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United States: HHS OIG Provides Clarity On Telemedicine Arrangements

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Highlights

The U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) published a Special Fraud Alert (Fraud Alert) on July 20, 2022, warning healthcare providers “to exercise caution when entering into arrangements with purported telemedicine companies.”

Specifically, the Fraud Alert identifies seven “suspect characteristics” of arrangements between healthcare providers and telemedicine companies that potentially create increased risk of fraud and abuse.

The U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) published a Special Fraud Alert (Fraud Alert) on July 20, 2022, warning healthcare providers “to exercise caution when entering into arrangements with purported telemedicine companies.” Specifically, the Fraud Alert identifies seven “suspect characteristics” of arrangements between healthcare providers and telemedicine companies that potentially create increased risk of fraud and abuse.

The Fraud Alert comes in the aftermath of a coordinated enforcement action with the U.S. Department of Justice (DOJ) and other government agencies that resulted in criminal charges against 36 defendants for more than $1.2 billion in fraudulent healthcare schemes involving telemedicine services. Similarly, the Centers for Medicare and Medicaid Services (CMS) Center for Program Integrity recently announced that it commenced administrative actions against 52 medical providers alleged to […]

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