telemedicine best practices for avoiding medical board actions and government investigations tara...
TRANSCRIPT
TelemedicineBest Practices for Avoiding Medical Board Actions and Government Investigations
Tara Kepler, JD, MPA
Western States Health Care Leadership AcademyMay 29 - 31, 2015
Hollywood, California
Part1—The Regulatory Framework
Part 2—Opportunities and Risks
Overview
What is Telemedicine?
Proper Patient-Physician Relationship
Lesser Known Regulations
Part 1The Regulatory Framework
Terminology
“Telemedicine” “Telehealth” “Practicing medicine across state lines” “Practicing medicine by electronic means”
Why does it matter to you?
Regulatory Framework
What is Telemedicine?
Regulatory Framework
Proper Patient-Physician Relationship
Conflicts & Trends Across the States
Hageseth (criminal?)
The Current Texas Battle
Regulatory Framework
Proper Patient-Physician Relationship
the federal role …
Ryan Haight Act (DEA) ePrescribing (DEA) FDA FTC
Regulatory Framework
Lesser Known Regulations
Mid-Level Supervision
Email Use & Websites
Informed Consent
Reimbursement
Malpractice & Risk Management
Telemedicine-Specific Fraud & Abuse
Part 2Opportunities & Risks
Medicare
Medicaid
Local, County & State Governments
Non-Government Payors
Self-Insured Employers
Opportunities and Risks
Reimbursement
Relevant Standards of Care
Patient Abandonment
Insurance Coverage
Jurisdiction & Choice of Law
Opportunities and Risks
Malpractice & Risk Management
Federal (Stark & Anti-Kickback)
State Twists
Corporate Practice of Medicine
Opportunities and Risks
Fraud and Abuse