缺乏关于远程医疗欺诈的证据
Yael Harris1, Jason C Goldwater1
1Laurel Health Advisors, LLC, Laurel, MD, USA.
Journal of telemedicine and telecare
|June 18, 2023
概括
尽管存在担忧,但研究几乎没有证据表明,远程医疗服务的欺诈和滥用增加了. 联邦政府六年来对虚拟护理欺诈进行了研究,发现与面对面的护理相比,较高风险的支持很小.
科学领域:
- 卫生政策 卫生政策
- 医疗保健 欺诈 医疗保健 欺诈
- 远程医疗远程医疗
背景情况:
- 美国政策制定者,纳税人和公众对远程医疗欺诈和滥用表示担忧.
- 欺诈性的远程医疗实践包括虚假索赔,错误编码,不准确的计费和回扣.
- 尽管缺乏支持增加欺诈风险的实质性证据,但仍然存在担忧.
研究的目的:
- 审查美国联邦政府关于远程医疗潜在欺诈问题的研究.
- 评估与虚拟护理服务相关的欺诈和滥用行为的实际风险.
- 为远程医疗欺诈问题提供基于证据的观点.
主要方法:
- 审查美国联邦政府过去六年进行的研究研究.
- 检查特定的欺诈指控,如上代码,服务虚假陈述和未提供服务的计费.
- 综合调查结果,评估远程医疗欺诈的整体风险.
主要成果:
- 联邦研究机构调查了各种远程医疗欺诈计划.
- 分析表明,广泛欺诈的指控没有得到证据支持.
- 在远程医疗中,欺诈和滥用的风险似乎与面对面服务相当或低于面对面服务.
结论:
- 有有限的经验证据支持声称远程医疗使用本质上增加欺诈和滥用.
- 关于远程医疗欺诈的持续担忧可能与当前的研究结果不一致.
- 有证据表明,虚拟护理可以在低欺诈活动风险的情况下提供.
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