Digital Nomad Physicians podcast

Practicing Telemedicine Abroad, Legal Rules for US Doctors Seeing US Patients

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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:

  • Why your location doesn’t matter — the patient’s does

  • Medicare restrictions for doctors practicing abroad

  • What to do if your malpractice insurance won’t cover you overseas

  • Whether you need to be licensed in the country you’re visiting

  • How to stay HIPAA-compliant from a beach in Spain or a café in Thailand

  • What you can and can’t do when it comes to prescribing medications remotely

  • 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.

  • 0:00 – Why this question matters for digital nomad doctors

  • 1:30 – The core legal principle: the patient’s location rules

  • 4:00 – What Medicare does and doesn’t allow abroad

  • 6:15 – Prescribing controlled vs. non-controlled substances

  • 8:00 – HIPAA + tech compliance tips while traveling

  • 9:30 – Foreign tax considerations

  • 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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