How doctors and hospitals have collected billions in questionable Medicare fees – Center for Public Integrity
The Center for Public Integrity is a nonprofit newsroom that investigates betrayals of public trust. Sign up to receive our stories. Key findings: Thousands of medical professionals have billed Medicare at progressively higher rates over a decade’s time, costing taxpayers at least $11 billion in inflated charges. A significant portion of the added charges is likely […]
Reading Time: 18 minutes The Center for Public Integrity is a nonprofit newsroom that investigates betrayals of public trust. Sign up to receive our stories. Thousands of medical professionals have billed Medicare at progressively higher rates over a decade’s time, costing taxpayers at least $11 billion in inflated charges. A significant portion of the added charges is likely due to “upcoding” — charging for more extensive and costly services than actually delivered. Upcoding is facilitated by abuse of Medicare billing codes that reflect the range of care delivered and the time it takes. Many
related reading
- Growth of electronic medical records eases path to inflated bills – Center for Public Integritypublicintegrity.org
- Why American ambulance rides are so expensivedavidoks.blog
- Drivers of Health Care Costs: A Physicians Foundation White Paper - First of a Three-Part Seriesncbi.nlm.nih.gov
- Vincent Songvincentsong.posthaven.com
- Medicare Basics series: Medicare physician payment adequacy—Budget neutrality | American Medical Associationama-assn.org
- Fee‐for‐service payment is not the (main) problemncbi.nlm.nih.gov
- Inside the Mafia of Pharma Pricing - BIG by Matt Stollerthebignewsletter.com
- Why health care costs have stayed mostly flat since 2010 | STATstatnews.com
- Senators Press Deloitte, Other Contractors on Errors in Medicaid Eligibility Systemskffhealthnews.org
- Medicaid for Millions in America Hinges on Deloitte-Run Systems Plagued by Errorskffhealthnews.org
- Sustainable Growth Rate Repealed, MACRA Revealed: Historical Context and Analysis of Recent Changes in Medicare Physician Payment Methodologies - PMCncbi.nlm.nih.gov
- Medicare 101 | KFFkff.org