Citing improper payment rates for CPT Codes 99308 (4.5%), 99309 (7.9%), and 99310 (25%), the contractor for the Centers for Medicare and Medicaid Services that issues Comparative Billing Reports (CBRs) announced a new CBR related to subsequent nursing facility evaluation and management (E/M) services.
As noted by the contractor, “A CBR is an educational tool that reflects your billing patterns as compared to your peers’ patterns for the same services in your state and/or nationwide. The CBR is intended to enhance accurate billing practices and support providers’ internal compliance activities.”
A sample of the new CBR can be found here. A recording of the Subsequent Nursing Facility E/M Services CBR training is available here. Additional information can also be found on the main CBR webpage.