E/M Coding Alert - 2021 Issue 3
Part B Telehealth Services Are on OIG’s Radar
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Article Overview
This piece is for Medicare compliance, coding, and audit professionals who need to understand how the HHS Office of Inspector General is focusing on Part B telehealth services. It explains the general scope of the OIG Work Plan update, the two-phase audit approach, and the types of telehealth service categories and requirements the agency says it will review.
Why This Topic Matters
The article highlights a compliance and audit risk area affecting Medicare Part B telehealth claims during and after the COVID-19 public health emergency. It matters to providers and billing teams because OIG scrutiny can affect documentation, claim handling, and internal compliance planning.
What You Will Learn
- How the OIG is directing audit attention toward Medicare Part B telehealth services
- Which broad telehealth service categories are included in the announced audit focus
- Why compliance planning is emphasized in response to heightened oversight
- How the Work Plan update relates to Medicare telehealth oversight during the COVID-19 public health emergency
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Compliance officers
- Healthcare auditors
- Medicare providers
- Telehealth program managers
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