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This system categorizes employees into different performance levels based on a distribution that resembles a bell-shaped curve. In this approach, a small percentage of employees are classified as top performers, the majority fall into the average category, and a small percentage are identified as underperformers.
The Physician/Supplier Procedure Summary (PSPS) file is a summary of calendar year Medicare Part B carrier and durable medical equipment fee-for-service claims.
The Part B National Summary Data File (CMS) provides detailed breakdowns of volume of physician services delivered to Medicare beneficiaries, and payments for those services, by individual procedure code.
The bell curve data published by The Centers for Medicare and Medicaid is specific to over 30 medical specialties allowing our practice management and medical billing software to tell you: Your specialty specific exposure to an OIG or CMS audit. If you are over coding, or under coding.
In a bell curve, the peak represents the most probable event in the dataset while the other events are equally distributed around the peak. The peak of the curve corresponds to the mean of the dataset (note that the mean in a normal probability distribution also equals the median and the mode).