| Text of Recommendation | We recommend that OPM develop and maintain a list of services that can be provided via telehealth and require carriers to place edits in their claims systems that will check telehealth claims against this list. Any telehealth claims with procedure codes indicating services not on this list should pend for medical review prior to payment. OPM could start with the list maintained by CMS, expanding the allowed services if desired. |
|---|---|
| Recommendation Number | 2 |
| Recommendation Status | Open |
| Significant Recommendation | No |
| Recommendation Questioned Costs | $0 |
| Recommendation Funds for Better Use | $0 |
| Submitting OIG | |
|---|---|
| Linked Report |