tci Medicare Compliance & Reimbursement - 2022 Issue Q1

Enforcement: Get Ready for More Telehealth Services Scrutiny

Warning: Expect OIG to target care performed during the PHE. During the height of the pandemic, Medicare expanded its telehealth services options rapidly and declared COVID-19 a Public Health Emergency (PHE). Unfortunately, fraud and abuse of the handy digital tools kept pace with the expansion, and the feds aim to reel that in. Now: The HHS Office of Inspector General (OIG) has put telehealth services claims submitted to Medicare and Medicaid on their enforcement to-do list, and many providers may be directly affected. Once the PHE ends, some federal agencies may not continue the telehealth policies due to the...

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