Evaluate telehealth program compliance covering state licensure, prescribing rules, HIPAA security, informed consent, and reimbursement requirements
State medical boards require licensure where patient is physically located; some states have telemedicine-specific licenses
Hospital/health system credentialing must include telemedicine privileges, competency assessment
Verify professional liability policy covers telemedicine, interstate practice if applicable
Platform must encrypt PHI, execute BAA, meet HIPAA Security Rule technical safeguards
If recording visits, ensure encryption, access logs, retention policy, patient consent
Two-factor authentication, government ID verification, or established patient relationship
Ryan Haight Act requires in-person exam before prescribing controlled substances via telemedicine (some exceptions)
Some states prohibit certain medications via telehealth, require special consent for prescribing
State PDMP query required before prescribing controlled substances in most states
TLS 1.2+ for data in transit, AES-256 for data at rest, encrypted video streams
Log patient, provider, date/time, duration, IP addresses, access attempts
WCAG 2.1 AA compliance, screen reader compatible, closed captioning for deaf/hard of hearing
Consent covers technology risks, privacy limitations, alternate treatment options, emergency procedures
Clinical guidelines, physical exam limitations documented, appropriate patient selection
Procedures for medical emergencies, patient location tracking, 911 coordination
Use place of service code 02 (telehealth), modifiers (GT, 95), originating/distant site documentation
Same documentation standards as in-person (history, exam, decision-making), note telehealth modality
Many states require equal payment for telehealth vs. in-person; verify payer contracts
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