Understanding the Role of a Covering Practitioner in Healthcare Law

Definition & Meaning

The term "covering practitioner" refers to a healthcare provider who performs a medical evaluation for a patient at the request of another practitioner. This evaluation is conducted without an in-person visit and is permissible under specific conditions. The requesting practitioner must have conducted at least one in-person evaluation of the patient or a telemedicine evaluation within the past 24 months and must be temporarily unavailable to conduct the evaluation themselves.

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Real-world examples

Here are a couple of examples of abatement:

Example 1: A primary care physician has evaluated a patient in person six months ago. When the patient needs a follow-up evaluation, the physician is out of the office. They request a covering practitioner to conduct a telemedicine evaluation.

Example 2: A specialist has evaluated a patient via telemedicine within the last year. When the patient requires another evaluation, the specialist is unavailable due to a conference. They can enlist a covering practitioner to assist. (hypothetical example)

State-by-state differences

Examples of state differences (not exhaustive):

State Regulation on Covering Practitioners
California Allows covering practitioners under similar conditions as federal law.
Texas Has specific telemedicine regulations that may affect covering practitioners.
New York Requires additional documentation for telemedicine evaluations.

This is not a complete list. State laws vary, and users should consult local rules for specific guidance.

Comparison with related terms

Term Definition Key Differences
Covering Practitioner A practitioner who evaluates a patient at another practitioner's request. Requires prior evaluation by the requesting practitioner.
Consulting Practitioner A specialist who provides advice on a patient's care. Does not necessarily require prior evaluation by the requesting practitioner.
Primary Care Provider The main healthcare provider for a patient. Typically conducts in-person evaluations regularly.

What to do if this term applies to you

If you find yourself needing a covering practitioner, consider the following steps:

  • Ensure the requesting practitioner has evaluated you within the last 24 months.
  • Discuss your situation with your healthcare provider to understand your options.
  • Explore US Legal Forms for templates that can assist in documenting your telemedicine evaluations.
  • If the situation is complex, seek assistance from a legal professional.

Quick facts

Attribute Details
Typical Fees Varies by provider and location.
Jurisdiction Federal and state regulations apply.
Possible Penalties May include fines or loss of medical license for non-compliance.

Key takeaways

Frequently asked questions

A covering practitioner conducts evaluations for patients when the requesting practitioner is unavailable, ensuring continuity of care.