Detecting Potential Overbilling in Medicare Reimbursement via Hours Worked: Comment
成果类型:
Article
署名作者:
Matsumoto, Brett
刊物名称:
AMERICAN ECONOMIC REVIEW
ISSN/ISSBN:
0002-8282
DOI:
10.1257/aer.20180812
发表日期:
2020
页码:
3991-4003
关键词:
摘要:
Fang and Gong (2017) develop a procedure to detect potential over-billing 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 overbilling.