Telemedicine Lawyers in Houston, TX
Counsel for Telehealth Compliance and Fraud Defense in Texas and Nationwide
COVID-19 accelerated the adoption of telemedicine in the United States and created new opportunities for providers across many specialties. In tandem with the rise in telehealth, however, came a slew of new rules, regulations, billing codes and requirements – all leading to greater risks and challenges.
If you are looking to enter the telehealth or telemedicine space – or actively engaged in providing telehealth services and are unsure of the latest requirements – work with experienced telemedicine lawyers to ensure compliance with the still-evolving regulations and to protect yourself against potentially ruinous enforcement actions.
Our Houston telemedicine attorneys guide physicians, medical practices, and other telehealth providers through regulatory compliance and represent them in fraud defense.
Call us at (713) 909-7323 to schedule a consultation today.
We Counsel Providers & Practices on Telehealth Compliance – With Proven Results
At Hendershot Cowart P.C., our health and medical law team is on the forefront of counseling practitioners, medical practices, and medical businesses in a range of telemedicine matters, including:
- Telemedicine practice set up, contracts, record-keeping, and prescribing / billing practices.
- Proactive compliance with state and federal telemedicine regulations, including telemedicine rules during COVID-19.
- Responsive intervention, risk-mitigation, and defense against telemedicine fraud investigations.
Backed by more than 100 years of collective experience, our award-winning attorneys serve providers throughout Houston, the state of Texas, and the U.S. To learn more about our telehealth legal services, call or contact us online.
What Are the Texas Telemedicine Laws?
In Texas, the primary requirements for telemedicine include:
- Notices and Consents. Prior to any evaluation or treatment of the patient, the telemedicine provider must provide the patient with a notice of the provider’s privacy practices and a copy of the Texas Medical Board complaint notice. Additionally, the telemedicine provider must collect a signed consent form for the provision of telemedicine services.
- Practitioner-Patient Relationship. The telemedicine provider must establish a valid practitioner-patient relationship. The telemedicine laws and regulations provide three approved avenues for establishing the required practitioner-patient relationship.
- Prescriptions. The telemedicine provider may only prescribe medications within the parameters of the telemedicine laws and regulations.
- Privacy and Security. The telemedicine platform and communications must comply with all applicable HIPAA Privacy and Security Rules.
How Do I Set Up and Structure a Telemedicine Practice in Texas?
Though telemedicine has become a necessary part of a thriving practice in recent years, implementation is a high-risk, complex endeavor. The challenges of telemedicine deployment stem from many barriers in setting up a compliant practice, including:
- Interstate Licensure: Telemedicine rules and regulations vary by state, which is why providers must ensure compliance with licensure, reimbursement, insurance, and other guidelines in the state where a patient receives care. Involving a legal team early in the process can help providers navigate federal, state, and payer requirements.
- Reimbursement: Practices must consider evolving telemedicine rules and reimbursement rates, as well as existing state and federal regulations, when devising reimbursement models and structuring compliant policies.
- Documentation and Record-Keeping: Documentation is critical to reimbursement, and practices must ensure clear records are maintained to comply with state or payer visit length requirements, coding and billing regulations, and more.
- Security and Privacy: Implementing telemedicine services requires practices to confront various concerns, including security and privacy rules, their own Intellectual Property, and compliance with various regulations, including HIPAA.
- Fraud and Abuse Penalties: Regulators have long scrutinized telemedicine and telehealth services for fraud and abuse, exposing those who deploy such services to greater risks of audits and health care fraud investigations that put considerable penalties on the table.
