This toolkit provides detailed information on methods to analyze telehealth claims to identify program integrity risks associated with telehealth services. It is based on the methodology that OIG developed for the report Medicare Telehealth Services During the First Year of the Pandemic: Program Integrity Risks , which identified Medicare providers whose billing for telehealth services poses a high risk to Medicare. This toolkit is intended to assist public and private sector partners—such as Medicare Advantage plan sponsors, private health plans, State Medicaid Fraud Control Units, and other Federal health care agencies—in analyzing their own telehealth claims data to assess program integrity risks in their programs.
Source: Toolkit: Analyzing Telehealth Claims to Assess Program Integrity Risks