HHS-OIG Releases Toolkit for Assessing Telehealth Billing Risks

Released last week by the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG), a new federal toolkit aims to help health-care stakeholders analyze their telehealth claims data to assess program integrity risks.

The toolkit is based on the methodology developed for a report published September 2022 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.

This toolkit is designed to help public and private sector partners, including Medicare Advantage plan sponsors, private health plans, and State Medicaid Fraud Control Units, assess the integrity risks associated with telehealth-related billing.