8 Common Telehealth Mistakes Clinics Make (and How to Avoid Them)

telehealth mistakes

Telehealth is no longer a promise for the future. Now, it’s part of the present. 

But many clinics still treat it like just another app you install and forget about. And that mistake is expensive.

The stats speak for themselves. In 2024, 94% of patients who had a virtual consultation said they’d be willing to do it again. So yes, patient interest is there. 

But if the telehealth experience your clinic offers doesn’t work, there’s no second chance.

Many clinics rush to implement virtual systems without a real framework. Ignoring processes review, patient insights, or internal readiness checks.

When that happens, what could’ve been a growth channel turns into a nonstop source of chaos.

Next, you’ll find a list of telehealth mistakes we see every day in real-life clinics, and how to solve them.

If you’re already offering a telehealth service, you’ll probably recognize yourself in more than one.

Let’s get into it.

TL;DR

Short on time? Here’s the quick rundown:

  • Wrong tech and bad UX: When the platform is unreliable or hard to use, patients don’t come back. Choose tools that are stable, simple, and built for healthcare.
  • No support for digital literacy: Many patients aren’t confident with digital tools. Assuming they’ll figure it out leads to no-shows and frustration. Equip them with clear guidance from day one.
  • Poor communication: If no one understands how telehealth works in your clinic, no one’s going to use it. Messaging must be clear, consistent, and everywhere.
  • Skipping compliance: Overlooking HIPAA, GDPR, or licensing rules puts your clinic at legal and financial risk. Getting this right upfront isn’t optional.
  • Weak security: A single breach can wipe out years of patient trust. You need access controls, real encryption, and an actual breach plan in place.
  • Broken workflows and no integration: If your systems and people aren’t aligned, everything slows down. Build workflows that make sense and connect your tools end-to-end.
  • Outdated billing: Using old codes or manual processes means denied claims and money left on the table. Update your billing logic and train your staff to handle it.
  • Speed over care: Fast visits don’t mean better outcomes. When you cut corners on quality, patients feel it. Protect time, ensure follow-up, and treat virtual care like real care.

Why Telehealth Isn’t a One-Click Solution for Clinics

If you still think implementing telehealth is just about picking a platform and running a few tests, you’re setting yourself up for trouble.

A functional telehealth service requires a full review of your clinical processes, a solid understanding of local and international regulations, and clearly defined care protocols.

It also means training your staff and making sure the average patient (not the ideal one) can actually use the system without getting lost or frustrated.

But that’s not all. Many variables aren’t visible from the outside:

  • Is your platform properly integrated with your electronic health record system?
  • Are you meeting all legal and licensing requirements based on your location?
  • Do you have clear workflows for when a video call fails?
  • Does your admin team know what to do if a patient drops off mid-process?

If you’re not asking these questions before you launch, you’ll be forced to deal with them after. Yes, when it’s too late and the operation is collapsing.

8 Most Common Telehealth Mistakes to Watch Out For

This list doesn’t have theoretical mistakes or edge cases.

All of these are real issues we’ve seen in clinics of all sizes, over and over again.

Some may seem obvious, but still happen. Others, meanwhile, hide in routine workflows and quietly cause more damage than most teams realize.

If your clinic already offers virtual care, this is your checklist for fixing what’s broken. Or if you’re just getting started, use it before scaling up.

⛔️ Wrong Technology and Poor User Experience

This is one of the most common (and most expensive) mistakes.

Many clinics choose telehealth platforms that claim to “do it all,” but fail at the basics.

They crash, don’t load on older devices, confuse patients, and offer little to no real support when things go wrong.

Digital expectations are high. If your system causes more friction than confidence, people will stop using it. It’s that simple.

📚 Quick Fact: A recent study found that 35% of clinicians and 28% of patients with telehealth experience cited technology not working properly as their top frustration.

What to do instead?

  • Test the platform from the patient’s perspective: on a phone, with weak internet, no tech support in sight.
  • Make sure it’s stable, responsive, and doesn’t require unnecessary steps to access telehealth appointments.
  • Look for platforms that integrate directly with your clinical systems. If your staff has to copy data manually, that’s time and accuracy down the drain.
  • Ask about real tech support before you commit. If there’s no human help available when the system fails, you’ll be on your own.

⛔️ Lack of Accessibility and Digital Literacy Support

These days, it’s easy to assume everyone has a smartphone, knows how to join a video call, and can follow digital instructions. And this includes many clinic owners.

But reality says otherwise.

Unequal access to technology and poor digital skills remain two of the biggest barriers to telehealth adoption. This is especially true among older adults, people with low educational levels, or patients who don’t speak the local language.

And what happens when a clinic ignores this? 

Simple: the patient can’t figure out how to join the visit. Or they don’t have the right connection. They even just get frustrated and never come back.

