Medicare Physical Therapy: Self-Referring Providers Generally Referred More Beneficiaries but Fewer Services per Beneficiary

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By James Cosgrove (au)
Year: 2014
Pages: 49
Binding Paperback
ISBN 978-1-4578-5558-0

Product Code: 1457855585

Description

Rising Medicare expenditures for physical therapy (PT) services have long been of concern, and questions have been raised about the role of self-referral in this growth. Self-referral occurs when a provider refers patients to entities in which the provider or the provider's family members have a financial interest. This report examined self-referral for PT services and Medicare spending for these services, including (1) trends in the number of and expenditures for self-referred and non-self-referred Medicare PT services; and (2) how provision of these services differs among providers on the basis of whether they self-refer. The report found that the relationship between provider self-referral status and PT referral patterns was mixed and varied on the basis of referring provider specialty, Medicare beneficiary practice size, and geography.Tables and figures. This is a print on demand report.

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