Codoxo, a provider of healthcare artificial intelligence solutions for healthcare payers and agencies, released a new study revealing that among the 41% of provider specialties showing statistically significant increases for telehealth adoption, up to 15% of telehealth claims are non-compliant with CMS guidelines.
The report, “Fraud Schemes in a Telehealth Era: What Healthcare Payers Should Know,” highlights provider specialties where telehealth modifiers were used but lack accompanying eligible CMS billing codes, which may indicate wasteful, abusive or erroneous practices and warrant immediate investigation. Read more.