decisionhealth Newsletters, Part B News - 2022 Issue 8 (August)
Provider beware: OIG issues 7 signs of a telemedicine scam
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Article Overview
This article summarizes an HHS Office of Inspector General special fraud alert about telemedicine company arrangements that may present compliance risk. It is aimed at physicians and other qualified health care professionals who evaluate recruiting pitches, patient sourcing practices, payment structures, payer mix, treatment limitations, and follow-up expectations when considering telemedicine relationships.
Why This Topic Matters
Telemedicine arrangements can create fraud and abuse exposure if they are structured in ways that raise OIG concern. Understanding the warning signs helps providers screen opportunities and assess whether an arrangement may warrant closer compliance review.
What You Will Learn
- The general compliance concerns raised by the OIG’s telemedicine fraud alert
- Common warning signs associated with problematic telemedicine company arrangements
- Why provider screening of recruiting pitches and operational practices matters
- How patient sourcing, payer mix, compensation structure, and follow-up expectations factor into compliance review
Who Should Read This
- Physicians
- Other qualified health care professionals
- Compliance officers
- Healthcare administrators
- Practice managers
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