Innovate and Pay for Value: Goals of New Anti-Kickback and Civil Monetary Penalty Rules

Peppered with references to ride sharing, interoperability, cybersecurity, and electronic health records, the Office of Inspector General’s (OIG) proposed rules to the Anti-Kickback Statute and Civil Monetary Penalty Rules read like they were drafted by a Silicon Valley health app developer. Read More ›

Telehealth: The Beginner’s Guide to Legal Pitfalls

It’s only February, and 2019 has already been a big year for telehealth reimbursement. Read More ›

CMS’ New Fee Schedule Signals Modern, Cost-Conscious Approach to Telehealth for Medicare Patients

On November 1, 2018, the Centers for Medicare and Medicaid Services (CMS) released the 2019 Medicare Physician Fee Schedule for public inspection. Read More ›

$1 Billion Telemedicine Fraud Scheme in Tennessee

In October, the Department of Justice (DOJ) announced that several individuals and companies were indicted in Tennessee for a $1 billion telemedicine fraud scheme. Read More ›

Telehealth Highlights in CMS' Proposed Physician Fee Schedule

While the Department of Health and Human Services’ Office of Inspector General is looking backwards in auditing telehealth claims, the Centers for Medicare and Medicaid Services (CMS) is peering forward by allowing reimbursement for new telehealth-based services. Read More ›

Telehealth Reimbursement Guide After the Latest OIG Audit

Co-Author: Joseph Brammer

The Office of the Inspector General's (OIG) audit dissected telehealth reimbursement under Medicare, finding multiple complications. Medicaid reimbursement is next up. Read More ›

eNLC Means More Nurses Practicing Telehealth Across State Lines

Down goes a jurisdictional barrier to telehealth: Nurses interested in expanding their practice can now practice via telehealth in multiple states under the Enhanced Nursing Licensure Compact (eNLC) multistate license. Read More ›