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  4. December 2020
  5. Detecting Potential Overbilling in Medicare Reimbursement via Hours Worked: Comment

American Economic Review

ISSN 0002-8282 (Print) | ISSN 1944-7981 (Online)

Detecting Potential Overbilling in Medicare Reimbursement via Hours Worked: Comment

  • Brett Matsumoto
American Economic Review
vol. 110, no. 12, December 2020
(pp. 3991–4003)
See also: Original paper by Fang and Gong (2017)
See also: Reply by Fang and Gong (2020)

 

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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.

Citation

Matsumoto, Brett. 2020. "Detecting Potential Overbilling in Medicare Reimbursement via Hours Worked: Comment." American Economic Review, 110 (12): 3991–4003. DOI: 10.1257/aer.20180812

Additional Materials

JEL Classification

  • H51 National Government Expenditures and Health
  • I13 Health Insurance, Public and Private
  • I18 Health: Government Policy; Regulation; Public Health
  • J22 Time Allocation and Labor Supply
  • J44 Professional Labor Markets; Occupational Licensing