Telehealth Regulations: Head Off Paying Triple Damages and OIG Fines

Length: 60 Minutes Expert: Anne M. Brendel, Esq.

Complying with telehealth regulations is a nightmare.

Sure, telehealth rules were relaxed due to the pandemic, but the constant changes to the regulations make it feel impossible to keep up. Is your technology adequate? Are you using an allowable site location? Are there restrictions for NPPs? What if patients are across state lines? The questions go on and on and failing to comply really is not an option.

CMS has made it very clear that they expect you to correctly provide telehealth services (regardless of the changes). If you don’t, CMS has implemented financial penalties for violations at 3-times the normal rate.  In addition to this, claims that are deemed fraudulent can also be required to pay an additional fine of $11,665 – $23,331 per incident.

Although federal and state governments are focusing on telehealth regulation compliance, there are actions you can take right now to ensure your compliance and cut through the confusion of ever-changing rules and requirements.

Regulatory expert and healthcare attorney, Anne Brendel, Esq., can show you how. Anne is presenting a online training that will walk you through how to comply with some of the most confusing aspects of telehealth regulations (i.e., licensure requirements, state regulations, and supervisory rules for your NPPs).

Here are just some of the actionable telehealth regulation compliance tactics you’ll receive by attending this 60-minute online training:

  • Head off state enforcement of exceptions to the general telehealth licensure requirements
  • Learn the five conditions to qualify for Medicare reimbursement of telehealth services
  • Ensure compliance with telehealth rules across state lines
  • Assess technological barriers and find compliant workarounds
  • Prepare your practice to pass an audit of your telehealth protocols and billing
  • Use the DEA’s Public Emergency Exception for Telemedicine Prescribing of Controlled Substances
  • Pin down supervisory rules for non-physician practitioners (NPPs)
  • Limit Store-and-Forward law missteps to stave off fines
  • Comply with CMS qualifying originating site requirements
  • Avoid technology screwups from leading to massive violation penalties
  • And so much more…

With a surge in telehealth services of 11,000% since the pandemic began, fraud enforcement officers are watching closer than ever. Also, numerous states have made permanent changes to their laws regarding when, how and who can offer telehealth services – so even more eyes are on you.

You can get the expert advice you need to help ensure your telehealth services are being offered compliantly, and that you are paid appropriately.  This upcoming, expert-led online training will provide you with a roadmap to help ensure that your office is up to date and compliant with the most recent telehealth regulations.

By attending this training, you can be paid more accurately for your telehealth services, significantly improve your compliance, and reduce the risk of being hit with triple penalties and added fines for claim violations. Don’t wait. Sign up for this training today.

Meet Your Expert

Anne M. Brendel
Esq.Senior Associate at Goodwin Procter LLP

Anne Brendel is a member of Goodwin’s Life Sciences Group and Healthcare practice. Anne focuses her practice on regulatory issues affecting a variety of healthcare industry clients, with a strong emphasis on telehealth. As a member of the Center for Connected Health Policy, she’s on the leading edge of changes to telehealth regulations.

Her regulatory practice is concentrated on healthcare fraud and abuse, corporate practice, privacy, consent, Medicare and Medicaid enrollment, reimbursement and billing, licensing and certification, accreditation, and compliance. Ms. Brendel assists clients with meeting reporting and payment requirements under the Medicare 60-Day Rule and filing self-disclosures under the OIG’s Self-Disclosure Protocol for potential violations involving civil monetary penalties and CMS’s Voluntary Self-Referral Disclosure Protocol for potential Stark Law violations.

She has experience responding to federal government subpoenas and civil investigative demands involving alleged fraudulent billing for professional services, lab diagnostic tests, and medications and negotiating settlements, including Corporate Integrity Agreements.