Successful Medicare physicians: Beware of targeted reviews

A report issued by the HHS Office of the Inspector General in December 2013 should put successful physicians with large Medicare practices on notice: the government is watching. For many years it has been presumed that high-volume practitioners are more likely than others to be subject to government scrutiny. Fairly or unfairly, the Medicare program is inherently suspicious of practices that generate a high volume of Medicare payment. Further, if problems are identified with a high-volume practitioner, and an overpayment is identified, the recovery will likely be greater.

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