Question

In: Nursing

Describe the measures required to be implemented to prevent potential fraud and abuse as it pertains...

Describe the measures required to be implemented to prevent potential fraud and abuse as it pertains to documentation, billing, and coding for telehealth services from both the facility and provider perspective

Solutions

Expert Solution

The field of telehealth services is expanding with technological advancement enabling doctor patient interactions in a new dimension. So also the issues associated with misuse of these are also increasing.

The measures required to prevent Telehealth fraud are described below

- education of the subscribers regarding the potential fraud mechanisms.

- advice subscribers regarding keeping good records , verifying diagnosis codes and verifying all medical bills to avoid provider frauds.

- Fortify security infrastructure of healthcare organizations.

- Accurate verification of patient identity.

- Providers should be aware of telehealth reimbursement requirements.


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