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Medicare : higher use of advanced imaging services by providers who self-refer costing Medicare millions : report to congressional requesters.
- Format:
- Book
- Government document
- Author/Creator:
- United States. Government Accountability Office
- Language:
- English
- Subjects (All):
- Medicare--Economic aspects.
- Medicare.
- Magnetic resonance imaging--Economic aspects--United States.
- Magnetic resonance imaging.
- Tomography--Economic aspects--United States.
- Tomography.
- Medicare fraud--Prevention.
- Medicare fraud.
- Medicare--economics.
- Diagnostic Imaging--economics.
- Diagnostic Imaging--ethics.
- Medicare--legislation & jurisprudence.
- Fraud--prevention & control.
- United States.
- Tomography--Economic aspects.
- Medical Subjects:
- Medicare--economics.
- Diagnostic Imaging--economics.
- Diagnostic Imaging--ethics.
- Medicare--legislation & jurisprudence.
- Fraud--prevention & control.
- United States.
- Physical Description:
- 1 online resource (iii, 46 pages) : color illustrations
- Other Title:
- Higher use of advanced imaging services by providers who self-refer costing Medicare millions
- Medicare self-referral of advanced imaging services
- Place of Publication:
- [Washington, D.C.] : U.S. Govt. Accountability Office, [2012]
- Summary:
- Medicare Part B expenditures--which include payment for advanced imaging services--are expected to continue growing at an unsustainable rate. Questions have been raised about self-referral's role in this growth. Self-referral occurs when a provider refers patients to entities in which the provider or the provider's family members have a financial interest. GAO was asked to examine the prevalence of advanced imaging self-referral and its effect on Medicare spending. This report examines (1) trends in the number of and expenditures for self-referred and non-self-referred advanced imaging services, (2) how provision of these services differs among providers on the basis of whether they self-refer, and (3) implications of self-referral for Medicare spending. GAO analyzed Medicare Part B claims data from 2004 through 2010 and interviewed officials from the Centers for Medicare & Medicaid Services (CMS) and other stakeholders. Because Medicare claims lack an indicator identifying self-referred services, GAO developed a claims-based methodology to identify self-referred services and expenditures and to characterize providers as self-referring or not.
- Notes:
- Title from title screen (viewed on Dec. 31, 2012).
- "September 2012."
- QR code for online version of document included on title page.
- Includes bibliographical references.
- "GAO-12-966."
- OCLC:
- 823385186
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