tci Part B Insider - 2016 Issue 27

Physician Notes: CT Psychiatrist Charged with Fraud for Billing Over-the-Phone Care

With telehealth revised and repackaged in recent CMS rulings, what is acceptable to claim is a little fuzzy for some providers. Not all services are covered under new telehealth guidelines a Connecticut psychiatrist discovered after filing claims for advising patients via phone, a U.S. Department of Justice (DOJ) news release from July 27, 2016 suggested. “Medicare permits certain types of ‘telehealth’ services where the patient is in a rural health professional shortage area and where the provider uses an interactive audio and video communications system that permits real-time communication between the provider and the patient,&rdquo...

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