© 2024 WLRN
MIAMI | SOUTH FLORIDA
Play Live Radio
Next Up:
0:00
0:00
0:00 0:00
Available On Air Stations

Unusual Medicare Billing Patterns Are A Red Flag For Fraud

Patrisyu
/
freedigitalphotos.net

 

A ProPublica investigation earlier this month looked at how Medicare providers charged for their services in 2012 and found unusual billing patterns among a number of Florida care providers.

On average, most providers only charged for the most complex, expensive level of care during office visits about 4 percent of the time. But in Florida, nearly 100 Medicare providers with relatively high volume billed at the most expensive rate 100 percent of the time.

According to a U.S. attorney, unusual billing patterns are a red flag for fraud. And data analysis has become an important tool for Medicare fraud investigators in Florida.

Hear more about it here:

Public radio. Public health. Public policy.
More On This Topic