Pacific time to Topic: This session will review this special edition CBR.