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We recommend that OPM direct carriers to review their claims system edits as they relate to telehealth claims and to implement appropriate claim audits and/or data analytics to identify potentially fraudulent, wasteful, or abusive telehealth billing…

Date Issued
Number
1
Status
Open

We recommend that OPM direct carriers to review their claims system edits as they relate to telehealth claims and to implement appropriate claim audits and/or data analytics to identify potentially fraudulent, wasteful, or abusive telehealth billing practices.

Report
Evaluation of COVID-19’s Impact on FEHBP Telehealth Services and Utilization
Significant Recommendation
No
Questioned Costs
$0
Funds for Better Use
$0