Utilization Workbook: A Frank Cohen Product
Compliance risk assessment has moved to the forefront of concerns as auditors and compliance professionals need to benchmark provider and their variances.
The reason is simple: it’s easier to address the risk in advance of a carrier audit than after it is engaged.
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.
- New: Enter your counts for each procedure code for a relative risk score!
- All procedure codes by total RVU, which is calculated at the RVU for that procedure times the frequency reported.
- The top reported non-E/M modifiers usage on non-E/M codes.
- E/M-only modifiers usage on E/M codes.
NOTE: This workbook is delivered via email within one business day of your order.
The Procedure Code and Modifier Utilization workbook is $99 per specialty. To order, simply select the specialty to benchmark your practice and click the Add to Cart button.
Worried that after purchasing this, you may not be sure how to use the data? No worries! We are happy to assist with this and will provide up to an hour of our time to walk you through the how-to of getting you started!