Use the OIG’s data brief on telehealth to boost your compliance efforts

Why This Topic Matters

Telehealth billing and utilization patterns can be reviewed through public and Medicare data sources, making compliance monitoring and internal auditing increasingly important. The article helps readers understand why telehealth deserves focused oversight and how government data resources may be used to evaluate risk.

Article Sections

1. Watch your billing patterns

   This section discusses how telehealth billing activity can be reviewed and compared using available data sources. It also highlights broader compliance areas that may require attention in telehealth operations.

2. Make use of the 7 measures and other data

   This section summarizes the OIG telehealth data brief’s program integrity measures and related data points. It explains why these materials are useful for internal monitoring and staff education.

3. Dig into CMS’ data for your providers

   This section describes CMS claims data resources and how publicly available provider-level information can support internal review. It also notes the availability of outside help for organizing and analyzing the data.

4. Don’t panic if you’re above the norm

   This section addresses how to interpret telehealth utilization patterns that differ from broader norms. It places emphasis on context, operational controls, and ongoing monitoring.