Medicare: Higher Use of Advanced Imaging Services by Providers Who Self-Refer Is Costing Medicare Millions

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By James C. Cosgrove (au)
Year: 2012
Pages: 52
Binding Paperback
ISBN 978-1-4578-3572-8

Product Code: 145783572X

Description

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-referraläó»s role in this growth. Self-referral occurs when a provider refers patients to entities in which the provider or the provideräó»s family members have a financial interest. This report examined the prevalence of advanced imaging self-referral and its effect on Medicare spending. It discusses(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. Tables and figures. This is a print on demand report.

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