decisionhealth Newsletters, Coder Pink Sheets - 2022 Issue 9 (September)
OIG to CMS and legislators: Build program integrity into any new telehealth rules
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Article Overview
This article covers an HHS Office of Inspector General data brief about Medicare telehealth use during the first year of the pandemic and the program integrity risks the agency identified. It explains why CMS, Congress, and other stakeholders are being urged to consider safeguards as telehealth rules evolve, and it highlights the broad types of billing patterns and oversight concerns examined in the report. The article is relevant to Medicare compliance, auditing, fraud prevention, and policy teams following telehealth payment oversight.
Why This Topic Matters
Telehealth policy changes can affect how Medicare claims are billed, monitored, and audited. This article helps readers understand the government’s focus on program integrity concerns as telehealth coverage and payment rules are reconsidered.
What You Will Learn
- What the OIG reviewed in its Medicare telehealth data brief
- Why the agency is urging program integrity safeguards in future telehealth policy
- The general categories of billing patterns and oversight concerns discussed in the report
- How the findings relate to Medicare compliance and fraud-prevention efforts
Who Should Read This
- Medical coders
- Compliance officers
- Auditors
- Revenue cycle professionals
- Healthcare administrators
- Medicare policy stakeholders
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