BC Advantage - 2023 Issue 5

Seven Measures Developed by the HHS Office of Inspector General (OIG) to Identify Potential Telehealth Fraud

In September of 2022, the Office of Inspector General (OIG) released a report, "Medicare Telehealth Services During the First Year of the Pandemic: Program Integrity Risks," in which they identified that approximately two in five Medicare beneficiaries used telehealth services within the first year of the pandemic to receive healthcare services from a Medicare provider. This is approximately 88 times more often than beneficiaries engaged through telehealth services prior to the pandemic.Why the OIG Performed This ReviewTo meet the demand for telehealth services by Medicare beneficiaries throughout the pandemic, many major changes to the rules governing for...

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