Medical Billing

Telehealth Billing Largely Met Medicare Requirements During Pandemic

February 21, 2024 - Healthcare providers met Medicare requirements when billing for most evaluation and management (E/M) services provided via telehealth, a new federal report shows. Released this month by the Department of Health and Human Services (HHS) Office of the Inspector General (OIG), the report aimed to determine whether physicians and other healthcare...

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Telehealth Stakeholders Ask CMS to Eliminate Address Reporting Burden

by Anuja Vaidya

Numerous industry groups and healthcare stakeholders are requesting the Centers for Medicare and Medicaid Services (CMS) to continue allowing healthcare providers to conduct telehealth services from...

How This Early Adopter Leverages, Bills for Remote Therapeutic Monitoring

by Anuja Vaidya

Amid the staggering rise of virtual care during the COVID-19 pandemic, federal agencies were tasked with classifying these new care modalities to ensure adequate reimbursement. In its 2022 Physician Fee Schedule, the Centers for Medicare...

HHS-OIG Releases Toolkit for Assessing Telehealth Billing Risks

by Anuja Vaidya

A newly released federal toolkit aims to help healthcare stakeholders analyze their telehealth claims data to assess program integrity risks. Released last week by the US Department of Health and...

Watchdog: Federal Healthcare Programs Vulnerable to Telehealth Billing Risks

by Anuja Vaidya

As telehealth use exploded across healthcare programs provided by federal agencies, a report by a watchdog committee shows several program integrity risks linked to telehealth billing, including...

MassHealth Providers Engage in Improper Telehealth Billing Practices

by Mark Melchionna

A recent report from the Commonwealth of Massachusetts Office of the State Auditor described the MassHealth expenses between January 1, 2020, and June 30, 2021, and the number of providers who engaged...

Telehealth Billing Poses Relatively Small Risk to Medicare Program

by Mark Melchionna

After reviewing telehealth data from the US Department of Health and Human Services (HHS), the Office of Inspector General (OIG) found that only a small portion of providers whose billing for...

Medical Group Settles False Claims Allegations Involving Telehealth

by Anuja Vaidya

Physician Partners of America (PPOA) and two of its leaders will pay $24.5 million to resolve allegations that they fraudulently billed federal and state healthcare programs for unnecessary medical...

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