Comparative Billing Reports (CBRs) summarize Medicare claims data statistics in support of the Centers for Medicare & Medicaid Services’ (CMS) efforts to protect the Medicare Trust Fund.
Our consultants are trained in health economics and health service research. With a team of experienced researchers and subject matter experts, RELI provides integral support to CMS through services that fight fraud, waste, and abuse while ensuring a high quality of care for all Americans. We specialize in risk adjustment methodology to perform estimates for Medicare payment accuracy rates and Medicare Part C and Part D payment data validation. In addition, we collaborate with a wide range of organizations from the communities that we serve. We use proven methods and industry-leading tools to collect and examine structured data, producing predictive models to inform the client where the organization is headed. October 2, 2018 October 2, … Comparative Billing Reports (CBRs) summarize Medicare claims data statistics in support of the Centers for Medicare & Medicaid Services’ (CMS) efforts to protect the Medicare Trust Fund. Our services include but are not limited to: predictive analytics and data mining, improper payment prevention and fraud detection, performance management and dashboards, business intelligence reporting, data profiling, and integration and quality services. Medicare Administrative Contractors (MACs) have been producing and disseminating comparative billing reports to providers in their jurisdiction as part of their provider education efforts for many years. Other activities include: CMS employs A/B MACs and Durable Medical Equipment (DME) MACs to enroll providers and suppliers into the Medicare program, process and pay claims, educate providers, conduct prepayment and post-payment reviews, and perform other tasks in accordance with the specific contract. With more than 20 years' experience in medical record review and healthcare management, Michelle brings extensive expertise in medical review program oversight with successful project delivery through strong leadership, focused team building, and customer-oriented goals. RELI Group provides an advanced perspective in how we deliver innovative technological solutions within our core specializations – Healthcare IT and Population Health – servicing Federal, Commercial, and Non-Profit organizations.
By analyzing the underlying requirements and workflows, we apply a reengineered business process that considers people, processes, and technology to reduce inefficiencies. RELI Group . There's about one monthly release of CBRs , which are distributed through a portal on the CBR website (cbr.cbrpepper.org). Address 2 . RELI is uniquely positioned to close the gap between academic and Federal health research efforts, facilitating a more open exchange of best practices in the discovery and analysis of health information. He is an active leader in professional associations and actively serves the missions of local charitable and industry organizations. Topic: This session will review the Comparative Billing Report (CBR) 202008 on Breast Re-Excision, Peripheral Vascular Intervention for Claudication, Office Visits, New and Established Patients by Nurse. RELI develops custom templates for required data and provides multistep quality assurance process to confirm accuracy and completeness. RELI Group’s consultants are experts in health services research, with interests organized around specific content areas. Mike joined RELI Group after 14 years in CMS leadership. Our expertise is in the development, management and analysis of health services data with an emphasis on predictive modeling and risk-adjustment methods. Our team of researchers conduct interdisciplinary research into the determinants of chronic disease and help develop community-based prevention strategies, and multidisciplinary research into critical health policy, payment accuracy, and healthcare delivery issues. CBRs are disseminated to the provider community to provide insight into billing trends across regions and policy groups, and they present analyses of billing practices across geographic and service areas. Tish brings a proven track record of successfully delivering results through strong leadership, excellent decision making, demonstrated team building, exceptional program management skills, and effective interpersonal skills.
We offer cost-effective, high-quality architectural integration of new systems with existing data sources, leveraging our expert understanding of healthcare systems and administration technology. Each CBR is unique to a single provider and … Our consultants are trained in health economics and health service research.
Success stories: How your peers have used CBRs Go to Success Stories, When: Wednesday, September 23, 2020 Organization Name 1 .