Tagged with OIG

HHS released a road map for behavioral health integration

HHS road map provides initiatives within the three pillars of the “Presidents Strategy” to integrate behavioral health and substance abuse care into larger systems.   A SAMHSA (Substance Abuse and Mental Health Services Administration) report stated that in 2020, 52.9 million adults in the U.S. were affected by mental illness.  The strategy also intends to increase…

OIG recommends CMS reinforce telehealth supervision after warnings of insurance fraud

A recent OIG report stated that 1,714 out of 742,000 providers billed for telehealth services that were not medically necessary or were never provided.   These high-risk providers received $127.7 million in fee-for-service payments in a year.  The OIG recommended the CMS strengthen monitoring telehealth services, educate providers on billing practices, and contact high-risk providers.  According…