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CMS Hospital CoP and TJC Telemedicine Standards Telemedicine Credentialing and Privileging – Webinar

June 24, 2020 @ 9:00 am - 11:00 am

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With all the recent activity in the area of telemedicine, are you sure your hospital is compliant with the regulatory standards? Every hospital and critical access hospital that is doing telemedicine should ensure compliance. Both will be discussed along with the new tag numbers for critical access hospitals in 2020.

Are you familiar with the federal regulation on telemedicine along with the CMS hospital CoP interpretive guidelines? CMS has been issuing quarterly reports of the number of hospital deficiencies and this program will discuss the most problematic standards in the telemedicine interpretive guidelines. The most problematic standard is the failure of the hospital to have the required sections in the contract for telemedicine services. This webinar will cover what provisions need to be in the telemedicine contract.

The Centers for Medicare and Medicaid Services (CMS) have conditions of participation (CoP) interpretive guidelines for all hospitals regarding their telemedicine standards. These were based on the federal regulations. The regulation and interpretive guidelines also impact hospitals accredited by the Joint Commission (TJC). In fact, TJC made changes to crosswalk with the final CMS standards. These impact both large hospitals, small and rural hospitals and critical access hospitals.

The regulations cover the credentialing and privileging process for physicians and practitioners providing telemedicine services. This revised process is less burdensome which means it is now a less financial burden for hospitals. CMS allows hospitals to credentialing by proxy. Hospitals are required to have a written agreement that meets certain criteria. Come learn all about the regulations and interpretive guidelines and the responsibilities of the board, medical staff and hospitals to ensure compliance with the regulations or ensure you are in compliance.

These standards have the effect of being able to bring the most up to date care to the most remote places. Many facilities are investing in equipment to support telemedicine. Make sure your facility is in compliance with the regulations and interpretive guidelines.


  • Discuss that there is both a regulations and CMS interpretive guidelines which are now part of the hospital CoPs on telemedicine credentialing
  • Recall that CMS includes a mechanism for all hospitals to use proxy credentialing with a Medicare-certified hospitals or other telemedicine entities
  • Describe that the hospital has to have a written agreement that specifies the responsibilities of the distant-site hospital to meet the required credentialing requirements
  • Recall that Joint Commission has standards on telemedicine in the leadership chapter

Who Should Attend:

  • Accreditation Director
  • CAH telemedicine standard tag numbers are changing
  • Chief Medical Officer
  • Chief Nursing Officer
  • Chief Operating Officer
  • Compliance officer
  • Credentialing and Privileging Professionals
  • Director of Radiology
  • Director of Regulatory Affairs
  • Hospital legal counsel
  • Joint Commission director
  • Legal counsel
  • Medical Staff leader
  • Medical Staff Office personnel
  • Nurse educator
  • Patient safety officer
  • Risk manager
  • Telemedicine director
  • Teleradiology Professionals
  • Anyone involved or in contracting for telemedicine services

Registration Fee:

$150 per login/connection
Any additional logins from the same organization will be billed accordingly.