James A. Cannatti III
By James A. Cannatti III, Amanda Enyeart, Marshall E. Jackson, Jr., Tony Maida, Lisa Schmitz Mazur and Dexter Golinghorst on Jun 13, 2023
Posted In Employee Benefits, Health and Welfare Plans
The US Department of Health and Human Services Office of the Inspector General (HHS OIG) recently unveiled a new toolkit that seeks to help analyze telehealth claims for federal healthcare program integrity risks. It is based on methodologies highlighted in OIG’s September 2022 data brief; the data brief identified billing practices by Medicare providers that...
By James A. Cannatti III, Tony Maida, Lester Perling and Dexter Golinghorst on Jan 18, 2023
Posted In Digital Health, Employee Benefits, Health and Welfare Plans
On December 1, 2022, the Pandemic Response Accountability Committee (PRAC) Health Care Subgroup issued its report on fraud, waste and abuse risks that arose as a result of the dramatic increase in telehealth services provided during the COVID-19 pandemic. The PRAC was created under the CARES Act to oversee the historic spending that was part of the...
By Amandeep S. Sidhu, James A. Cannatti III and Theodore Alexander on Jun 12, 2019
Posted In Benefit Controversies, Health and Welfare Plans
DOJ’s focus on individual accountability is particularly important with respect to telemedicine. Telemedicine is a burgeoning field, with a projected market increase of 18% annually over the next six years, reaching $103 billion in 2024. In light of this recent surge in profitability, DOJ has begun paying extra attention to telemedicine, with at least one...