Legal Alerts/Details

Telehealth Fraud Triggered by COVID-19 Pandemic

February 15, 2021
Footnotes:
  1. Off. of Pub. Aff., Press Release, Justice Department Recovers Over $2.2 Billion from False Claims Act Cases in Fiscal Year 2020, U.S. Dep’t of Just. (Jan 14, 2021), https://www.justice.gov/opa/pr/justice-department-recovers-over-22-billion-false-claims-act-cases-fiscal-year-2020.
  2. Green, George B., et al., DOJ False Claims Act Statistics 2020: Over 80% of all Recoveries Came from Health Care Industry, 11 The Nat’l L. Rev. (2021), https://www.natlawreview.com/article/doj-false-claims-act-statistics-2020-over-80-all-recoveries-came-health-care.
  3. Supra note 1.  
  4. CMS.gov, President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak, Ctrs for Medicare & Medicaid Servs. (Mar. 17, 2020), https://www.cms.gov/newsroom/press-releases/president-trump-expands-telehealth-benefits-medicare-beneficiaries-during-covid-19-outbreak.
  5. Susan Gaertner and Jackson Hobbs, Just What the DOJ Ordered: Telehealth Enforcement Actions Are Here to Stay, JDSupra (Dec. 2, 2020), https://www.jdsupra.com/legalnews/telehealth-enforcement-actions-48714/.
  6. HHS Press Office, Press Release, HHS Issues New Report Highlighting Dramatic Trends in Medicare Beneficiary Telehealth Utilization amid COVID-19, U.S. Dep’t of Health and Human Servs. (Jul. 28, 2020), https://www.hhs.gov/about/news/2020/07/28/hhs-issues-new-report-highlighting-dramatic-trends-in-medicare-beneficiary-telehealth-utilization-amid-covid-19.html.
  7. DeLaurentis, Allison, et al., Fraud Emerges as Telemedicine Surges: Compliance Guidance for Telemedicine Providers, JDSupra (Oct. 15, 2020), https://www.jdsupra.com/legalnews/fraud-emerges-as-telemedicine-surges-66366/
  8. Id.
  9. U.S. Attorney’s Office, S.D. Ga., Press Release, Operation Rubber Stamp: Major health care fraud investigation results in significant new charges, U.S. Dep’t of Just. (Oct. 7, 2020), https://www.justice.gov/usao-sdga/pr/operation-rubber-stamp-major-health-care-fraud-investigation-results-significant-new.
  10. Off. of Pub. Aff., Press Release, National Health Care Fraud and Opioid Takedown Results in Charges Against 345 Defendants Responsible for More than $6 Billion in Alleged Fraud Losses, U.S. Dep’t of Just. (Sep. 30, 2020), https://www.justice.gov/opa/pr/national-health-care-fraud-and-opioid-takedown-results-charges-against-345-defendants.
  11. Id.
  12. Supra note 8.
  13. U.S. Dep’t of Health and Human Serv., Off. of Inspector Gen., Active Work Plan Items (2021), https://oig.hhs.gov/reports-and-publications/workplan/updates.asp.
  14. CMS, COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers, Ctrs. for Medicare & Medicaid Servs. (Dec. 1, 2020), https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf.
  15. OIG, Audits of Medicare Part B Telehealth Services During the COVID-19 Public Health Emergency (2021), https://oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000556.asp.
  16. OIG, Audit of Home Health Services Provided as Telehealth During the COVID-19 Public Health Emergency (2021), https://oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000553.asp.

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