Touting accessibility and affordability, telemedicine is poised to make a huge splash in the healthcare industry in the coming years. The global telemedicine market isexpected to reach seven million patients worldwide by 2018,fueling an 18 percent growth rate by 2020. Although most telehealth arrangements are exempt from anti-kickback laws, broader coverage, particularly at the federal level, could push fraud and abuse considerations to the forefront of a burgeoning industry.
The common perception in the industry is that because telehealth is not totally reimbursed by Medicare, fraud and abuse issues like Stark Law and anti-kickbacks aren't a concern in these types of arrangements, and that's not always true. Even if the telehealth service itself is not reimbursable, the parties may still be in a position to refer other reimbursable healthcare items or services to one another.