Detecting Potential Overbilling in Medicare Reimbursement via Hours Worked

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medicare
physicians
payment & delivery
healthcare workforce
Health Services Administration
Health Services Research

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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.

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2016-04-18

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