Watchdog Says Nearly One-Third Of CMS Telehealth Payments Were Improper

April 16, 2018, Kimberly Marselas, McKnight's Long-Term Care News - The growing drumbeat for greater use of telehealth in long-term care may have encountered a muffler.  Medicare's telehealth program is allowing too many payments to ineligible institutions and non-rural sites, according to a new report issued by the Department of Health and Human Services' Office of Inspector General.

The study examined a 100-claim sample from among nearly 200,000 telehealth claims paid to remote sites in 2014 and 2015, with outlays totaling $13.8 million.  Among those 100 cases, 31 claims did not meet requirements for the reimbursement that was provided.

Errors cited in the report include 24 claims that should have been rejected because beneficiaries received services at non-rural originating sites; seven claims billed by ineligible institutional providers, three claims for services from unauthorized originating sites; two claims were services provided using the wrong communication tools; one for a noncovered service; and one claim was paid to a non-U.S. physician.

The OIG extrapolated that ........ CLICK HERE TO READ MORE