I understand you can't bill medicare/medicaid when abroad, but are there any telepsych companies that are billing largely insurance or will accommodate a physician who is based internationally?
Why would you tell them? Why would they care? How would they know??
Are you asking why someone would be trying to not break laws?Why would you tell them? Why would they care? How would they know??
Are you asking why someone would be trying to not break laws?
I think I misspoke in saying this was about the law, moreso about contracts and company policies. I don't know if there's an issue or not, or if any company cares about what country their doctors are in. But the OP asking the question suggests that they want to know how to do this properly. I took your post to be suggesting somewhat cavallarily to just be wherever regardless of what the company wants (either by policy or explicitly in the contract) -- perhaps that is the right answer but I think it's reasonable to ask the question of which companies will allow this without issue.What laws are you talking about?
It's useful to understand the difference between:
1. non-compliance with a regulatory statute
2. breach of private contracts
3. risk management in civil liability
If your patient is physically located in a US state of which you hold a medical license, you are practicing to your license. This eliminates #1.
Did you sign a contract that mentions anything about your physical location? If not, this eliminates #2.
Does your medmal carrier care where you are when you practice telemedicine? You can call them to confirm, but in general, the answer is no. This eliminates #3. You are practicing the same medicine and assume the same good community standard of practice regardless of your physical location.
So, I'm asking you, which "law" are you talking about?
And if none of these issues apply why would you even ask this question?
I think I misspoke in saying this was about the law, moreso about contracts and company policies. I don't know if there's an issue or not, or if any company cares about what country their doctors are in. But the OP asking the question suggests that they want to know how to do this properly. I took your post to be suggesting somewhat cavallarily to just be wherever regardless of what the company wants (either by policy or explicitly in the contract) -- perhaps that is the right answer but I think it's reasonable to ask the question of which companies will allow this without issue.