The internet offers endless opportunities to generate revenue. Many different industries and economic niches have made the jump to the digital economy. Retail shops now need to have an online presence to maximize sales and brand awareness. Many previously in-person services have shifted to online offerings.
Even the medical industry has begun embracing digital technology. Telehealth involves a remote appointment between a physician at one location and a patient somewhere else. In theory, telehealth services allow doctors to see people who have contagious conditions without exposing other patients or their support staff. They can also provide care to those in need of their services the most, which can be particularly beneficial for those with a highly-specialized practice. Unfortunately, switching over to telehealth or taking a part-time telehealth job can also increase the likelihood of a physician potentially facing fraud charges in the future.
Telehealth fraud is a growing legal concern
Telehealth services were once a tiny segment of the medical sector. However, there are now numerous telehealth companies marketing themselves nationally. From companies that offer Telehealth appointments for erectile dysfunction medication prescriptions to counseling services, there are many digital medical services currently serving patients in the United States.
Some of them engaged in inappropriate or fraudulent billing practices. Researchers estimate that telehealth fraud cost consumers, insurance providers and the government around $1 billion in 2022. Unnecessary testing and appointments are one form of telehealth fraud. Improper billing practices based on services rendered are another potential source of fraud.
Particularly when a professional accepts an opportunity with an existing telehealth network, they may need to watch out for signs of fraudulent activity. Focusing on one type of test or medical equipment is a potential warning sign of fraudulent activity. Instructions to upcharge or unbundle can also constitute medical billing fraud. A physician implicated in a telehealth fraud scheme could be at risk of prosecution. They could also be at risk of losing their medical license due to professional discipline.
Defending against criminal charges and fighting to preserve medical licensing can both be necessary for those involved in a telehealth controversy. Physicians who are aware of the risks are in an empowered position to evaluate job opportunities offered by telehealth programs for warning signs of fraudulent billing practices.
