It's no secret that carriers using data mining and other regulatory agencies depend upon profiling of provider data to determine which providers and which organizations may be outliers and subject to audits.
Using this procedure code and modifier utilization worksheet set, you are now in control of your data! In these spreadsheets, Frank Cohen and his team have compiled the most recent P/SPS Master File, which contains data on all claims submitted to CMS during the data period. For this release, the analyses are based upon over 2.5 billion claim lines. Each workbook represents a single specialty with the data broken down onto five worksheets with all procedure codes in rank order by reported frequency, including the rate at which CMS denied payment for those codes.
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