Hi Reader

Most of you reading this aren't deciding whether to do Telehealth, You already do it. It's been running for a while now — maybe since 2020 — and it works. Mostly.

That's what this month is about. Not "How to start Telehealth" but How to make the Telehealth you already have actually pull its weight. We'll spend the next four Tuesdays on it: this week, spotting where it's quietly underperforming. Then patient experience and friction. Then the money you're probably leaving on the table. Then what real growth looks like once the fundamentals are solid.

Let's start with the diagnosis. Here are five signs your setup is just working with you instead of actually working for you — and one fix for each.

1. You don't actually know your virtual no-show rate. Most practices track this in their head, not in a report. If you can't pull the real number in under a minute, you don't have a number — you have a guess. Fix: run the report this week. Compare it to your in-person rate. The gap tells you exactly where to focus next.

2. Patients still email or call asking "how do I join?" That question is a friction signal, not a one-off. Every time it happens, someone almost didn't show. Fix: standardize a single confirmation message — text or email — with the link, the time, and one line on what to do if it doesn't work. Send it the same way, every time.

3. You're not sure if your video platform is actually covered by a BAA. A lot of practices upgraded to "the paid plan" at some point and assumed that meant compliant. Paid and covered aren't the same thing. Fix: pull up your BAA folder right now and confirm your video platform is actually in it, under the plan you're currently paying for. Questions about your BAA? Reach out here​

4. You're billing virtual visits the same way you did in 2021. Modifiers, place-of-service codes, and payer Telehealth policies have all shifted since then — some this year. If nobody's rechecked your billing setup since it was first configured, you're likely either underbilling or collecting a denial you haven't noticed yet. Fix: pull your last 20 virtual-visit claims and check the modifier and POS code against your top payer's current Telehealth policy.

5. You're the only one who knows how the whole thing works. If the workflow lives in your head instead of on paper, it's not a system — it's a dependency. Fix: write it down. One page. Platform, login process, what staff does before and after each visit. It takes an hour and removes a real risk.

​
​This week's action item: pick one of the five, the one that made you wince hardest, and fix just that one before next Tuesday.

​
Next week: The patient-facing friction points that are quietly costing you patients you'll never hear complained about — because they just don't rebook.

​
If you want a second pair of eyes on any of this, I do free 15-minute audits — no pitch, just an honest read on where the gaps are.

Follow me on Linkedin all week for additional Telehealth Tips and

-Dan

P.S. With Telehealth, you have the opportunity to do this​

P.S. Working with me 1-on-1 is $5,000. And all summer it's 20% off!!! This is the fastest way to get you where you want to go whether you are Launching a Telehealth Practice or wanting to Grow and Scale the one you currently have. Here's what we'll do:

1. 6 One on One Personalized Strategy Calls - Implement the changes right away and access to private texts/calls in between to answer questions
2. Full Tech audit - What's working for you, what's not and what can be done better
3. How to incorporate AI safely and securely while saving you time and money
4. HIPAA Compliance, RPM, RCM, and more.
5. How to maximize revenue whether your private pay or insurance based
6. And so much more - Over $9500 in value for $5000 (now 20% off) with a Guarantee that we will help you make more than the cost of the program back in added revenue and more free time or we will continue to work with you until that happens.

​Payments plans now available through Stripe Processing

Also: Want to go back and look at our previous Telehealth Tips? Click Here​