Physician Self-Referrals: Select Analyses of Trends and Issues

Louise Hamilton (Editor)

Series: Public Health in the 21st Century
BISAC: LAW046000



Volume 10

Issue 1

Volume 2

Volume 3

Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick


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Self-referral occurs when a provider refers patients to entities in which the provider or the provider’s 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.

(Imprint: Nova)


Chapter 1 - Medicare Physical Therapy: Self-Referring Providers Generally Referred More Beneficiaries but Fewer Services per Beneficiary (pp. 1-34)
United States Government Accountability Office

Chapter 2 - Medicare: Higher Use of Costly Prostate Cancer Treatment by Providers Who Self-Refer Warrants Scrutiny (pp. 35-66)
United States Government Accountability Office

Chapter 3 - Medicare: Action Needed to Address Higher Use of Anatomic Pathology Services by Providers Who Self-Refer (pp. 67-106)
United States Government Accountability Office

Chapter 4 - Medicare: Higher Use of Advanced Imaging Services by Providers Who Self-Refer Costing Medicare Millions (pp. 107-138)
United States Government Accountability Office


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