The pandemic and the public health emergency (PHE) it brought along with it, have changed how health care is delivered. Commercial payors have been more amenable to paying for telehealth services in prior years. Due to the pandemic, CMS decided to relax its guidelines on telehealth acceptance and payment. More payments equal more scrutiny, though. In this case, that means more involvement from the Department of Homeland Security Office of Inspector General. In order to stay compliant in billing Medicare for the services performed, practices need to understand what the OIG is zoning in on. In this article, the OIG’s Work Plan, how it relates to telehealth, and best practices to stay compliant will be discussed.