decisionhealth Newsletters, Part B News - 2021 Issue 3 (March)
From HIPAA to referral laws, stay connected with the compliance rules for telehealth
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Article Overview
This article reviews the compliance landscape for telehealth services during the public health emergency, focusing on privacy and security, patient communication and consent, licensure across state lines, controlled-substance prescribing, and cost-sharing considerations. It is aimed at practices, coders, and compliance staff who need a broad understanding of telehealth-related oversight and the types of federal and state guidance that may apply.
Why This Topic Matters
Telehealth billing and documentation can create compliance exposure if practices overlook privacy, licensing, consent, prescribing, or payer-specific requirements. Understanding the article helps readers identify the major risk areas and the guidance sources discussed by the author.
Article Sections
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Compliance
An overview of telehealth compliance concerns and the role of federal oversight during the public health emergency. This section frames the broader regulatory environment for telehealth services.
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Privacy and security concerns
Discussion of telehealth privacy, security, and communication practices that help reduce misunderstandings and protect patient information. The section addresses general safeguards for remote encounters.
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Licensure issues
Coverage of state licensing considerations when telehealth services cross state lines. This section explains why practices need to review applicable state requirements before providing care.
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Remote prescribing
A general review of telehealth-related prescribing compliance for controlled substances and the federal agencies involved. The section points readers to guidance used for remote prescribing decisions.
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Copay waivers
Explanation of cost-sharing and waiver considerations in the telehealth setting during the emergency period. This section discusses how temporary flexibility affects practice compliance.
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5 compliance tips
A closing checklist of practical compliance areas for telehealth programs. The section highlights ongoing monitoring, staff education, and documentation awareness.
What You Will Learn
- The main compliance areas implicated by telehealth services
- How patient consent and communication fit into telehealth workflows
- Why privacy, security, and workspace practices matter in remote visits
- What to consider when telehealth crosses state licensing boundaries
- How federal guidance affects telehealth prescribing and cost-sharing policies
- Common compliance monitoring steps practices can use for telehealth programs
Who Should Read This
- Medical practices
- Compliance staff
- Medical coders and billers
- Practice managers
- Clinicians providing telehealth services
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