CMS Announces Comparative Billing Reports on Drugs of Abuse Testing

Members & Publications

September 28, 2021

Providers who regularly bill Medicare for drugs of abuse testing can expect to receive a Comparative Billing Report (CBR) in September.  CBRs provide data analysis comparing an individual provider’s claim submissions to the national average.  A sample of the CBR letter can be viewed on the CBR website.  CBRs are considered by Medicare to be educational tools and are not an indication of wrongdoing.  However, a CBR which suggests a provider bills well outside the national average may support internal compliance review efforts.  If you receive a CBR on drugs of abuse testing or are interested in better understanding the CBR process, register here for an educational session hosted by the CBR contractor on Wednesday October 6 from 3-4pm EDT to review the drugs of abuse testing CBR.  

Legislation Introduced to Alleviate Impact of Conversion Factor Cut for 2021

Nov 09, 2020

Last month, two bills were introduced in the House proposing solutions to the estimated 10.6% Physician Fee Schedule conversion factor cut expected to go into effect January 1, 2021.  The bills offer some relief to the cut, but do not reflect a comprehensive or long-term solution.  AAPM&R has therefore chosen to remain neutral regarding these bills. 

Your Academy continues to advocate for a permanent solution to the conversion factor cut while maintaining the important payment increases to office and outpatient evaluation and management services.