Bruce D. Armon

HHS-OIG shares findings from its review of potential fraud, waste, and abuse in Medicare billing for telehealth visits in the first year of the pandemic.

Many schemes involve allegations of orders or prescriptions for medically unnecessary DME, genetic testing, wound care, or prescriptions for medication, each resulting in reimbursement from a Federal health care program.

The majority concluded that the mental intent requirement does indeed apply not only to the conduct in issuing a prescription but also to a prescriber’s awareness of whether the prescription is authorized.