The updated Work Plan published this month by the U.S.
Department of Health and Human Services Office of Inspector General
(OIG) includes a new audit of Medicare claims paid for telehealth
services. The audit section of the Work Plan may be found here.
Medicare Part B covers expenses for telehealth services if they
meet certain requirements set forth in 42 CFR §
410.78(b):
- The services are on the Medicare telehealth list;
- The services are provided through live, interactive videoconferencing between a beneficiary located at a rural originating site and a practitioner located at a distant site; and
- An eligible originating site must be the practitioner's office or a specified medical facility, not a beneficiary's home or office.
The OIG audit will review telehealth claims to determine whether the paid services met Medicare requirements.
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