Hendershot Cowart P.C. has extensive experience guiding hospitals, practice groups, healthcare businesses, and providers through the development and deployment of telehealth and telemedicine services. This includes:
- Practice set-up, corporate formation, and governing documents
- Medical contracts, billing agreements, and contractual relationships
- Medical licensure, credentialing, and privileges
- Government and private payer reimbursement, including Medicare
- Privacy and security requirements, including HIPAA compliance
- Telemedicine technology outsourcing and licensing agreements
- Online prescribing, FDA compliance, and lab tests
- Retail / concierge medicine
- Intellectual property and trade secrets
- Texas’ prohibition against the Corporate Practice of Medicine
- Regulatory compliance, audits, and health care fraud investigations
Medicare’s Telehealth Guidelines
The Centers for Medicare & Medicaid Services (CMS) announced a number of flexibilities and waivers during the COVID-19 public health emergency (PHE), which was first declared on January 27, 2020, and has been extended several times during the course of the pandemic.
Medicare’s telehealth waivers currently in effect (as of May 2022) include:
- Patient location. For the duration of the COVID-19 public health emergency, Medicare will reimburse telehealth visits originating from the patient’s home at the same rate as in-person visits, in all areas of the country.
- Practicing across state lines. Medicare providers may provide telehealth services across state lines, subject to state requirements. Texas is not part of the Interstate Medical Licensure Compact, but out-of-state providers treating patients in Texas can obtain a telemedicine license to practice in state.
- Relationship between the patient and provider. Medicare providers may temporarily see both new and established patients for telehealth visits. The Department of Health and Human Services (HHS) will not conduct audits to ensure that a prior doctor-patient relationship existed for claims submitted during this public health emergency.
- Types of telehealth services covered. CMS expanded the list of services that can be provided using telehealth technologies, and some types of services can now be provided over the phone only without a video component. CMS has indicated that some of these changes may become permanent if there is evidence of a clinical benefit to patients. The current list of services payable under Medicare when furnished via telehealth can be found on CMS.gov.
- Types of eligible providers. The CMS waiver expands the types of healthcare professionals who can provide telehealth services to include all those who are eligible to bill Medicare for their professional services. This allows previously ineligible providers, such as physical therapists, occupational therapists, speech language pathologists, and others, to receive payment for Medicare telehealth services.
- Supervision of healthcare providers. Physician supervision may be provided using live video.
Will Medicare’s Temporary Telehealth Waivers Become Permanent?
It is yet unclear whether these temporary waivers will become permanent. CMS Administrator Chiquita Brooks-LaSure indicated that she intends to examine CMS’ authority when it comes to extending waivers set to expire at the end of the public health emergency and explore ways to bring “lessons that we’ve learned from COVID into our healthcare system on a permanent basis.”
Under Medicare’s permanent rules (excluding the COVID-19 waivers), providers billing Medicare must meet applicable requirements for practicing telemedicine in federally authorized settings. Medicare, for example, requires providers who furnish Part B services via “interactive telecommunications systems” to meet various conditions regarding technology, practitioner eligibility, and patient location. This includes requirements that telemedicine services be provided to beneficiaries at originating sites, which include:
- A provider’s office;
- A rural health clinic;
- A hospital / critical access hospital;
- A federally qualified health center;
- A skilled nursing facility;
- A community mental health center;
- A dialysis facility (for end-stage renal disease) or a person’s home for the purpose of ESRD dialysis;
- A mobile stoke unit.
Further, prior to the public health emergency waivers currently in place, originating sites must be located in a qualifying geographic area (i.e., a health professional shortage area, rural census tract, or county outside a metro statistical area), with the exception of telehealth services for acute stroke, end stage renal disease, and substance use disorders.
A Note About Telemedicine and Remote Prescribing
While electronic prescription technologies are being embraced by more providers as a means to reduce costs and errors, prescribing via telemedicine requires careful consideration of applicable regulations that can vary from state to state. In Texas, telehealth prescribers must abide by the same standards and requirements that would apply to in-person settings. The prescription of drugs must be therapeutically beneficial or necessary for the patient’s treatment.
Telemedicine service providers must also ensure compliance with various federal regulations, including the Haight Act, the SUPPORT for Patients and Communities Act of 2018, and the Controlled Substances Act (CSA). Under federal law, providers must conduct at least one in-person evaluation of the patient to prescribe and meet circumstantial requirements to qualify under the Controlled Substances Act’s “practice of telemedicine” exception.
