Implement six tips to manage telehealth compliance risks

Why This Topic Matters

Telehealth billing remains a high-risk area for compliance review, especially when practices are adapting to changing rules and documentation expectations. The article helps readers understand the types of issues that may trigger internal review or outside scrutiny and why documentation and follow-up matter for compliance programs.

Article Sections

1. Read the data brief

   Introduces the HHS Office of Inspector General telehealth data brief and summarizes the program integrity focus of the report. Also frames the document as a resource for reviewing telehealth coding, billing, auditing, and monitoring practices.

2. Increase the red-flag knowledge base

   Discusses common telehealth billing mistakes and general areas where claims review may identify problems. Covers broad categories of issues involving coding, documentation, and time reporting.

3. Probe if there is a problem

   Explains the importance of investigating a discovered error rather than ignoring it. Addresses scope review and the possibility of corrective action when a claim issue is identified.

4. Conduct a thorough analysis into what caused the error

   Focuses on analyzing the underlying reason for a compliance problem and considering broader process improvements. Mentions training, resources, and behavior review at a general level.

5. Bring in outside help

   Describes when practices may need assistance from counsel or consultants for audit, reporting, training, or compliance planning support. Highlights the role of outside review in more serious situations.

6. Document everything you do

   Emphasizes keeping written records of compliance-related actions and investigations. Connects documentation to internal accountability and future compliance support.