Sign up to our email list for updates on the newest articles and courses!

We respect your email privacy | Powered by AWeber Email Marketing

“You can get past the dead end. You can break through the ceiling. I did and so have countless others.”

Creating a Telemedicine Practice

The easiest and cheapest way to start a side business is doing it via telemedicine. It fits perfectly into The Elite Nurse Practitioner Model. Telemedicine continues to gain more and more traction as millennial’s get older and people realize how pointless most in person medical visits really are. It is a growing field and nurse practitioners can be on the front lines utilizing this modern day technology.

So why is telemedicine such a great practice model for the nurse practitioner? One answer: INDEPENDENT PRACTICE AUTHORITY. You can live in a very restrictive state and practice independently online in other states such as Washington, Oregon, Arizona, etc… You do not need a supervising physician. Repeat this with me, YOU DO NOT NEED A SUPERVISING PHYSICIAN. This automatically saves you thousands of dollars a year.

The skies the limit with telemedicine for the nurse practitioner. Setting up a telemedicine practice is relatively easy compared to a brick and mortar business. The four essentials are:

1. Personal computer. (Do not operate a telemedicine practice from a tablet. It would not be as efficient as an actual computer.)

2. Cell phone.

3. Website. (Go Daddy is very simple and priced well. You can literally design a good looking website on Go Daddy within 2-3 hours.)

4. Online marketing strategy. (Marketing will be your biggest and most important expense. MARKET MARKET MARKET your service.)

Outside of standard business items such as a LLC, bank account, etc… that is all you need for a telemedicine practice.

You might be asking yourself “Well what about an EMR?” and that is a valid question. It is optional. If you are running a cash practice you really don’t need one. Word documents filed in a folder on a secure google drive would suffice for a small startup telemedicine practice. There are multiple free HIPAA compliant video platforms out there as well.

If you don’t mind paying $50 a month, you can go with a very basic EMR. I use one called Simple Practice. As its name implies, it is very simple. The telemedicine video chat is built in. It also has point of sale features on it. It is a worthwhile expense in my opinion.

If you accept insurance you will have to comply with all their bogus rules and regulations for reimbursement. There are a multitude of items you must comply with when taking insurance and using telemedicine. These really add onto your expenses. I recommend avoiding insurance when using telemedicine. It will complicate a relatively simple process. If you want to know what the requirements are, they are easy to find online and beyond the scope of this article since I do not advocate for it.

That is essentially all you need to start a telemedicine practice. I started one with $8,000 with $6,000 of that going to marketing the hell out of it. Otherwise the actual foundation of your practice should not cost you more than $2,000-$3,000 at the most. Monthly operational costs would be around $100 while marketing costs could be as much as you want to spend. Remember something about telemedicine: it is all about how you market your service to potential patients. This is how you build your patient base!

You must utilize multiple marketing channels with social media being a huge component. Avoid paying people to market for you. It is very easy to learn. You must set aside a healthy marketing budget during the startup planning of your telemedicine practice. Be prepared to drop multiple thousands of dollars to get the word out. If you don’t have this in your budget then continue to save before launching.

The biggest challenge an aspiring nurse practitioner entrepreneur will have when starting a telemedicine practice will be the service niche. This is VITAL to your success. Outside of marketing, your service niche is the most important part of your business. Do not create a telemedicine primary care office or urgent care. This is overdone and you will fail. Think outside the box like the guy who created the online erectile dysfunction telemedicine practice. Men love a robust erection and do not like going to a doctor’s office. It was a stroke of genius in my opinion. That practice probably makes millions by simply doing a 10 minute phone visit and prescribing a 6 month supply of Viagra or Cialis. So think outside the box here!

Another significant startup cost will be licensing. You need to get licensed in every state you want to practice in. This can add up quickly but overall most NP licenses will cost you $200-300 each. A worthwhile expense seeing you can make that up with 2-3 patients.

