tci Medicare Compliance & Reimbursement - 2010 Issue 4

INDUSTRY NOTES: Medicare Reimbursement Changes Increase Bladder Cancer Treatment Costs

The changes are well-intentioned, but experts can't explain why they're not working. The startling conclusion of a study published online this Feb. 8 in Cancer -- a peer-reviewed journal of the American Cancer Society -- indicates that increased Medicare payments to physicians for outpatient surgeries for bladder cancer might have led to a steep rise in the number of procedures performed. This resulted in Medicare expenditure for outpatient bladder surgery procedures growing by almost twofold, a rise which could not be explained by the increase in the number of bladder cancer referrals during the corresponding period alone or the...

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