Preventing Medicare Telefraud: New Rules for Equipment and Tests
This act introduces new rules for ordering high-cost medical equipment and laboratory tests via telehealth under Medicare. The goal is to reduce fraud and abuse. Citizens might experience changes in how they access certain medical services, potentially requiring an in-person visit before ordering expensive equipment or tests.
Key points
In-person visit requirement: To receive high-cost medical equipment or order high-cost lab tests via telehealth, patients must have had an in-person visit with their doctor within the last 6 months.
Provider audits: Medicare will more closely review doctors who frequently order equipment or tests via telehealth to ensure compliance with rules.
NPI number submission: Doctors must submit their unique National Provider Identification (NPI) number for separately billed telehealth services, increasing transparency.
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