Medicare: Action Needed to Address Higher Use of Anatomic Pathology Services by Providers Who Self-Refer

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By James C. Cosgrove (au)
Year: 2013
Pages: 61
Binding Paperback
ISBN 978-1-4578-4759-2

Product Code: 1457847590

Description

Questions have been raised about self-referraläó»s role in Medicare Part B expendituresäó» rapid growth. Self-referral occurs when providers refer patients to entities in which they or their family members have a financial interest. Services that can be self-referred under certain circumstances include anatomic pathology -- the preparation and examination of tissue samples to diagnose disease. This report addresses the prevalence of anatomic pathology self-referral and its effect on Medicare spending. It examines (1) trends in the number of and expenditures for self-referred and non-self-referred anatomic pathology services; (2) how provision of these services may differ on the basis of whether providers self-refer; and (3) implications of self-referral for Medicare spending. Figures and tables. This is a print on demand report.

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