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Detecting Potential Overbilling in Medicare Reimbursement via Hours Worked: Comment

Resource type
Author/contributor
Title
Detecting Potential Overbilling in Medicare Reimbursement via Hours Worked: Comment
Abstract
Fang and Gong (2017) develop a procedure to detect potential overbilling of Medicare by physicians. In their empirical analysis, they use aggregated claims data that can overstate the number of services performed due to features of Medicare billing. In this comment, I show how auditors can use detailed claims-level data to better target improper overbilling.
Publication
American Economic Review
Volume
110
Issue
12
Pages
3991-4003
Date
2020-12
Citation
Matsumoto, B. (2020). Detecting Potential Overbilling in Medicare Reimbursement via Hours Worked: Comment. American Economic Review, 110, 3991–4003.
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