Self-referral occurs when a provider refers patients to entities in which the provider or the providers family members have a financial interest. Rising Medicare expenditures for PT services have long been of concern, and questions have been raised about the role of self-referral in this growth. This book examines trends in the number of and expenditures for self-referred and non-self-referred Medicare PT services and how provision of these services differs among providers on the basis of whether they self-refer. It also discusses similar trends in cancer treatments, anatomic pathology services, and advanced imaging services.
Preface; Medicare Physical Therapy:: Self-Referring Providers Generally Referred More Beneficiaries but Fewer Services per Beneficiary; Medicare:: Higher Use of Costly Prostate Cancer Treatment by Providers Who Self-Refer Warrants Scrutiny; Medicare:: Action Needed to Address Higher Use of Anatomic Pathology Services by Providers Who Self-Refer; Medicare:: Higher Use of Advanced Imaging Services by Providers Who Self-Refer Costing Medicare Millions; Index.
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