Monday, March 1, 2021
Companies who feel the Public Health Emergency (PHE) waivers and exceptions have rendered telemedicine “immune” from compliance oversight might be surprised to learn what federal regulators have in the works. The Office of Inspector General (OIG) at the Department of Health & Human Services (HHS) is conducting at least seven different national audits, evaluations, and inspections of telemedicine services under the Medicare and Medicaid programs. The audits will also review remote patient monitoring, virtual check-ins, and e-visits. OIG previously issued a report in 2018 on Medicare telehealth billing, using only a small sample size but finding a 31% error rate of claims that did not meet the Medicare requirements for payment for telehealth services. Providers who have begun or increased billing to federal healthcare programs for telehealth services since the inception of the Public Health Emergency should expect those claims to be subject to OIG
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The U.S. Department of Health and Human Services (HHS), Office of Inspector General (OIG) recently updated its 2021 Work Plan in January to include audits of Medicare Part B and home health telehealth services by OIG’s Office of Audit Services (OAS). OAS conducts independent audits of HHS programs, HHS grantees, and contractors to examine their performance in carrying out their responsibilities and to provide independent assessments of HHS programs and operations. The announcement of these audits follows on the heels of the announcement in October 2020 of OIG’s plan to assess the use of telehealth by Medicare beneficiaries during the COVID-19 public health emergency (PHE).