Navigating Telemedicine Requirements for Licensing, Scope of Practice and Reimbursement

Overcoming Multi-State Regulatory Hurdles for Healthcare Providers and Facilities

Recording of a 90-minute CLE webinar with Q&A


Conducted on Tuesday, November 22, 2016

Recorded event now available

or call 1-800-926-7926
Program Materials

This CLE webinar will provide guidance for counsel to healthcare facilities and practitioners on the requirements and exceptions for telemedicine licensing. The panel will offer best practices for overcoming licensing challenges and explain how providers can comply with the requirements.

Description

One of the biggest regulatory challenges of telemedicine 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. The process for obtaining the appropriate licenses is costly and burdensome.

Further, most providers must comply with state scope-of-practice laws. 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 rules governing fee arrangements, anti-kickback and self-referral, and the corporate practice of medicine.

Listen as our authoritative panel examines regulatory requirements and challenges for healthcare providers and facilities related to licensing, scope of practice and reimbursement. The panel will offer best practices for overcoming these regulatory hurdles.

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Outline

  1. Licensing requirements and challenges
    1. Physicians
    2. Licensing exceptions
    3. Non-physician practitioners
  2. Scope of practice
    1. Consults
    2. Diagnosis
    3. Treatment recommendations
    4. Remote prescribing
  3. Reimbursement
    1. Medicare
    2. Medicaid
    3. Commercial reimbursement
  4. Business issues
    1. Corporate practice of medicine
    2. Fee splitting
    3. AKS and self-referral

Benefits

The panel will review these and other key issues:

  • 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?

Faculty

McMenamin, Joseph
Joseph P. McMenamin

Principal
McMenamin Law Offices

Dr. McMenamin advises clients on managing risks related to telemedicine, corporate use of the Internet, social media,...  |  Read More

Quashie, Rene
René Y. Quashie

Member
Cozen O'Connor

Mr. Quashie focuses his practice on federal regulatory and administrative health care matters, including Medicare and...  |  Read More

Richard K. Rifenbark
Richard K. Rifenbark

Partner
Foley & Lardner

Mr. Rifenbark’s practice focuses on healthcare compliance and transactions. He is Co-Chair of the firm’s...  |  Read More

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Strafford will process CLE credit for one person on each recording. All formats include program handouts. To find out which recorded format will provide the best CLE option, select your state:

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