Kaiser Health News, May 23, 2014
Hundreds of Colorado doctors are charging Medicare far more than is typical for routine patient visits, according to a new database . The numbers could reveal fraud. But experts caution that the raw data alone could also make physicians who are doing nothing wrong look bad. Findings are based on an analysis of a database assembled by ProPublica, an independent, nonprofit newsroom. The data show payments made according to the system of codes for routine office visits doctors use to bill Medicare and insurance companies. Office visits are reimbursed on a scale between one and five, with five being the most intensive and costly.