Detecting potential overbilling in medicare reimbursement via hours worked: Comment
By: Matsumoto, Brett
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Material type: 
BookPublisher: The American Economic Review Description: 110(12), Dec, 2020: p.3991-4003.Subject(s): Medicare, Physicians, Medicare overbilling, Health - Government policy, Health regulation, Public health
In:
The American Economic ReviewSummary: Fang and Gong (2017) develop a procedure to detect potential overbilling of Medicare by physicians. In their empirical analysis, they use aggregated claims data that can overstate the number of services performed due to features of Medicare billing. In this comment, I show how auditors can use detailed claims-level data to better target improper Medicare by physicians. – Reproduced
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Indian Institute of Public Administration | 110(12), Dec, 2020: p.3991-4003 | Available | AR124909 |
Fang and Gong (2017) develop a procedure to detect potential overbilling of Medicare by physicians. In their empirical analysis, they use aggregated claims data that can overstate the number of services performed due to features of Medicare billing. In this comment, I show how auditors can use detailed claims-level data to better target improper Medicare by physicians. – Reproduced
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