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3 Red Flags in Telemedicine Partnerships

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Manage episode 508347701 series 3506216
Content provided by Darshan Kulkarni. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Darshan Kulkarni or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In this video, Darshan discusses recent enforcement trends show three weak spots to watch:

  1. Encounter Quality – If prescribers are just checking boxes without real patient relationships, it’s not care—it’s exposure. Demand documented standards, ID proofing, intake, decision support, and supervision. Don’t take claims at face value—audit them.

  2. Cash Flow Logic – Murky subscription fees, misuse of facility fees, or volume-driven compensation are red flags. Require transparent fee schedules, fair market value memos, and ongoing monitoring.

  3. Referral Data Architecture – Patient steering crosses compliance lines. Keep education, navigation, and clinical decisions separate from marketing. Document clear pathways.

Due Diligence Toolkit: credentialing, exclusion checks, state coverage policies, encounter blueprints, billing guardrails, HIPAA/data-sharing mapping, anti-kickback controls, escalation and audit playbooks.

Takeaway Question: Where is your telemedicine workflow weakest—encounter quality, cash flow, or referral steering?

Support the show

  continue reading

275 episodes

Artwork
iconShare
 
Manage episode 508347701 series 3506216
Content provided by Darshan Kulkarni. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Darshan Kulkarni or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In this video, Darshan discusses recent enforcement trends show three weak spots to watch:

  1. Encounter Quality – If prescribers are just checking boxes without real patient relationships, it’s not care—it’s exposure. Demand documented standards, ID proofing, intake, decision support, and supervision. Don’t take claims at face value—audit them.

  2. Cash Flow Logic – Murky subscription fees, misuse of facility fees, or volume-driven compensation are red flags. Require transparent fee schedules, fair market value memos, and ongoing monitoring.

  3. Referral Data Architecture – Patient steering crosses compliance lines. Keep education, navigation, and clinical decisions separate from marketing. Document clear pathways.

Due Diligence Toolkit: credentialing, exclusion checks, state coverage policies, encounter blueprints, billing guardrails, HIPAA/data-sharing mapping, anti-kickback controls, escalation and audit playbooks.

Takeaway Question: Where is your telemedicine workflow weakest—encounter quality, cash flow, or referral steering?

Support the show

  continue reading

275 episodes

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