Medicare Paid $22 Million in 2012 for Potentially Inappropriate Ophthalmology Claims.

摘要

Medicare paid approximately $8.2 billion in 2012 to screen for, diagnose, evaluate, or treat cataracts, wet age-related macular degeneration (wet AMD), and glaucoma. Medicare uses a combination of national and local coverage requirements to determine whether it will cover services for these conditions. However, recent investigations have found that some ophthalmology services for these conditions are vulnerable to fraud, waste, and/or abuse.