Detecting potential overbilling in Medicare reimbursement via hours worked
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Research brief (Leonard Davis Institute of Health Economics)
- Author(s):
- Fang, Hanming, author Gong, Qing, author
- Contributor(s):
- Leonard Davis Institute of Health Economics, issuing body.
- Publication:
- Philadelphia, PA : Leonard Davis Institute of Health Economics, 2016
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Financial Audit -- methods Fraud -- prevention & control Insurance, Health, Reimbursement -- economics Medicare Part B -- economics Insurance Claim Review -- economics Work Humans United States
- Genre(s):
- Technical Report
- Abstract:
- KEY FINDINGS: Almost 3% of physicians who serve Medicare Part B Fee-for-Service (FFS) patients bill Medicare for services that would take more than 100 hours per week to provide--an implausible number--in this novel and easy-to-implement approach to detect potential overbilling based on the hours implied by actual billing codes.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (2 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101683944 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101683944