Amy Lerman, Member of the Firm in the Health Care & Life Sciences practice, in the firm’s Washington, DC, office, was quoted in Part B News, in “Implement 6 Tips to Manage Telehealth Compliance Risks,” by Julia Kyles. (Read the full version – subscription required.)

Following is an excerpt:

Your practice should check its telehealth claims against the information in the recent data brief on telehealth services, health care attorneys advise. The Sept. 2 report from the HHS Office of Inspector General (OIG), “Medicare Telehealth Services During the First Year of the Pandemic: Program Integrity Risks,” contains findings and program integrity measures for telehealth services. …

Here are six steps to take when you review your practice’s telehealth claims:

1. Read the data brief. “The OIG data brief is a useful compliance roadmap for providers, and one that should inspire both providers and telemedicine companies to take a closer look at internal coding, billing, auditing and monitoring practices, which serve as important checks and balances in any health care organization,” says Amy Lerman, member of the firm with Epstein Becker Green in Washington, D.C. For example, the brief includes seven program integrity measures that the OIG created for telehealth services (PBN 9/26/22). …

4. Conduct a thorough analysis into what caused the error. “Secondarily, the organization should conduct a root cause analysis to determine whether any bigger picture solutions … need to be implemented,” Lerman says. Those solutions could include better training, improving the practice’s coding and billing resources, and correcting behavior that could be fraudulent.


Jump to Page

Privacy Preference Center

When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. The information does not usually directly identify you, but it can give you a more personalized web experience. Because we respect your right to privacy, you can choose not to allow some types of cookies. Click on the different category headings to find out more and change our default settings. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer.

Strictly Necessary Cookies

These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms. You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.

Performance Cookies

These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. They help us to know which pages are the most and least popular and see how visitors move around the site. All information these cookies collect is aggregated and therefore anonymous. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.