
Practicing Telemedicine Abroad, Legal Rules for US Doctors Seeing US Patients
Can you live abroad and still practice medicine virtually with your U.S.-based patients? In this episode, I break down the rules, regulations, and risks of doing telemedicine while living or traveling outside the U.S.
Whether you're billing Medicare, running a cash-based virtual clinic, or just taking occasional consults while abroad, there are a few key legal and operational considerations you need to know.
I cover:
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Why your location doesn’t matter — the patient’s does
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Medicare restrictions for doctors practicing abroad
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What to do if your malpractice insurance won’t cover you overseas
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Whether you need to be licensed in the country you’re visiting
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How to stay HIPAA-compliant from a beach in Spain or a café in Thailand
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What you can and can’t do when it comes to prescribing medications remotely
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How tax residency or foreign income laws may apply to your U.S. income
If you're building a digital nomad lifestyle as a physician, this episode will help you avoid the legal traps while serving your patients with confidence.
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0:00 – Why this question matters for digital nomad doctors
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1:30 – The core legal principle: the patient’s location rules
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4:00 – What Medicare does and doesn’t allow abroad
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6:15 – Prescribing controlled vs. non-controlled substances
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8:00 – HIPAA + tech compliance tips while traveling
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9:30 – Foreign tax considerations
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11:00 – Building a low-risk, high-trust practice abroad
Take the course to build your own virtual medical practice:
https://www.digitalnomadphysician.com/courses/
Book a one-on-one coaching session:
https://www.digitalnomadphysician.com/coaching/
Join the newsletter for weekly advice on cash-based medicine and physician freedom:
https://www.digitalnomadphysician.com/newsletter/
Watch the latest videos on YouTube:
https://www.youtube.com/@digitalnomadphysicians
Connect with me on LinkedIn:
https://www.linkedin.com/in/mohammad-ashori-md
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