Mondaq August 10, 2022
Catherine Feorene and Nicole Jobe

On July 20, 2022, the OIG released a Fraud Alert encouraging practitioners to exercise caution when entering into arrangements with telemedicine companies given the various fraud and abuse risks associated with such arrangements including an increased risk of fraudulent claims to Medicare, Medicaid, and other federal healthcare programs.

The Fraud Alert lists seven characteristics of suspect arrangements. This list is not exhaustive and any one factor is not determinative of whether an arrangement would violate the law.

  1. Patients are identified or recruited by advertisements for free or low out-of-pocket cost items or service by the telemedicine company, sales agent, recruiter, call center or health fair and/or through the internet, television, or social media.
  2. The practitioner who is contracted with...

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Topics: Digital Health, Govt Agencies, Health IT, OIG, Provider, Technology, Telehealth
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