DiscoverDigital Nomad PhysiciansPracticing Telemedicine Abroad, Legal Rules for US Doctors Seeing US Patients
Practicing Telemedicine Abroad, Legal Rules for US Doctors Seeing US Patients

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

Update: 2025-06-02
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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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Practicing Telemedicine Abroad, Legal Rules for US Doctors Seeing US Patients

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

Dr. Mo