mHealth Intelligence May 2, 2023
The new toolkit is intended to help Medicare Advantage plan sponsors, private health plans, and other stakeholders examine telehealth claims, identify integrity risks, and implement safeguards.
A newly released federal toolkit aims to help healthcare stakeholders analyze their telehealth claims data to assess program integrity risks.
Released last week by the US Department of Health and Human Services (HHS) Office of the Inspector General (OIG), the toolkit is based on the methodology developed for a report published last September that assessed providers who billed Medicare for telehealth services. The previous report determined that of 742,000 providers billing for telehealth, 1,714 providers engaged in billing that posed a high risk to Medicare.
The new toolkit aims to help public and private...