Sept. 5, 2020
In an article published in Healthcare Magazine, Atlanta partner Michael F. Ruggio discusses alternative ways of delivering medical services due to the COVID-19 pandemic and discusses the increase in healthcare fraud.
Ruggio explains that under the Centers for Medicare & Medicaid Services' temporary rules, patients can now be transferred to outside facilities such as ambulatory surgery centers, inpatient rehabilitation facilities, hotels, and dormitories while still receiving hospital payments under Medicare.
“Changes in the way healthcare is delivered during the pandemic to reduce staff exposure, preserve PPE, and minimize the impact of patient surges is reflected in the explosion of online provider visits,” says Ruggio. “Both patients and healthcare providers are focused on reducing in-person visits whenever possible.”
Ruggio also explains that “a significant danger to the telehealth movement is the risk of abuse and fraud by unscrupulous providers and fraudsters. Telehealth presents certain unique risks, given the emerging technology and that guardrails have been removed by the government with many waivers.”
Ruggio provides four steps to guide best practices and avoid violation of the law and potential fraud.
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