tci Medicare Compliance & Reimbursement - 2005 Issue 23

HOSPITALS: 'Ghosting' Trend May Be Grafting Medicare

Outsourcing to other countries raises HIPAA questions, economic concerns.Now the growing outsourcing problem extends beyond overseas transcriptions. Committee on Energy and Commerce ranking member Rep. John D. Dingell (D-MI) is worried that hospitals are outsourcing their radiology readings to foreign countries, but still pocketing the full Medicare and Medicaid reimbursements, making a profit on the cheaper labor overseas.Dingell is concerned that Medicare and Medicaid are unknowingly reimbursing claims for services provided overseas, according to his May 18 letter to Department of Health and Human Services Secretary Michael Leavitt. Many of his outsourcing concerns come from the growing...

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