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Medicare Physical Therapy: Self-Referring Providers Generally Referred More Beneficiaries but Fewer Services per Beneficiary
James Cosgrove (au)
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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