| name | telehealth-workflow-designer |
| description | Designs telehealth and virtual care workflows including platform selection, patient/provider experience, licensing compliance, and reimbursement considerations. Outputs a complete telehealth program specification. |
| allowed-tools | Read, Write, WebSearch |
| effort | medium |
Telehealth Workflow Designer
When to activate
When launching a new telehealth program, expanding virtual care services, selecting a telehealth platform, or when optimizing existing virtual visit workflows. Use for synchronous (video), asynchronous (store-and-forward), and remote patient monitoring programs.
When NOT to use
Skip for in-person-only services requiring physical examination or procedures, or when the telehealth program is already operational with no planned changes.
Instructions
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Program scope:
- Visit types: Follow-up, new patient, specialist, urgent care, behavioral health
- Modality: Synchronous video, audio-only, asynchronous (store-and-forward), RPM
- Patient population: Age, tech literacy, connectivity requirements
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Platform requirements:
- HIPAA-compliant video (BAA required)
- EHR integration (scheduling, documentation, billing)
- Patient experience: No download required, mobile-friendly, accessibility (ADA)
- Provider experience: Dual monitor support, integrated chat, screen sharing
-
Licensing & compliance:
- State licensure: Provider must be licensed in patient's location at time of service
- Interstate compacts: eNLC (nursing), PSYPACT (psychology), IMLC (physicians)
- Informed consent: Telehealth-specific consent documented
- Prescribing: Ryan Haight Act for controlled substances via telemedicine
-
Reimbursement:
- Payer mix: Medicare (CMS telehealth list), Medicaid (state-specific), commercial
- Modifiers: -95 (synchronous), -GT (legacy), -GQ (asynchronous)
- Place of service: 10 (patient home), 02 (telehealth)
- Parity laws: State-by-state payment parity requirements
-
Patient workflow:
- Pre-visit: Technology check, consent, intake forms
- During: Virtual waiting room, video visit, documentation
- Post-visit: E-prescribing, follow-up scheduling, patient education
Output Format
TELEHEALTH PROGRAM: [Name] — [Service type]
MODALITY: [Video/Audio/Async/RPM] | PLATFORM: [Selection criteria]
SCOPE:
Visit types: [list]
Patient population: [description]
PLATFORM REQUIREMENTS:
- HIPAA BAA: [Required/Executed]
- EHR integration: [Scheduling, documentation, billing]
- Patient access: [Browser-based, app required, etc.]
- Accessibility: [WCAG 2.1 AA, screen reader support]
COMPLIANCE:
Licensure: [States covered, compact participation]
Consent: [Process documented]
Prescribing: [Controlled substance policy]
REIMBURSEMENT:
Medicare: [Eligible CPT codes]
Medicaid: [State coverage]
Commercial: [Parity status]
Modifiers: [-95, POS 10/02]
PATIENT WORKFLOW:
Pre-visit: [Steps]
During visit: [Steps]
Post-visit: [Steps]
Example
TELEHEALTH PROGRAM: Virtual Primary Care — Follow-up Visits
MODALITY: Synchronous video | PLATFORM: Doxy.me (BAA executed)
SCOPE:
Visit types: Chronic disease follow-up, medication management, lab review
Patient population: Adults 18+, English/Spanish, broadband or 4G
PLATFORM REQUIREMENTS:
- HIPAA BAA: Executed (Doxy.me Enterprise)
- EHR integration: Epic MyChart → Doxy.me deep link, auto-documentation
- Patient access: Browser-based, no download, mobile-responsive
- Accessibility: WCAG 2.1 AA, Spanish language option
COMPLIANCE:
Licensure: 12 states (IMLC participating), expanding via compact
Consent: Telehealth consent embedded in MyChart pre-visit flow
Prescribing: Non-controlled via eRx, controlled substances in-person only per policy
REIMBURSEMENT:
Medicare: 99212-99215 + modifier -95, POS 10
Medicaid: Covered in all 12 states (parity laws)
Commercial: 85% of covered lives have telehealth parity
Modifiers: -95, POS 10
PATIENT WORKFLOW:
Pre-visit: MyChart reminder 48h before → tech check → consent → vitals (home BP if available)
During visit: Virtual waiting room → video connect → provider documents in Epic → orders placed
Post-visit: Visit summary in MyChart → Rx sent to pharmacy → follow-up scheduled
