decisionhealth Newsletters, Part B News - 2022 Issue 9 (September)
Use the OIG’s data brief on telehealth to boost your compliance efforts
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Article Overview
This piece focuses on telehealth compliance in the Medicare context, highlighting how practices can use OIG and CMS data to review billing patterns, understand program integrity concerns, and support internal oversight. It is aimed at providers, compliance staff, and health care attorneys looking for broad guidance on telehealth risk management, documentation oversight, and public claims-data review. The article discusses general categories of monitoring, reporting, and operational controls without serving as a coding reference.
Why This Topic Matters
Telehealth use expanded rapidly, and the article explains why publicly available Medicare and OIG data can help organizations identify billing outliers, reduce compliance exposure, and improve internal auditing practices.
Article Sections
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Telehealth
Introduces the article’s focus on telehealth compliance and the broader context for Medicare claims review and risk awareness.
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Watch your billing patterns
Discusses the role of public and Medicare claims data in identifying potential compliance concerns and the importance of documentation and related operational safeguards.
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Make use of the 7 measures and other data
Summarizes the article’s discussion of OIG program integrity measures, monitoring concepts, and general compliance improvement themes.
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Dig into CMS’ data for your providers
Explains how practices can review provider-level Medicare claims data and consider outside assistance with data analysis.
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Don’t panic if you’re above the norm
Addresses how organizations should interpret outlier billing patterns in the broader context of telehealth adoption and internal controls.
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Resources
Lists external source materials and references used in the article.
What You Will Learn
- How telehealth claims data can inform compliance monitoring
- Why public Medicare data matters for practice oversight
- What broad program integrity themes are emphasized for telehealth services
- How organizations can approach outlier billing patterns
- Where the article points readers for supporting data sources
Who Should Read This
- Health care providers
- Compliance teams
- Medical practice administrators
- Health care attorneys
- Billing and coding staff
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