Telemedicine Is Here to Stay: What NPs Should Know

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Telemedicine is the future of healthcare. Since the COVID-19 pandemic, patients are increasingly interested in ways to receive quality medical attention from the comfort and safety of their home. Seeing a provider via telemedicine means no commuting and no crowded waiting rooms—plus telehealth is generally more cost effective than an in-person visit. While there are a plethora of benefits for patients, what do NPs gain from virtual medicine? Here, we break down how you can utilize this trend to boost your income and streamline your business.

Practice authority flexibility

The rise of telemedicine has expanded practice authority for many nurse practitioners. While some states restrict the scope of care for NPs, operating a virtual practice allows for an NP to register their business in states with more relaxed regulations. For instance, an NP who physically resides in a restrictive state like Texas can see patients remotely in full practice authority states like Wyoming or Arizona. If your business is registered in a full practice authority state, you only need to adhere to that state’s regulations, no matter where you personally live.

Practicing in full authority states can provide a multitude of both financial and clinical benefits. Full authority states do not require the presence of a physician collaborator, which can save your practice a substantial amount of money per month. Additionally, you are able to provide more comprehensive care to your patients since you are not restricted by laws that hinder your clinical abilities.

Patients will pay more for telehealth

Because telemedicine is so much more appealing to many people than in-person visits, patients will make it a priority despite high costs. Patients don’t need to pay for transportation or parking with telemedicine, so they can generally afford to make up the difference by frequenting a cash practice or one with slightly higher rates than a brick-and-mortar clinic. For insurance-accepting practices, Medicare, Medicaid, and private carriers generally reimburse well for telemedicine visits.

Patients want convenience and on-demand service, and that is exactly what telemedicine delivers. Why would someone go to an urgent care or primary care office, pay a $50 deductible, deal with insurance authorizations, and spend two hours out of their day for a medical visit, when they can just spend $45 in cash and be seen within 15 minutes via telemedicine? It only makes sense to go with telemedicine for various medical issues. It is in your best interest to provide optimal value to your patients.

Telehealth DPC and membership medicine

The COVID-19 pandemic has also motivated patients to find a trusted healthcare provider who can fill a variety of needs. Many are willing to join a ‘membership medicine’ or direct primary care (DPC) practice to receive all their care in one place. Both of these business models can be extremely lucrative, and many of the services offered in membership practices can be performed remotely. For more information on creating a direct primary care practice, read our startup guide!

Low overhead

It is much cheaper to establish and operate a telemedicine practice than a brick-and-mortar clinic. A telemedicine practice does not require the provider to pay office rent, utilities, property tax, general liability insurance, or employee compensation. All you need to operate a telemedicine business is a computer and/or tablet, a reliable internet connection, billing software, and general office supplies. Cutting recurring expenses means that more money will be in your pocket at the end of each month!

What types of practices are best fitted for telemedicine?

While many services can be provided via telemedicine, there are simply some conditions and medical problems that require in-person attention from a licensed professional. Serious injury, chronic disease, and outpatient procedures cannot be addressed remotely. However, there are many niche practices that can be performed virtually, including:

  • Psychiatric and mental health care
  • Hormone replacement and testosterone therapy
  • Sleep medicine
  • Weight loss medicine
  • Functional/wellness/holistic medicine

The following types of practice may not be suited for telemedicine:

  • Urgent care clinics
  • Opioid and addiction management practices
  • Aesthetics/injectable businesses

Telemedicine is changing the game for patients, providers, and practice owners. If you are serious about starting a part-time side business that will increase your professional freedom and financial security, then consider opening a telemedicine practice. Check out the “How to Start a Telemedicine Practice” course here if you are ready to take the next step.

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22 Responses

  1. I already have a few side businesses. I do long term care and hospice. Are you in Texas? My question is this, with the recent legislation passed, NPs can start and recert home health visits. Can NPs sign 485s as well? Can you show this in writing, I am in Texas.

    1. I cannot give you an answer about NPs signing 485s in TX as I do not practice in TX nor do I want to because of the restrictions. TX is a horrible state to practice in as a NP. This is one of the reasons why NPs should focus on obtaining licenses in FPA states outside of restrictive states like TX. The thought of working as NP in a state like TX honestly makes me nauseated.

    1. If you follow the education in one of our niche clinical focused courses and focus on low liability service lines, then I do not see why a new NP cannot start a simple telemedicine practice.

  2. Now that the pandemic is becoming endemic and the writing is on the wall that the waivers etc are going to start ending, would you still recommend starting a telehealth practice at this time? I was thinking about starting a telehealth weight loss multistate; but the having to see a patient in person to be able to put them on a controlled substance (phentermine etc) has me rethinking whether this might not be a good idea after all.

    1. We have no idea when the restricitons will be put back into place if at all. COVID will spike again in the fall and we will be back to square one. I still recommend doing it, but just be aware it can change, but when, NO ONE knows….. I think the DEA will extend it as they have seen nothing really adverse has happened.

  3. Hi. I am a psychiatric nurse practitioner living in Tennessee and am interested in the idea of licensing in FPA state. Do you know any specifics on whether or not I would still be bound by the restrictive laws in TN if I am providing telehealth care across state lines? For example, if I serve patients in an FPA state, could I still be required to have a physician collaborator since I am located in TN? I have received conflicting answers to this, with some saying no and others saying I am bound to the statutes of both the location of my patient AND the location of my practice.

    1. Teresa,

      As explained in our telemedicine course, you are only bound by the laws of the state you are seeing the patients in and have a license in.

  4. Hi! Your blog is very informative! I have just started my own professional nursing corporation in the state of California. It is nauseating how restrictive it is for NPs. I am considering a telehealth side business. I am licensed NP in ca, and my business is being registered in Ca. Can I still practice across state lines via telehealth , like Arizona that has FPA, even though my business was set up in California?

  5. I have an S-corp in California, although I am not practicing with this business, but I am also licensed in FL as an autonomous NP. Will I need to start a new LLC in Florida to practice telemedicine in Florida? I will continue to work as a W2 in California.

  6. Hello. I am a newly boarded certified PMHNP residing in Texas. I am interested in beginning my own telehealth/telepsychiatry medicine. I know Texas is very restrictive. What does FPA mean? Please pardon my ignorance. I am highly interested in taking your course.

    Thanks.

    Onyi

    1. Full practice authority. Basically operating a practice in another state that is independent. All discussed in the telemedicine course and the starting a psych practice course.

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