OIG REPORT: Telehealth Services That Did Not Meet Medicare Requirements

Results from an Office of Inspector General (OIG) report on "CMS Paid Practitioners for Telehealth Services That Did Not Meet Medicare Requirements"


Medicare paid a total of $17.6 million in telehealth payments in 2015, compared with $61,302 in 2001. Medicare telehealth payments include a professional fee, paid to the practitioner performing the service at a distant site, and an originating-site fee, paid to the facility where the beneficiary receives the service.  A Medicare Payment Advisory Commission study of 2009 claims found that Medicare professional fee claims without associated claims for originating-site facility fees were more likely to be associated with unallowable telehealth payments.



Full Summary is available at:
https://oig.hhs.gov/oas/reports/region5/51600058.asp


The 26 page report with recommendations is available at:
https://oig.hhs.gov/oas/reports/region5/51600058.pdf




string to locate report:

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