TeleMedical Genetics 6-month Professional Program and Practice Blueprint

Building on the foundation established in Week 3, participants will develop practical skills in family history assessment, hereditary risk identification, and complex genetic concepts including genotype-phenotype correlations and variant of uncertain significance (VUS) management. Cultural competency and effective risk communication strategies round out this critical module.

• Family History & Pedigree Building: Techniques for collecting and documenting 3-4 generation family histories
• Hereditary Red Flags: Identifying patterns suggestive of genetic conditions
• Genotype-Phenotype Correlations: Understanding relationships between genetic variants and clinical presentations
• Genetic Heterogeneity & VUS Management: Approaches to cases with unclear genetic findings
• Cultural Humility & Risk Communication: Culturally sensitive approaches to discussing genetic risk

By the end of Week 6, participants will have developed comprehensive knowledge of genetic testing modalities, their clinical applications, and appropriate test selection criteria for various patient scenarios.

Understanding the laboratory side of genetic testing is crucial for telegenetics providers. This module covers regulatory requirements, sample logistics for at-home collection, specimen handling protocols, turnaround time expectations, and report interpretation. Key topics include:

• CLIA/CAP laboratory accreditation standards and requirements
• Remote sample collection logistics for saliva and buccal specimens
• Chain of custody protocols and specimen stability considerations
• Service-level agreements and turnaround time management
• Laboratory report structure and identification of critical values

Accurate variant interpretation is the cornerstone of genetic counseling. Participants will learn standardized classification frameworks, database utilization, computational tools, and literature evaluation methods to assess genetic variants. The module also covers reclassification policies and patient recontacting procedures when variant interpretations change over time.

Translating complex genetic information into understandable guidance requires specialized communication skills. This week focuses on virtual counseling techniques, from pretest education through results delivery, with emphasis on psychosocial assessment, family communication, and accessibility considerations for diverse patient populations.

These specialty-focused modules provide in-depth exploration of genetic testing and management across major clinical domains. Each module includes:

• Evidence-Based Guidelines
  Current practice standards from professional organizations like NCCN, ACMG, and specialty societies guide clinical decision-making.
• Test Selection Criteria
  Detailed frameworks for choosing appropriate genetic testing based on family history, personal medical history, and clinical presentation.
• Risk Assessment Models
  Validated tools for quantifying genetic risk and determining testing thresholds across different clinical scenarios.
• Management Protocols
  Condition-specific surveillance and intervention recommendations based on genetic test results and clinical context.
• Virtual Care Considerations
  Special adaptations required for telehealth delivery of these specialized genetic services, including coordination with local providers.

These specialized modules address complex areas of genetic medicine that require integration with multiple clinical specialties. Participants will learn to:

• Navigate sensitive patient discussions around reproductive choices and rare disease diagnoses
• Develop collaborative care models with maternal-fetal medicine, pediatrics, neurology, and pharmacy
• Create patient-friendly educational materials for complex genetic concepts
• Implement telehealth workflows that accommodate the unique needs of these patient populations
• Establish appropriate documentation and billing practices for these specialized services

A robust, integrated technology stack is the backbone of any successful telegenetics practice. Week 19 focuses on selecting and implementing the right digital tools to support clinical operations, ensure data security, and enhance patient experience.

• Conducting technology needs assessments based on practice size and specialty focus
• Managing vendor selection and contract negotiation processes
• Creating implementation timelines and staff training plans
• Establishing policies for technology maintenance and updates
• Developing contingency plans for technology failures during patient care

This module provides hands-on experience with sample platforms through lab exercises, allowing participants to practice configuring telehealth systems, EHR templates, and laboratory interfaces in a safe environment before implementing in their own practices.

This module covers the foundational elements of establishing a telegenetics practice, including legal structure, licensing considerations for interstate practice, credentialing processes, and operational workflows.

• Entity Formation and Licensure
  Selecting appropriate business structures and navigating multistate licensing requirements and interstate compacts.
• Credentialing and Enrollment
  Streamlining provider credentialing, payer enrollment, and CAQH profile management for telehealth services.
• Service Pricing Models
  Developing cash-pay options, payer fee schedules, and bundled service packages with competitive market positioning.
• Scheduling Optimization
  Creating efficient appointment templates and managing patient flow to maximize provider productivity.
• Policy Development
  Establishing standard operating procedures, clinical protocols, and comprehensive risk management strategies.

