decisionhealth Newsletters, Coder Pink Sheets - 2022 Issue 8 (August)
Provider beware: OIG issues 7 signs of a telemedicine scam
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Article Overview
This article reviews an HHS Office of Inspector General special fraud alert about potentially problematic telemedicine company arrangements. It is intended for physicians and other qualified health care professionals who may be approached by telemedicine vendors and want to understand the broad compliance risks, recruiting practices, compensation structures, and care-delivery limitations described in the alert.
Why This Topic Matters
Telemedicine arrangements can create fraud-and-abuse exposure if the business model relies on questionable patient sourcing, limited clinical interaction, or compensation tied to ordering activity. Understanding the warning signs helps clinicians and compliance teams evaluate vendor pitches before entering into agreements.
What You Will Learn
- The general purpose of the OIG telemedicine fraud alert
- Common warning signs associated with problematic telemedicine vendor arrangements
- Why patient recruitment methods and compensation structures matter
- How limited practitioner-patient interaction can affect compliance risk
- Why the article is relevant to clinicians considering telemedicine partnerships
Who Should Read This
- Physicians
- Qualified health care professionals
- Medical practice compliance staff
- Telehealth administrators
- Healthcare attorneys
- Coding and billing professionals
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