What does CBR mean in UNCLASSIFIED

Comparative Billing Reports (CBRs) are reports from the Centers for Medicare and Medicaid Services that compare physician spend for different specialties and geographic areas to help detect possible inconsistencies in billing. The data used in these reports comes from Medicare claims submitted to the agency from providers across the country.

CBRs provide healthcare organizations with valuable insight into their spending practices. They can be used to identify trends in spending that may need further investigation, uncover potential waste or fraud, and ensure compliance with Medicare’s billing rules.

The Centers for Medicare and Medicaid Services makes comparative billing reports available to eligible healthcare organizations, providers, and insurers upon request.

Yes. The comparative billing report database is limited to claims submitted from within the United States and does not include claims submitted by foreign providers or beneficiaries. Additionally, some data points used in these reports are estimates based on a sample size of claims, so results may vary depending on a provider’s specific situation.

No. Although utilizing third-party vendors may be beneficial for complex analyses or larger datasets, the core value of a comparative billing report lies in its ability to make findings accessible and understandable without such additional resources being necessary.

It is recommended that you review your comparative billing report data at least once every twelve months in order to maintain an accurate understanding of your spending trends over time. In addition, reviewing this data prior to submitting any new claims or making changes to existing policies can also help prevent improper payment practices or fraudulent activity within your organization.

Yes. Comparative billing reports contain sensitive patient information that must be securely stored and handled according to applicable privacy laws such as HIPAA regulations. Additionally, all users who have access should abide by strict confidentiality policies regarding any shared information related to this analysis.

Yes. By analyzing comparative billing report data, you can identify discrepancies between expected spend levels compared with actual payments made by contractors on behalf of CMS and take corrective actions accordingly.