#74 - What Does A Medical Board Policy Mean and Why Am I Out of Compliance?

In this solo Compliance Edition of Telemedicine Talks, host Phoebe Gutierrez dives into a recent Georgia Medical Board policy statement that has many providers and companies concerned. She explains what policy clarifications from medical and nursing boards actually mean, why they’re issued, and the grace period typically granted for coming into compliance. Phoebe covers the five core issues in the Georgia policy, with special focus on: Requirements and responsibilities for medical directors and supervising physicians Compensation structures between APRNs/NPs/PAs and physicians (including through third-party MSOs) Strict supervision rules, collaborative agreements, and geographic/practice requirements in Georgia Proper delegation and standing orders for IV hydration therapies She emphasizes that while Georgia is not a strict corporate practice of medicine state, it enforces rigorous oversight and supervision rules. Phoebe offers clear action steps for physicians and practices currently out of compliance and shares her perspective on what future guidance might look like. This episode is essential listening for any clinician or operator involved in supervised practices, med spas, IV hydration, or telemedicine in Georgia and similar regulatory environments. Top 3 Takeaways: Policy Statements Are Warnings, Not Immediate Punishments: Boards issue clarifications when widespread confusion or violations occur. There’s usually a grace period if you act diligently to come into compliance. Supervision Is the Real Focus: Even in non-corporate-practice states like Georgia, the board heavily scrutinizes physician-APRN/PA relationships, compensation flow, specialty alignment, chart reviews, onsite visits, and board-submitted protocols. IV Hydration Requires Real Clinical Oversight: Standing orders and patient-selected “cocktails” are under fire. Clinicians must perform good faith exams and personalize treatment based on medical necessity. About the Show Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine. About the Host: Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.     Connect with Phoebe Gutierrez:    https://www.linkedIn.com/in/pkgutierrez/     [email protected]   (mailto:[email protected])   The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.