AANEM News Express

AANEM News Express

CMS to Release Comparative Billing Reports on EDX Testing in February

The Centers for Medicare & Medicaid Services (CMS) will be issuing a national provider Comparative Billing Report (CBR) on Electrodiagnostic (EDX) Testing on February 1, 2016.

The CBR, produced by CMS contractor eGlobalTech and its partner, Palmetto GBA, will focus on providers that perform nerve conduction studies (NCSs) and needle electromyography (EMG). The CBR will contain data-driven tables with an explanation of findings that compare these providers’ billing and payment patterns to those of their peers in their specialty and across the nation. This is the second time eGlobalTech has produced a CBR on EDX testing. The original release was distributed in June 2014 (CBR201406).

CBRs give providers an opportunity to compare themselves to their peers, check their records against data in CMS files, and review Medicare (and AANEM) guidelines to ensure compliance. CBRs are for educational and comparison purposes and do not indicate the identification of overpayments. These reports do NOT indicate a precursor to an audit.
This CBR will be faxed or mailed to approximately 4,500 Medicare providers of EDX tests as submitted on the claims data described below. Contact information used in producing and disseminating the CBRs is taken from the information providers have listed in the National Plan and Provider Enumeration System (NPPES), and fax is the default dissemination method. The reports are only accessible to the providers who receive them; they are not publicly available. Recipients are selected by an analysis of data from claims paid by traditional Fee-for-Service Medicare that identifies them as having different billing patterns when compared to their peers. The analyses for this CBR are based on data extracted from the CMS Integrated Data Repository (IDR) with the latest version of claims as of January 4, 2016. The data includes claims with dates of service from October 1, 2014, to September 30, 2015. 
If you receive a CBR and have questions, please contact the CBR Support Help Desk at 1-800-771-4430 or CBRsupport@eglobaltech.com or visit the CBR website at www.cbrinfo.net.

You are invited to join eGlobalTech and Palmetto GBA for an informative presentation of CBR201602 during a webinar that will be hosted on Wednesday, March 2, 2016, from 3:00-4:30 PM Eastern Time. During the webinar, providers will have the opportunity to interact with the content specialists and submit questions about the report. Visit this site for more information.
Please send copies of any CBRs that you or your office receives to the AANEM policy department at policy@aanem.org or via fax at 507-288-1225. AANEM policy staff will compile the data on our members and send a detailed analysis of our members’ CBRs versus national averages to all AANEM members who submit a CBR. All CBRs submitted to the policy department will be kept strictly confidential and no identifying information will be shared with other members or outside groups.

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