Healthcare Finance News September 19, 2022
Jeff Lagasse

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...

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Topics: CMS, Digital Health, Govt Agencies, Health IT, OIG, Provider, Survey / Study, Technology, Telehealth, Trends
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