Medicare Part B pays outpatient physicians according to the billed Current Procedural Terminology (CPT) codes, which differ in procedure and intensity. Since many performed services merely differ by intensity, physicians have an incentive to upcode services to increase profitability of a visit. Usin
โฆ LIBER โฆ
Medicare upcoding and hospital ownership
โ Scribed by Elaine Silverman; Jonathan Skinner
- Book ID
- 116649490
- Publisher
- Elsevier Science
- Year
- 2004
- Tongue
- English
- Weight
- 149 KB
- Volume
- 23
- Category
- Article
- ISSN
- 0167-6296
No coin nor oath required. For personal study only.
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This paper analyses the effect of ownership and system of reimbursement on mortality rates. From the statistical results we could conclude that the incentive created by fee-for-service reimbursement yields a four-point reduction in the mortality rate. However, this ranking of hospital quality is com