Healthcare Finance News September 19, 2022
A small percentage of providers are engaging in “high risk billing,” which poses a risk to Medicare, OIG found.
While the vast majority of providers billing for telehealth services do so in a way that poses no significant risk to Medicare, a small percentage of telehealth claims are problematic – and the Centers for Medicare and Medicaid Services is looking to curb the issue.
One possible area of focus: More than half of the providers whose billing practices raised red flags worked in physician practices in which at least one other doctor filed similar claims.
According to a new report from the Department of Health and Human Services’ Office of the Inspector General, this trend suggests some practices are...