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Medicare Telehealth Services During the COVID-19 Pandemic: Program Integrity Risks

In response to the COVID-19 pandemic, CMS implemented a number of waivers and flexibilities that allowed Medicare beneficiaries to access a wider range of telehealth services without having to travel to a health care facility. This review will be based on Medicare Parts B and C data and will identify program integrity risks associated with Medicare telehealth services during the pandemic. We will analyze providers' billing patterns for telehealth services. We will also describe key characteristics of providers that may pose a program integrity risk to the Medicare program.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
October 2020 Centers for Medicare and Medicaid Services Medicare Telehealth Services During the COVID-19 Pandemic: Program Integrity Risks Office of Evaluation and Inspections OEI-02-20-00720 2021