Later this week CMS will issue a Comparative Billing Report (CBR) on Shoulder Arthroscopy, focusing on providers who submit Medicare Part B claims. These reports contain data-driven tables with an explanation of findings that compare billing and payment patterns to those of peers in a given state and across the nation. CBRs are not publicly available.
CBRs are similar to the Program for Evaluating Payment Patterns Electronic Report (PEPPER)—they have free, provider-specific data that can be used to monitor and improve compliance—but a big difference is CBRs are only sent to Part B providers who are outliers, and it’s up to them to figure out why. PEPPERs, in contrast, are sent to all hospitals and other Part A providers.
- CBR Resources: https://cbr.cbrpepper.org