Medi-Minutes
Moods Sour over
Medicare Audit
According to a new audit, Medicare overpayments to health
providers rose by 7%, from $12.6 billion in 1998 to $13.5 billion last
year. About 8% of last year’s $169.5 billion paid to fee-for-service providers
was overpayment.
"Unsupported or medically unnecessary services remain
pervasive problems," said Inspector General June Gibbs. The report also
showed an increase in over-billings by physicians, medical equipment companies,
and home healthcare providers. Gibbs suggested that the rise in overpayment
rate is statistically insignificant.
But lawmakers were not happy. "We’ve made a little slip
here; $13.5 billion in losses is unacceptable," said Senator Tom Harkin
(D-IA).
Even less happy was the American Medical Association,
which called the audit "irresponsible grandstanding." According to Dr.
Nancy Dickey, "Medicare hassles and overly aggressive billing audits are
souring physicians on the Medicare program."
Source: Associated Press 3-10-2000