What the OIG and DOJ Work Plan Updates Mean for You.

Mental and behavioral health services are being scrutinized by both the OIG and the DOJ, as evidenced by the OIG’s recent Work Plan updates. For example, one Work Plan item plans to focus on psychotherapy provided through telehealth means.

The OIG determined that during the first eight months of 2020, 43% of Medicare payments were for services provided via telehealth (compared to less than 1% in calendar year 2019). In a separate, though related Work Plan item, the OIG announced their plan to investigate the use of telehealth to provide behavioral health services in the Medicaid Managed Care space. A third Work Plan item describes audit work for psychotherapy services outside of telehealth. In addition to these Work Plan items, the OIG has already performed proactive audits on select providers, where they have identified high error rates when reporting psychotherapy services.

To better understand what the OIG has up its sleeve, watch our webinar, “Understanding the Recent Enforcements of Mental Health Services,” where we summarize the latest settlements, proactive audits, and proposed Work Plan items, and share with you:

• Missteps that Lead to Fines and Settlements
• Guidance So You Can Avoid Similar Acts of Non-Compliance
• Recent OIG and DOJ Work in Mental Health and Psychotherapy

 

The Compliance Certification Board (CCB^®) has approved this event for up to 1.2 live CCB CEUs based on a 50-minute hour. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB^® of this event content or of the event sponsor.
Please Note: This event has NOT been approved for AAPC CEU credit.