Nonetheless, the inspector general is recommending that Medicare take another look at how its billing rules distinguish between inpatient and outpatient hospital stays.

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Treating diabetes can be very costly, people spend an average of $11,744 a year on health care expenses and this is way more than the amount spend by people without diabetes. It is not yet clear how the Medicare details were obtained. In a press conference on Tuesday, Minister for Human Services Alan Tudge said he had been advised “that there has not been a cyber security breach of our systems as such, but rather it is more likely to have been a traditional criminal activity”. The billing discrepancies stem partly from Medicare’s complicated design. Beneficiaries pay a deductible for inpatient care, currently $1,288 per stay. Outpatient care is billed differently, with beneficiaries responsible for 20 percent of the cost of services, after … Read the rest

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