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辽大转型国家经济政治研究中心2019-04-26 18:17:06

小鸟读书会第十八期

论文题目:Fang, Hanming, and Qing Gong. 2017. Detecting Potential Overbilling in Medicare Reimbursement via Hours Worked. American Economic Review, 107 (2): 562-91.

主持:李永涛博士,转型国家经济政治研究中心助理研究员

主讲:于琳慧,国际关系学院,研究生一年级

时间:2018年05月03日,星期四,14:00-16:00

地点:蒲河校区则行楼217会议室 


论文摘要

We propose a novel and easy-to-implement approach to detect potential overbilling based on the hours worked implied by the service codes which physicians submit to Medicare. Using the Medicare Part B Fee-for-Service (FFS) Physician Utilization and Payment Data in 2012 and 2013 released by the Centers for Medicare and Medicaid Services, we construct estimates for physicians' hours spent on Medicare beneficiaries. We find that about 2,300 physicians, representing about 3 percent of those with 20 or more hours of Medicare Part B FFS services, have billed Medicare over 100 hours per week. We consider these implausibly long hours.



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