Medicare overbilling refers to the phenomenon that providers report more and/or higher-intensity service codes than actually delivered to receive higher Medicare reimbursement. We propose a novel and easy-to-implement approach to detect potential overbilling based on the hours worked implied by...

Medicare overbilling refers to the phenomenon that providers report more and/or higher-intensity service codes than actually delivered to receive higher Medicare reimbursement. We propose a novel and easy-to-implement approach to detect potential overbilling based on the hours worked implied by...

Recent experimental studies analyze the behavior of physicians towards patients and nd that physicians care for their own pro t as well as patient bene t. In this paper, we extend the experimental analysis of the physician decision problem by adding a third party representing the health...