Smart Edits to Detect Electronic Comparative Billing Report (eCBR) Billing Patterns via the eServices Portal

Palmetto GBA Advanced Clinical Editing System (P-ACE) will soon use data driven pattern detection techniques communicated through ‘smart edits’ for Part B providers. P-ACE eCompare will return pre-adjudicated, informational only messaging through claim acknowledgement transaction reports sent to you or your clearinghouse if you currently use one based on the Medicare 277CA. These eCompare smart edits will assist you in monitoring your specific billing patterns and can serve as a training aide providing detailed provider education for self-auditing purposes. The eCompare smart edits will include links to educational material and will instruct providers to log in to the eServices portal to view your personalized eCBR results.