How doctors and hospitals have collected billions in questionable Medicare fees. Salehi Bankruptcy Ventura Oxnard Camarillo Santa Barbara Woodland Hills Los Angeles CA.

http://www.publicintegrity.org/2012/09/15/10810/how-doctors-and-hospitals-have-collected-billions-questionable-medicare-fees

 

 

• Thousands of medical professionals have billed Medicare at progressively higher rates over a decade’s time, costing taxpayers at least $11 billion in inflated charges.
• A significant portion of the added charges is likely due to “upcoding” — charging for more extensive and costly services than actually delivered.
• Upcoding is facilitated by abuse of Medicare billing codes that reflect the range of care delivered and the time it takes. Many doctors have steadily billed the higher-level — and more lucrative — codes, while spurning those that pay less.

 

Mark McClellan, former administrator of the Centers for Medicare and Medicaid Services (CMS)Charles Dharapak/AP file

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