Healthcare Financial Management Association
July 16, 2020
Nexsen Pruet health care attorney Jenna Godlewski recently sat down with Healthcare Financial Management Association to discuss the risks of telemedicine in their article "Implement these 6 safeguards against fraud accusations in telehealth."
With the pandemic resulting in a wide-spread demand for telehealth services to protect health care continuity, health care providers have had to rush to implement the new online infrastructure. In this article, Jenna offers guidance and advice to providers to ensure they prevent payer accusations of fraud in the coming months while using this new and unfamiliar system.
“When it comes to fraud, ignorance is not a defense,” said Jenna K. Godlewski, healthcare reimbursement and compliance attorney at Nexsen Pruet, LLC. “You need to know your payer policies.”
During the first month or so of COVID-19, payer telehealth policies changed frequently. If providers didn’t pay attention to these changes — or they don’t update their processes if/when policies change again — they could put themselves at risk for costly recoupments. In cases of fraud, they could face financial penalties, criminal punishment or even revocation or suspension of their medical licenses or Medicare privileges, Godlewski said.
To view the full article, click here.
Nexsen Pruet, LLC is one of the largest law firms in the Carolinas, with more than 200 professionals across 8 offices providing regional capabilities with international strengths.