Then, your service ends up losing trust, continuity of care, and reputation.

📚 Quick Fact: A 2025 study in Germany found that adults with limited digital literacy face clear obstacles when using virtual health platforms. The key issues: lack of technical skills and language barriers.

What to do instead?

  • Stop assuming every patient will “figure it out” on their own. Ask directly if they need help.
  • Create simple video-based support materials. A clear 60-second tutorial can help a lot.
  • Offer pre-visit support. One prep call or message with step-by-step instructions can make a big difference.
  • Consider partnerships with community centers or social workers who can help patients through the process.

⛔️ Poor Communication Around Telehealth Services

Another common mistake: thinking that just because you offer telehealth, patients will automatically use it. It doesn’t work that way.

Most clinics fail to clearly communicate how their virtual healthcare services work, both internally and externally.

The results of this? Confused patients, empty schedules, and staff who also have no idea how to explain the process.

telehealth mistakes

Putting “virtual consults available” on your website isn’t enough. Think about it from this perspective:

  • What does that even mean if they’ve never done it before?
  • How do they schedule?
  • What device should they use?
  • What do they need to have ready?
  • Who helps them if something goes wrong?

When communication breaks down, friction builds up. And where there’s friction, people give up.

What to do instead?

  • Train your staff to explain how telehealth works, clearly and in seconds.
  • Use every channel to communicate it: website, social media, WhatsApp reminders, even signs at the clinic’s reception.
  • Define internal protocols: Who answers questions? What happens if the patient doesn’t show up? Who handles follow-up?
  • Don’t leave anything up in the air. Every touchpoint should reinforce that virtual care is available, easy to use, and just as valuable as an in-person visit.

Communication is the bridge between your telehealth service and the patient experience. If that bridge is broken, no one will ever get to the other side.

⛔️ Skipping Key Compliance and Licensing Requirements

Skipping the legal side of telehealth can put your clinic at serious risk, financially and legally speaking.

Many clinics focus on getting the system up and running as fast as possible. 

But in the rush to start seeing patients, they skip over critical details: provider licensing, regional coverage, or privacy requirements under local and international laws.

There’s more. Depending on where you operate, your clinical staff might not even be legally allowed to provide virtual care across certain jurisdictions.

And if your platform doesn’t comply with standards like HIPAA in the United States or GDPR in Europe, you could be exposed to fines, audits, or lawsuits.

On top of that, regulatory gaps can lead to rejected claims and denied reimbursements. 

So you’re not just running into legal trouble, you’re also losing money.

What to do instead?

  • Make sure your platform meets all data privacy requirements for your country or region.
  • Verify that your clinical staff are fully licensed to deliver care remotely under local regulations.
  • Work with legal professionals who specialize in digital health. Don’t leave this to your tech team or operations manager.
  • Update your internal policies, informed consent forms, and clinical documentation to reflect virtual care standards.

Skipping this part won’t save time. It just puts your entire telehealth operation at risk.

⛔️ Weak Privacy and Security Foundations

Digital health without solid security is a ticking time bomb. And yes, that bomb has already gone off for hundreds of organizations.

In 2024 alone, the U.S. Office for Civil Rights reported 720 healthcare data breaches, impacting nearly 186 million records. The average cost per breach was close to $10 million, almost twice the average across other industries.

But this goes beyond how many records get exposed; there’s a deeper issue with the platforms themselves. 

A study from Cornell University found that only 25% of health-related apps explicitly stated HIPAA compliance, and fewer than 20% mentioned GDPR. Even worse: 79% had no clear breach response protocols in place.

This means that, if something happens, there’s no response plan. And those most affected are often older adults.

What to do instead?

  • Choose platforms that explicitly state their compliance with privacy regulations. Don’t assume; get it in writing.
  • Implement strict access controls. Every team member should have individual credentials with role-based permissions.
  • Establish a clear incident response plan. Don’t wait for a breach to figure it out.
  • Train your staff in digital security. Human error is still one of the most common ways attackers get in.

Without real security, there’s no trust. And without trust, telehealth doesn’t last.

⛔️ Workflow Confusion and Lack of System Integration

Few things break a telehealth service faster than a poorly defined workflow. 

When there’s no clarity about who does what, when, and how… everything grinds to a halt.

And if the platform doesn’t integrate with the systems you already use (like your EHR, scheduling, or billing), that confusion multiplies fast.

What should be a 15-minute consultation turns into a trail of emails, internal calls, and loose notes someone has to manually enter later. 

All that wastes time, wears out the team, and generates clinical errors that can be costly.

This is clearly an operational design issue. Your team needs to know exactly how to proceed at every step: from scheduling to closing the clinical note.

What to do instead?