Business Performance Metrics

0
30
60
90
New
Patient
Visits
per...
Follow-up
Conversion
Rate
Genetic Test... Days in A/R Patient Satisfaction...
Initial T arget Established Practice

These business modules provide practical tools and templates that participants can immediately implement in their practice planning, from financial pro formas to marketing calendars and operational checklists.

Genetic testing provides powerful insights, but optimal patient outcomes often require complementary approaches that address modifiable factors. This module presents evidence-aligned adjunctive strategies that telegenetics providers can incorporate into patient care plans.

• Evidence-based screening tools to identify candidates for complementary interventions
• Telehealth-compatible resources and digital tools for patient self-management
• Virtual referral networks for specialized integrative services
• Documentation templates that appropriately incorporate holistic recommendations
• Clear communication frameworks that distinguish between established medical recommendations and complementary approaches

Service Models and Clinical Applications
Upon completion of the program, graduates will be equipped to establish various specialized telegenetics services designed to meet specific patient needs and market demands. These service models can be implemented as standalone offerings or combined to create a comprehensive telegenetics practice.

These condition categories represent core areas where telegenetics services can provide significant clinical value through risk assessment, genetic testing, family screening, and management guidance. The program provides detailed modules on each condition group, including testing algorithms, management guidelines, and telehealth-specific implementation considerations.

Telegenetics services for these complex conditions focus on test selection, results interpretation, and coordination with local specialists for ongoing management. The program provides detailed protocols for multidisciplinary collaboration in these cases.

These diverse conditions present unique telegenetic counseling challenges and opportunities. The program provides specialized modules on developing cultural competency, addressing health literacy barriers, and creating accessible telehealth services for patients with these genetic conditions.

Pharmacogenomics (PGx) identifies genetic variations that influence medication response, allowing for personalized prescribing that can improve efficacy and reduce adverse effects. Key actionable gene-drug pairs covered in the program include:

1. CYP2D6
   Impacts metabolism of many medications including codeine, tramadol, and certain antidepressants. Poor metabolizers may experience reduced efficacy with codeine while ultrarapid metabolizers face increased toxicity risk.
2. CYP2C19
   Affects activation of clopidogrel (blood thinner) and metabolism of many SSRIs. Poor metabolizers may have reduced clopidogrel efficacy with increased cardiovascular event risk.
3. SLCO1B1
   Variant carriers have increased risk of simvastatin-induced myopathy (muscle damage), requiring dose adjustment or alternative statin selection.
4. HLA Alleles
   HLA-B*57:01 carriers risk severe hypersensitivity to abacavir (HIV medication); HLA-B*15:02 carriers have increased risk of severe skin reactions with carbamazepine.
5. TPMT/NUDT15
   Affect metabolism of thiopurine drugs used in autoimmune conditions and cancer treatment, with variant carriers requiring significant dose reductions.

The program provides detailed protocols for implementing PGx testing services, including clinical decision support integration, result interpretation guidelines, and payer coverage navigation.

1. Written Policies and Procedures
   Developing comprehensive documentation covering all aspects of telegenetics practice, including code of conduct, billing policies, and genetic testing protocols.
2. Compliance Officer and Committee
   Establishing compliance leadership structure with appropriate authority, reporting mechanisms, and dedicated resources.
3. Effective Training and Education
   Implementing initial and ongoing compliance education for all staff, with specialized modules for telehealth, genetic testing, and billing functions.
4. Communication Channels
   Creating accessible reporting systems for compliance concerns, including anonymous options and non-retaliation protections.
5. Monitoring and Auditing
   Developing systematic review processes for high-risk areas including telehealth documentation, genetic test ordering, and claim submission.
6. Consistent Enforcement
   Establishing disciplinary standards and incentives to promote compliance culture throughout the organization.
7. Prompt Response to Issues
   Creating investigation protocols, corrective action procedures, and self-disclosure policies for identified compliance problems.

The program provides comprehensive compliance templates, risk assessment tools, and audit checklists that participants can customize for their specific telegenetics practice model.

The TeleMedical Genetics professional program requires a total investment of $1,969, structured to cover all aspects of your comprehensive training experience.

• Flexible Payment Plans
  Option 1: Full payment of $1,969 at enrollment
  Option 2: Split payment with $899 due at enrollment and the remaining balance due at course completion
• Contact Information
  Website: www.T elehealth.school
  Email: info@telehealth.school
  Phone: (848) 233-3332
• Quarterly Cohort Schedule
  Cohort Application Program Dates
  Spring By Feb 15 Mar 1 3 Aug 31
  Summer By May 15 Jun 1 3 Nov 30
  Fall By Aug 15 Sep 1 3 Feb 28
  Winter By Nov 15 Dec 1 3 May 31
• Enrollment Process
  Complete online application at www.T elehealth.school/apply
  1.
  Schedule consultation call with admissions team 2.
  Submit documentation and select payment option 3.
  Gain immediate access to orientation materials 4.

