Comparative Billing Reports

CBR201704: Transitional Care Management (TCM)

eGlobalTech (eGT) and Palmetto GBA developed and disseminated a national provider Comparative Billing Report (CBR) on Transitional Care Management (TCM) in May 2017. The CBR focuses on providers who submit claims for TCM services for Medicare beneficiaries using Current Procedural Terminology (CPT®) codes 99495 and 99496. The CBR contains data-driven tables with an explanation of findings that compare these providers’ billing and payment patterns to those of their peers in their state and across the nation. The goal of these reports is to offer a tool that helps providers better understand applicable Medicare billing rules.