  • Map out the full virtual care workflow, step by step. Write it down. Test it with your team.
  • Make sure your telehealth solution integrates with your existing systems. If it doesn’t connect, it doesn’t work.
  • Automate what you can: reminders, baseline documentation, confirmations, payment tracking.
  • Train both clinical and admin staff using real-life scenarios. Don’t let them find out how the process works on launch day.

A broken workflow burns out staff and frustrates patients. And in healthcare, the last thing you need is more friction.

💡 This is where experienced telehealth consulting firms can make a major difference. They bring an external perspective, proven frameworks, and integration know-how to help you avoid common pitfalls and design workflows that actually work in the real world.

⛔️ Outdated Billing Processes for Telehealth

Your telehealth service might be running smoothly. But if you don’t bill correctly, you’re losing money every single day.

Surprisingly, a lot of clinics make this mistake: they never update their billing processes for virtual care.

They keep using the same codes, rules, and formats as in-person visits. But they never stop to check what actually applies to telehealth under their payers or national health system.

That leads to rejected claims, partial payments, and a growing pile of manual corrections. Add wasted time and lost revenue on that list, too.

And the worst part? Many clinics don’t even realize it until the numbers stop adding up.

What to do instead?

  • Check with each insurer which billing codes are approved for virtual visits. Not everyone follows the same rules.
  • Adjust your internal processes to include coverage verification before the appointment.
  • Train your billing and admin teams on the specific requirements of telehealth claims.
  • If you work with a public system, check the latest resolutions.

Billing for telehealth doesn’t have to be complicated. But ignoring it guarantees revenue loss you’ll never see coming.

⛔️ Focus on Speed at the Expense of Care Quality

Yes, service efficiency matters a lot. But when the focus is 100% on speed, care quality takes the hit. And that’s exactly what drives patients away.

Many clinics treat telemedicine as if it were an assembly line: 10-minute appointments, no proper clinical notes, no time to explain next steps, no follow-up.

This seems agile… until clinical errors increase, patients complain, and your clinic’s reputation starts to crack.

Virtualization is no excuse to lower the standard. The environment changes, but the clinical responsibility stays the same. 

A bad digital experience carries the same emotional weight (or more) as a bad in-person experience. With physical distance already in play, every missed detail feels bigger.

What to do instead?

  • Set minimum consultation times and respect them. If it’s 15 minutes, so be it.
  • Treat each interaction as part of a process, not as a single event. Add follow-up, contact, and continuity.
  • Prioritize complete and clear records at every encounter. The next professional who reads that note needs context.
  • Evaluate patient satisfaction after each visit. Let them tell you if they felt they received real care or just a transaction.

Quality in telehealth is non-negotiable. If you’re going to offer virtual medical care, it must be at the same level (or higher) than what you do in person.

Bottom Line: Build Telehealth on a Foundation That Lasts

Thinking that telehealth is just a trend or a quick fix is a serious misstep.

It should be treated as it is: a full care system that demands solid processes, the right technology, and a clinical mindset that adapts to change without losing sight of what matters most.

And the data backs it up. A recent benchmark survey found that organizations with five or more years of virtual care experience are seeing stronger results.

They’re handling more remote visits and running programs that are more sustainable and better structured.

In other words, stronger foundations lead to better clinical and financial outcomes.

If your clinic is already on this path, now’s the time to step back and review. Fix what’s not working. Adjust before growing.

And if you haven’t started yet, don’t improvise. At MedicalFlow, we work with clinics that want to do things right from day one: with reliable technology, clear processes, and full focus on the patient.

Ready to build a telehealth system that actually works? Let’s talk.

FAQs

What are the most important success factors when implementing telehealth in a clinic?

First, you need clear processes: which platforms you’ll use, how they integrate, and who’s responsible for each step. Next, structure: specific clinical, legal, and operational protocols for virtual care. And lastly, support: both technical and human, so that the team and patients aren’t left alone if something goes wrong.

Do clinics need special licenses or permissions to offer telehealth?

Yes. And it’s not optional. Depending on your country or region, you may need additional licenses, special authorizations, or meet different approval criteria than for in-person care.

If you serve patients in different jurisdictions, you need to make sure your clinical team is authorized to operate there.

What security risks should clinics be aware of with telehealth platforms?

The biggest risk is assuming everything’s covered. Many platforms don’t comply with HIPAA or GDPR, and most lack clear breach response protocols. 

Besides that, if staff use shared passwords, unprotected personal devices, or provide care from non-private locations, the system is vulnerable from within.

Should telehealth workflows be different from in-person workflows?

Yes, but not completely different. They need to adapt to the digital format while keeping clinical logic intact. You’ll need to account for things like tech checks, digital consent, post-visit follow-up, or fallback plans if a session fails.

But the core goal stays the same: delivering high-quality care. The key is adjusting how you get there without losing sight of why it matters.