Telehealth has changed healthcare, but it also brings new problems, like claims of misuse and fraud. If you face these accusations in Texas, it’s important to know your defense options as well as methods to help prevent these claims in the first place.
Understanding telehealth fraud
Telehealth fraud means misusing telehealth services or making false claims to make money. Common types of accusations of fraud or false claims may include billing for services not given, charging for more expensive services, and working without a license. These accusations can seriously harm your career and reputation.
Review billing practices
Ensure that all billing practices align with state and federal regulations. Accurate documentation of services provided is essential to defend against allegations of fraud. Double-check that every service billed is properly documented with the date, time, and specifics of the interaction. This includes verifying that the codes used for billing match the services rendered.
Verify licensure compliance
Make sure all telehealth practitioners have valid licenses for the services they provide. Confirm that their licenses are up-to-date and that they have the authorization to practice. Regularly review and update practitioner credentials to avoid any lapses.
Maintain detailed records
Keep detailed records of all telehealth interactions. This includes patient communications, service details, and billing information. Use secure systems to store records to ensure their integrity and confidentiality.
Seek professional guidance
Consult with healthcare compliance professionals to review your telehealth practices. They can identify potential vulnerabilities and suggest corrective actions to prevent future allegations.
Navigating telehealth fraud allegations
Defending against claims of telehealth fraud requires a proactive approach. Knowing these steps can help protect your professional integrity and ensure your telehealth practices follow legal standards.