Navigating Telemedicine Requirements for Licensing, Scope of Practice and Reimbursement

09 July 2014 Web Conference Past Event

Location

Web Conference

Agenda

July 9, 2014

Program Duration:
90 minutes

Partner Nate Lacktman spoke at a Strafford Publishing Web conference titled, "Navigating Telemedicine Requirements for Licensing, Scope of Practice and Reimbursement."

When evaluating or establishing a multi-state telemedicine line of business, one of the initial regulatory challenges is licensure. Both physicians and non-physician practitioners must meet the differing requirements of each state in which they are consulting, diagnosing or treating patients. Obtaining the appropriate licenses is a costly and burdensome process.

Further, most states have scope of practice laws that require compliance. For example, how does the state classify where a consult or treatment takes place? If the provider is providing a second opinion, does this fall under the same requirements? When is an in-person exam required? What are the exceptions to telemedicine licensure?

Reimbursement rules add another layer of complexity to telemedicine. Medicare is expanding its coverage for telemedicine services and regions that will be reimbursed. While most states’ Medicaid programs reimburse some telemedicine services, the rules differ from state to state. Also, some states have reimbursement laws that impact private payers.

Counsel for practitioners must understand what each state calls for to meet licensing, scope of practice and reimbursement requirements. In addition, they must also be aware of the myriad of rules governing fee arrangements, anti-kickback and self-referral, and the corporate practice of medicine.

The presentation provided guidance for counsel to health care facilities and practitioners on the requirements and exceptions for telemedicine licensing. The panel offered best practices for overcoming licensing challenges and discussed what providers should do to comply with the requirements.

The presentation reviewed these and other key questions:

  • What are the regulatory challenges with meeting licensing requirements in multiple states?
  • What are the exceptions of telemedicine licensure?
  • What telemedicine services are covered by Medicare? by Medicaid?
  • What are the regulatory hurdles relating to anti-kickback and self-referral?

For more information, please visit the Strafford Publishing Web site.

Related Services

Insights

Bad Holiday Season News! Estimates of an increase of Cyberattacks 20%!
13 December 2019
Internet, IT & e-Discovery Blog
Driving the Future of Automotive Technology
12 December 2019
Manufacturing Industry Advisor
Massachusetts Governor Proposes Facility Fee Ban
12 December 2019
Health Care Law Today
American Rule Prevails; PTO May Not Collect In-House Attorneys' Fees as "Expenses"
12 December 2019
IP Litigation Current
ACCC 46th Annual Meeting & Cancer Center Business Summit
04-05 March 2020
Washington, D.C.
Foley/Deloitte Compliance and Privacy Officer Roundtable
27 February 2020
Boston, MA
Let’s Talk Compliance
24 January 2020
Orlando, FL
New England Alliance Annual Meeting
15-17 January 2020
Woodstock, VT

Navigating Telemedicine Requirements for Licensing, Scope of Practice and Reimbursement

Location

Web Conference

Agenda

July 9, 2014

Program Duration:
90 minutes