Jennifer Canales, DPT

What are the biggest compliance challenges in telerehab?

Licensure is the most complex piece. Physical therapists must be licensed in the state where the patient is physically located during the session, and those laws vary significantly. We have built a licensure tracking system that ensures every therapist in our network is cleared to treat in every state they serve, and we monitor license renewals proactively so there are never any gaps.

How do you maintain clinical standards across a large virtual network?

We start with rigorous onboarding — every therapist goes through a structured credentialing process that mirrors what a hospital would require. After that, we use outcomes data, peer review, and patient satisfaction scores to identify areas for development. We also provide ongoing education on telehealth-specific clinical techniques and documentation best practices.

Is telerehab appropriate for all patient populations?

It's appropriate for a very broad range of patients, but not all. We have clinical intake criteria that help our therapists determine appropriateness before the first session. Patients who need hands-on manual therapy as the primary modality may be better served in person, at least initially. For the vast majority of MSK conditions — neck pain, back pain, post-surgical rehab, joint pain — telerehab delivers excellent results.

How do you handle documentation and audit readiness?

Documentation in telerehab must meet the same standard as in-person care — and in some states, it must explicitly note that services were delivered via telehealth. We provide our therapists with structured documentation templates within our platform, and our compliance team conducts periodic chart audits to ensure every note is thorough, accurate, and audit-ready.