The U.S. government authorizes private contractors to audit bills paid by Medicare and Medicaid. The contractor audits

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The U.S. government authorizes private contractors to audit bills paid by Medicare and Medicaid. The contractor audits a random sample of paid claims and judges each claim to be either fully justified or an over payment. Here is a 2 × 2 table that summarizes data from one such audit. (One of the authors served as a statistical consultant in connection with this audit. For reasons of confidentiality we cannot identify the health care provider.) For this audit, all claims were divided into two sub-populations according to amount of the claim, small or medium. Two simple random samples were chosen, 30 small claims and 30 medium claims. We want to answer the question, €œDoes the chance that a claim is judged to be an over payment depend on the size of the claim?€

Small Total Medium Fully justified Overpayment Total 38 16 22 22 14 30 60


a. What is the response variable? What is the explanatory variable?
b. What are the observational units for this study?
c. As for any 2 × 2 table, there are two pairs of conditional proportions. For this table, the two pairs are 14/30 versus 8/30 and 16/38 versus 14/22. Which pair corresponds to the question of interest?

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Introduction To Statistical Investigations

ISBN: 9781118172148

1st Edition

Authors: Beth L.Chance, George W.Cobb, Allan J.Rossman Nathan Tintle, Todd Swanson Soma Roy

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