Providers looking to deploy a telemedicine program to prescribe medications and those who currently utilize remote prescribing should address all applicable regulatory considerations as part of a comprehensive compliance plan. This includes not only protocols to ensure compliance under state and federal laws, but also policies and procedures tailored to the patients being treated, their physical locations, the types of provider participants, and other aspects specific to a practice.
Our team can help you create an effective compliance plan and protect yourself from allegations of fraud and abuse.
Telemedicine vs. Telehealth in Texas: What’s the Difference?
Texas has adopted robust telemedicine regulations to better serve its large rural population and address a shortage of health care providers in the state. For example, Texas has a solidified telehealth parity law that requires private insurance companies, state employee health plans, and Medicaid to cover telemedicine and telehealth services.
How does Texas law define “telehealth” and “telemedicine”? Though these terms are often used interchangeably, they have specific definitions under Texas law:
- Telemedicine services are health services provided by a licensed physician, or a health care professional acting under the delegation and supervision of a licensed physician, to a patient at a different physical location using telecommunications or information technology.
- Telehealth services are health services delivered by a health professional licensed or certified to practice in Texas and acting within the scope and limits of their license or certification to a patient at a different physical location using telecommunications or information technology.
By contrast, the Centers for Medicare & Medicaid Services (CMS) has adopted broader terminology and uses telehealth and telemedicine to generally refer to “the exchange of medical information from one site to another through electronic communication to improve a patient’s health.”
Hendershot Cowart P.C. stays up to date with state and federal laws surrounding both telehealth and telemedicine, by any definition. We seek to help providers with regulatory compliance and protect them from fraud allegations, helping both patients and providers benefit from the advantages of telemedicine and telehealth services.
Telemedicine Fraud Defense Attorneys
Telemedicine has long been a target for regulators on the lookout for waste, fraud, and abuse. The federal government has been especially focused on telemedicine services and violations involving medically unnecessary services, billing for services not rendered, durable medical equipment (DME), call centers, and failing to comply with the telemedicine laws and regulations (see above).
As such, providers and businesses engaged in telemedicine face significant exposure to audits, health care fraud investigations, and potentially devastating penalties over alleged violations of various fraud and abuse laws. These may include the Anti-Kickback Statute, Stark Law (physician self-referrals), and the False Claims Act (including whistleblower / qui tam cases).
Fraud accusations may include:
- Upcoding (billing for more expensive procedures than those performed)
- Unbundling (charging each stage of a procedure as a different procedure)
- Accepting kickbacks for patient referrals and using certain drugs and treatments
- Billing the patient and their insurance company for the same service
- Providing false or forged information or prescriptions
An action you might not think twice about in your in-person practice could lead to scrutiny in your telemedicine practice, especially when patients have federally funded insurance, need medications subject to the Drug Enforcement Administration (DEA), or call in from across state-lines.
At Hendershot Cowart P.C., our legal team helps clients mitigate liability exposure by developing comprehensive compliance plans proactively. We also provide immediate representation and early intervention counsel to minimize the impact of investigations and defend against various enforcement actions, such as OIG subpoenas and civil investigative demands.
Call Today to Speak to a Texas Telemedicine Attorney
Hendershot Cowart P.C. is intimately familiar with telemedicine and telehealth laws, as well as the tremendous amount of healthcare regulations with which providers, practice groups, and business owners must comply. During uncertain times, we know these challenges can be magnified.
Because significant opportunity does exist in telemedicine, we have cultivated the multi-disciplinary approach needed to counsel clients who want to enter the space, ensure compliance, and protect themselves against risks and regulatory enforcement actions.
If you have questions about our services or wish to speak with a Texas-based telehealth attorney, please contact us. We proudly serve health care clients across Texas and beyond.
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