Compliance guides and resources

Scaling telehealth across state lines should open new markets, speed up patient access, and grow revenue. But each new hire in a new state adds another layer of HR compliance risk. Miss one registration or delay a tax account, and providers sit idle while revenue stalls. But there’s good news in all of this. Most telehealth compliance risks are both predictable and preventable if you plan for them upfront. From foreign qualification and payroll tax accounts to state-specific handbooks, the right systems keep everything on track. While HIPAA and clinical regulations get most of the attention, workforce compliance can stop your telehealth practice just as fast. Below are 10 of the most common HR compliance risks for multi-state telehealth companies and, more importantly, how to avoid them.

When a telehealth company hires its first out-of-state provider, payroll gets 10x more complicated. Different tax rates, registration requirements, and filing deadlines across multiple jurisdictions—it’s a compliance minefield. And all it takes is one missed registration or misclassified employee to trigger penalties, stop your operations, and even ruin your expansion plans if severe enough. That’s why we’ve compiled the 10 most common, costly, and significant mistakes in telehealth payroll tax compliance—so you know what to avoid as you scale. From missing municipal taxes to botched employee classifications, these are the compliance potholes that can derail even the best laid plans.

Your team can’t do their jobs without internet—but who’s responsible for the bill when they’re working from home? In the office, it’s easy to tell which costs are yours and which belong to your employees. You’re not expected to buy your COO a new suit or cover someone’s lunch every day, but you’d never ask employees to pay for office electricity or bring their own desk.

Hiring telehealth providers across multiple states opens new markets, speeds patient access, and drives revenue growth. But every new state also adds a layer of legal risk. A single missed registration or delayed tax account can hold up onboarding for weeks. For telehealth companies, that doesn’t just mean administrative headaches—it means providers sitting idle, patients waiting longer for care, and revenue stuck in limbo. Getting this right doesn’t mean checking boxes after the fact. Compliance needs to be baked into your hiring strategy from the start.

New York’s paid sick leave laws are designed to protect workers, but for employers, they come with strict compliance obligations. Understanding these rules is essential to avoid penalties, maintain trust, and keep HR processes running smoothly. Ultimately, whether you’re an employee, employer, or HR professional, these laws are crucial for a healthy and productive workplace. Key Takeaways Most New York employers must provide paid sick leave based on size and income thresholds Both full-time and part-time workers are eligible, regardless of immigration status Employers must allow use for personal illness, family care, preventive care, and domestic violence situations Clear policies and proper recordkeeping are critical to compliance Overview of New York’s Paid Sick Leave Laws Navigating the maze of New York labor laws can be tricky. However, understanding them is easier when you break them down into their different components. Today, we’re covering the state’s complex leave laws.

Running a telehealth company means your psychiatrist in Portland can treat a patient in Phoenix while your nurse practitioner in Nashville handles overflow. It’s the beauty of modern healthcare—until you realize telehealth multistate HR compliance isn’t so simple. Each state has different rules for employee classification, payroll taxes, and overtime requirements. This guide breaks down the 10 most critical HR compliance challenges telehealth companies face when scaling across state lines. Whether you’re adding your first out-of-state practitioner or managing teams in 20 states, these practical tips will help you avoid costly penalties. Most importantly, they’ll keep your focus on patient care—not paperwork.

Your new remote hire starts Monday in Texas. You’re based in California. Whose labor laws apply, and what happens if you guess wrong? Remote employee onboarding has evolved from a nice-to-have into a compliance minefield. However, companies that get compliance right from the start build stronger remote teams. They avoid the scramble of retroactive fixes, the stress of state audits, and the reputation damage that comes with labor violations. In other words, everyone wins.

Your team is thriving with remote employees across 10 states. Sales just hired a superstar in Texas. Engineering snagged top talent from Oregon. Everything’s running smoothly, until the audit notice rears its ugly head. Suddenly, you’re facing penalties for unregistered business entities. Incorrect tax withholding. Non-compliant handbooks. Now, the remote work dream becomes a compliance nightmare costing money, time, and reputation. Or worse. Ultimately, managing a remote workforce means juggling two types of challenges. First, there are the visible ones everyone discusses—communication, productivity, culture. Then come the hidden compliance traps that devastate businesses.

You just hired your dream candidate in another state. Before celebrating, consider this: that single hire just triggered over 20 compliance requirements you need to handle. This remote work compliance checklist helps growing companies navigate the complex web of multi-state regulations without missing critical deadlines or facing penalties. Managing a remote workforce requires an understanding of which states require registration before day one, how unemployment insurance varies by location, and why your employee handbook might violate laws you didn’t know existed.

Managing sick leave in California is so much more than just giving employees time off when they’re under the weather. In reality, it’s a complex web of state laws, local ordinances, and compliance requirements that can trip up even the most diligent employers. With recent legislative changes expanding sick leave minimums and tightening enforcement, getting it wrong could mean hefty penalties, employee lawsuits, and serious damage to your company culture.