OIG Special Fraud Alert: Arrangements with Telemedicine Companies
Below are the most typical characteristics of such fraudulent arrangements:
⛔️ Patients are recruited by a telemedicine company, sales agents, recruiters, or call centers offering to get a free or low out-of-pocket cost item or service
⛔️ A practitioner does not have enough information about a patient's clinical condition, nor are they able to request it
⛔️ A telemedicine compensates the Practitioner based on the volume of items or services ordered or prescribed
⛔️ Most of the patients are Medicare/Medicaid beneficiaries
⛔️ A company only furnishes one product or a single class of products
⛔️ A company discourages practitioners from doing follow-ups with patients or does not allow them at all
Participation in such or similar fraudulent schemes is illegal and may result in civil, administrative, or criminal liability.
If you cooperate with telemedicine providers and notice any of the above-mentioned signs, you should put this cooperation to an end.
If you are not sure whether your partners are trustworthy and if your billing patterns are transparent - contact us. Our billing and auditing experts may help you ensure that your practice is compliant with the local and federal regulations.