FWA Insights: Flagging high-frequency telehealth claims

During the COVID-19 pandemic, telehealth became one of the most convenient ways for members to receive the care they needed, especially for behavioral health services. Yet it has also provided opportunities for bad actors to seek improper reimbursement. Certain flexibilities were allowed to telehealth claims during the pandemic in the name of expanding care, and many of those changes are set to remain for the foreseeable future or have become permanent changes to policy.