@ShahidNShah
When the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) released its initial report on remote patient monitoring (RPM) in September 2024, the telehealth industry was taken aback. The report outlined what OIG considered program integrity concerns and called for enhanced oversight measures. Less than a year later, the OIG has issued a new data snapshot report that proposes these enhanced oversight measures and provides concrete data on RPM billing patterns that should prompt serious discussion about regulatory approach and the balance between fraud prevention and innovation in digital health.
OIG’s data point to specific billing patterns—such as RPM vendors billing under their own identifiers and spikes in new patient enrollment—that CMS could use to focus audits and enforcement more precisely, balancing fraud prevention with continued patient access to remote care.
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