OIG Emphasizes Need To Ensure Telehealth Claims’ Accuracy

The Centers for Medicare & Medicaid Services plans to continue periodic post-payment reviews and provider education to ensure Medicare claims for telehealth services meet program requirements, and to ensure Medicare contractors implement all planned claims edits, according to a report released last week by the Department of Health and Human Services’ Office of the Inspector General. OIG reviewed a sample of telehealth claims paid to practitioners in 2014 and 2015 and found 31 did not meet Medicare requirements, in most cases because the beneficiaries received services at non-rural originating sites. AHA supports expanding access to telehealth services for Medicare beneficiaries, including for patients in non-rural settings and for a broader set of services and technologies. For more information, visit https://www.aha.org/telehealth.