Here’s how to know your bell curve reporting at all times.
Audit Proof Your Practice – For the first time ever, due to data published by CMS, you can see how Medicare views your E&M coding frequency. Live in fear no longer of an OIG or CMS audit!
Real-time reporting keeps you aware at all times
CMS Bell Curve data is specific to your specialty
Over coding places you at risk of an audit
Receive real-time alerts when you approach the curve
Where Other Bell Curve Programs Fail – It is only within the context of a medical billing and practice management system that Bell Curve reporting can be proactive rather than re-active.
Other Bell Curve reporting solutions are forensic
“After-the-Fact” reporting cannot alert you of errors
Real-time data can only be produced within a PMS
Know your under coding Deltaat all times
NO ONE WOULD ACTUALLY INVITE AN AUDIT, RIGHT?
Specialty Specific Bell Curve Data The bell curve data published by The Centers for Medicare and Medicaid is specific to over 30 medical specialties allowing our practice management and medical billing software to tell you:
Your specialty specific exposure to an OIG or CMS audit
If you are over coding, or under coding
If revenue is being lost due to under coding
How to keep each level of service in line with utilization benchmarks for your specialty
Bell Curve Software Comes Standard in Our Enterprise Edition
When you subscribe to the Enterprise Version of our Practice Management/Medical Billing Software, you automatically receive the invaluable reporting capability that allows you to stay far from a CMS audit.
Know your E&M coding RISK STATUS in real-time, at all times
How We’re Different from Other Software
Ordinary OIG and CMS Bell Curve software offers you a forensic portrait of your audit exposure. But embedding the bell curve analysis within the PracticeSuite practice management system takes you from re-active to proactive.
Real-time intelligence on your E&M coding
Become Pro-Active Rather than Re-Active
Our software helps you understand the utilization of CPT codes prone to audit review. Why wait until after the fact to find out that your evaluation and management coding frequency has placed you at risk of inviting an OIG or CMS audit. Only PracticeSuite medical billing software offers Over Coding Alerts that trigger as you reach the curve.
Are you over-coding? Are you under-coding?
Medical necessity of a service is the overarching criterion for payment. No one purposely over codes, but under-coding does happen, usually when a physician fears a denial for a complicated and extended evaluation. But when this happens it means lost money. PracticeSuite will help you never be pressured into under coding ever again.
Know your under coding Delta at all times.
Bell Curve analysis is available for the following ambulatory specialties:
Allergy/Immunology
Cardiology
Colorectal surgery
Cardiac Surgery
Dermatology
Diagnostic Radiology: Non Invasive
Emergency Medicine
Endocrinology
ENT
Family Practice
Gastroenterology
General Surgery
Pediatric Medicine
Gynecological Oncology
Hematology/Oncology
Internal Medicine
Interventional: Pain Mgmt
Nephrology
Neurosurgery
Neurology
OB/GYN
Ophthalmology
Orthopedic Surgery
Pain Management
Pediatric Medicine
Plastic and Reconstructive Surgery
Physiatry
Podiatry
Pulmonary
Radiation Oncology
Rheumatology
Urology
Vascular Surgery
Bell Curve analysis is available for the following services and specialists:
Individual orthotic personnel certified
Individual prosthetic personnel certified
Individual prosthetic/ort
Medical Supply Company with registered pharmacist
Ambulance Service Supplier
Public Health or Welfare Agencies
Clinical Psychologist (Billing Independently)
Portable X-Ray Supplier (Billing Independently)
Audiologist (Billing Independently)
Physical Therapist in Private Practice
Rheumatology
Occupational Therapist in Private Practice
Clinical Psychologist
Clinical Laboratory (Billing Independently)
Single or Multispecialty Clinic or Group Practice
Registered Dietician/Nutrition Professional
Pain Management
Mass Immunization Roster Biller
Radiation Therapy Centers
Slide Preparation Facilities
Peripheral Vascular Disease
Vascular Surgery
Cardiac Surgery
Addiction Medicine
Licensed Clinical Social Worker
Critical Care (Intensivists)
Hematology
Hematology/Oncology
Preventive Medicine
Maxillofacial Surgery
Neuropsychiatry
All other suppliers, e.g., Drug Stores
Unknown Supplier/Provider
Certified Clinical Nurse Specialist
Medical Oncology
Surgical Oncology
Radiation Oncology
Emergency Medicine
Interventional Radiology
Optician
Physician Assistant
Gynecological/Oncology
Unknown Physician Specialty Code
Hospital
Skilled Nursing Facility
Intermediate Care Nursing Facility
Nursing Facility, Other
Home Health Agency
Pharmacy
Medical Supply Company with Respiratory Therapist
Supplier Of Oxygen Or Oxygen Related Equipment
Pedorthic Personnel
Medical Supply Company with Pedorthic Personnel
Medical supply company not in 51-53
Rehabilitation Agency
Ocularist [SOURCE: CMS/OIS PART B ANALYTICS REPORT]
