Telemedicine is an innovative way to provide health services without the physician having to be in the same location as the patient. In this article, we offer insight on various state and local sales tax, gross receipts tax, income tax, and payroll tax issues as they relate to the telemedicine industry and COVID-19. The combination of these issues make state and local tax compliance and exposure dramatically more complicated. ![]() For example, telemedicine entities may create sales tax obligations, including intercompany sales tax obligations, through the provision of telemedicine services.Īdditionally, the presence of remote workers, depending on the reason for working remotely, has the potential of creating nexus for various tax types, such as sales tax or income tax. Proper diligence done by telemedicine entities to consider state and local tax compliance can help protect the balance sheet from significant risk coming at a variety of different angles. For any organization considering new partnerships, capital raises, mergers, or acquisitions, state and local tax compliance can be an important component of a due diligence examination prior to entering into a proposed transaction with another party. While the telemedicine industry is fast-paced, it’s important to take pause to consider state and local tax compliance as the telemedicine industry continues to evolve and expand. The public health emergency of COVID-19 has rapidly increased the demand for telemedicine given state and federal requirements and waivers, social distancing requirements, and the need for more efficient health care services. Provider Reimbursement Enterprise ServicesĪ previous version of this article was posted in November edition of Healthcare News.Operational Improvement & Performance Excellence.Bank Secrecy Act and Anti-Money Laundering.Fair Value & Financial Statement Reporting. ![]() Quality of Earnings (Buy-Side/Sell-Side). ![]() Organizational & Operational Assessments.Tax Incentives Energy Efficient Buildings.Employer credit for family and medical leave.State & Local Tax Controversy & Dispute Resolution.Federal Tax Controversy & Dispute Resolution.Environmental, Social, Governance (ESG).
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