If you want to implement The Elite Nurse Practitioner Model into your life, but you live in a restrictive state, then starting a telemedicine practice could be a way around that barrier! Begin brainstorming a service niche and get a telemedicine practice up and running. You will be very surprised how relatively easy it can be!

46 Responses

    1. Great idea in theory. One problem I can foresee is that people will want to use their insurance or they can go to the health department and have it done for free. Another limitation would be obtaining lab work. Doing lab work over telemedicine complicates its because: You must send orders in for lab work, most people will want to utilize their insurance, and you need to get results. It sounds like it should be fairly straight forward but sometimes it can be a real headache because of these reasons.

      1. why is it hard to get labs via telemedicine? can’t patients use their insurance for labs even if you’re cash pay? thanks

  1. Hi!
    Thanks for this informative article, I do really want to open my own telemedicine business. I am in Florida, a very restrictive state, but as you said I can practice in another state. I’m wondering how intense you think the marketing would be since I don’t know anyone in another state? I want to apply for my license in NY to start off. Thoughts? Thank you.

    1. The marketing is going to be as intense as any other business starting in a fresh market. Word of mouth referrals will happen but it will take 6-12 months before that happens. So you need to expect that marketing will be your number one expense. Setting up the business itself is easy, but developing a marketing strategy will be your toughest obstacle. I do not know about NY other than it is a densely populated state. Expand your horizons, look at other NP independent states and figure out what your market is going to be for the service you provide.

      1. New York is a complicated state for telemedicine. I have a license there. It is a big ticket item if you want to practice there through a telemed company. If you want to keep your telemed business independent, start with another state. The collaborative issue is strange. (You have to have a relationship to practice, very informal, but still required.) And you can’t get malpractice as an individual practitioner.

  2. I assume you will still need a Dr for collaborative support in states that do not offer full practice authority like TN correct? How would I go about finding one?

    1. You will need collaborative physicians in any non independent state. Which is why you should venture into those states. Having a collaborative physician does nothing but increase your monthly expenses. There are services online for collaborating physicians or simply ask some you know or other NPs who use them. I cannot assist with specifics since I do not advocate for it.

    1. Not at this time. They can be expensive and often times cumbersome if you have a multiple provider practice like I do. We are a very specialized telemedicine practice therefore scripts are just called in. If you have a high volume practice then e-Rx would be necessary to help with workflow. Remember, you want your expenses as low as possible. Creating a Low Overhead Practice

    2. Good information, thank you. My only question is the use of a personal computer. Wouldn’t you need to be HIPPA complaint ? How are you able to ensure this on a personal laptop?

      1. The EMR you utilize will be HIPPA compliant. Do not store anything on your personal computer, problem solved.

  3. Great info helpful.. I have been looking into this and call an app company to start one but cost 40k more than I want to spend and I could not figure how profitable the app would be. Question, I do I need an LLC to start or just build a go daddy site? Please email me at Thanks

  4. Just found you, you are a breath of fresh air. 1yr into NP world and I am a bit burnt out and I’m now on an extended vacay thinking of my next move. Change jobs for sure, but what will change?
    In Telemedicine in another Full practice state, I am currently in a collaborative state,
    > how do you write prescriptions if not escript?
    >How do you ensure you are only taking pts from the state you are licensed in?
    Interested in Telehealth
    But have so many ideas bouncing off my mind right now, men I have been reading your blogs since I woke up, can you imagine
    > I already have a registered LLC whi h I never gir a Tax I.D for. Can I use that, and make some changes, I registered it with my state many yrs ago, but never used it, it was a med legal entity, as you know that’s saturated. may need to change the email address.
    Thank you

    1. 1. I just call the scripts in. Once volume increases then go with an escript services.
      2. Have them upload a copy of the DL into your clinical portal. Often times they will have an address on file too. This is something you do not need to worry about often.
      3. I would suggest registering a LLC in Wyoming or Nevada for privacy purposes and operate under it.

      You sound like you need quite a bit of direction, shoot me an email through the consulting tab if you want to schedule a one on one telephone call.