OIG News and Resources for Healthcare

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...

ESRD-Related Telehealth Services Documentation Found Lacking During PHE

August 16, 2023 by Anuja Vaidya

While telehealth services related to end-stage renal disease (ESRD) skyrocketed during the pandemic, providers documented few details of the services with most leaving out the type of...

OIG: Medicare Provided Improper Reimbursement for Some Telehealth Services

May 09, 2023 by Mark Melchionna

Earlier this month, the US Department of Health and Human Services (HHS) Office of Inspector General (OIG) announced errors in Medicare reimbursement for some psychotherapy services, including those...

HHS-OIG Releases Toolkit for Assessing Telehealth Billing Risks

May 02, 2023 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...

HHS Issues Fraud Alert to Caution Providers Against Telehealth Cons

July 21, 2022 by Mark Melchionna

To battle telehealth fraud, waste, and abuse, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) composed a special fraud alert that provided guidelines for...

OIG Report Assesses Medicaid Telehealth Programs for Behavioral Health

September 22, 2021 by Eric Wicklund

A federal review has found that no state Medicaid programs are analyzing how telehealth affects the quality of behavioral health services even though many are offering virtual care coverage during the...

OIG Defends Recent Telehealth Audits, Recognizes Telefraud Challenges

March 02, 2021 by Eric Wicklund

Federal authorities are cracking down on telehealth fraud and misuse during the coronavirus pandemic, and that has the attention of advocates who worry that connected health may be getting a bad rap in...

OIG to Audit Telehealth Payments to Home Health Care Providers

January 25, 2021 by Eric Wicklund

Health systems and home healthcare agencies who have expanded their telehealth footprint to offer home health services during the coronavirus pandemic may soon be facing federal scrutiny. The Health...

Stark Law Changes Should Benefit Telehealth, Remote Patient Monitoring

November 24, 2020 by Eric Wicklund

New safe harbors proposed for the Stark Law and Anti-Kickback Statute could help providers expand their telehealth and remote patient monitoring platforms. A Final Rule issued last week by the...

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