This sample schedule illustrates the typical flow of a fully operational telegenetics practice, demonstrating how providers balance direct patient care with administrative responsibilities and professional development.

1. 7:45 - 8:00 AM: Morning Setup
   Complete security check and system login. Review overnight messages, lab alerts, and daily dashboard metrics to prepare for patient encounters.
2. 8:00 - 8:10 AM: Daily Huddle
   Conduct brief team meeting to review caseload, identify potential escalations, and confirm coverage arrangements for the day.
3. 8:10 - 8:30 AM: Pre-visit Preparation
   Review scheduled patients' pedigrees, clinical indications, and insurance prerequisites to ensure efficient consultations.
4. 8:30 AM - 12:00 PM: New Consultations
   Conduct six 30-35 minute initial telegenetics consultations across different service lines (hereditary cancer, pharmacogenomics, prenatal). Complete electronic consent, test selection, and home kit ordering during sessions.
5. 12:00 - 12:30 PM: Administrative Break
   Quick lunch while managing message inbox and submitting prior authorization requests for ordered genetic tests.
6. 12:30 - 2:30 PM: Results Consultations
   Deliver test results to three patients in 30-40 minute sessions. Provide summary letters, management templates, and cascade testing information for family members.
7. 2:30 - 3:00 PM: Multidisciplinary Conference
   Participate in virtual case review board with specialists from oncology, cardiology, and genomics to discuss complex cases.
8. 3:00 - 4:00 PM: Documentation and Billing
   Complete clinical documentation, finalize billing codes, verify modifiers, and review claims for submission.
9. 4:00 - 4:45 PM: Practice Development
   Conduct outreach activities including referral liaison calls and educational webinar preparation to build practice visibility.
10. 4:45 - 5:30 PM: Professional Development
    Dedicate time to learning activities including variant curation, journal review, and standard operating procedure updates.

The program provides detailed workflow templates, scheduling optimization tools, and efficiency strategies to help participants maximize productivity while maintaining quality care and work-life balance in telegenetics practice.

The program incorporates realistic case studies that illustrate common challenges in telegenetics practice. Each case focuses on specific learning objectives related to both clinical management and telehealth implementation.

Additional cases cover pediatric neurodevelopmental delay, hereditary paraganglioma, adult-onset mitochondrial disease, and precision oncology scenarios. Each case includes complete documentation templates, billing examples, and telehealth implementation guidance that participants can adapt for their practice.

This illustrative model provides a realistic perspective on the potential financial outcomes of a telegenetics practice. Actual results will vary based on numerous factors including geographic location, payer mix, and practice efficiency.

$0.00
$600,000.00
$1,200,000.00
$1,800,000.00
Weekly (46.2 visits) Monthly (200 visits) Quarterly (600 visits) Annual (2400 visits)
Minimum ($95/visit) Maximum ($700/visit)

Revenue Drivers
Visit Volume: T arget of 200 completed encounters monthly
Service Mix: Range from simple follow-ups ($95) to comprehensive new evaluations ($700)
Payer Contracts: Negotiated rates with insurers significantly impact revenue
Geographic Reach: Multi-state licensure expands potential patient base
Test Selection: Appropriate ordering patterns maximize clinical value and reimbursement

Expense Considerations
35-45% Staffing
Provider compensation, administrative support, genetic counseling assistants
10-15% T echnology
Telehealth platform, EHR, laboratory interfaces, secure communications
5-10% Operations
Licensing, malpractice insurance, test kits, billing services

The program provides detailed financial planning tools, including pro forma templates, breakeven calculators, and payer mix optimization strategies to help participants develop realistic business projections for their specific telegenetics practice model.

Upon program completion, graduates are equipped with practical deliverables ready for immediate implementation:

• Practice Blueprint
  Comprehensive business plan including service definition, market analysis, operational framework, and financial projections tailored to your specific telegenetics focus.
• Compliance Documentation
  Complete set of policies, procedures, forms, and risk assessment tools meeting HIPAA, HITECH, OIG, and other regulatory requirements for telegenetics practice.
• Marketing Plan
  Strategic marketing framework including target audience definition, messaging development, channel selection, and campaign calendar for practice growth.
• Practice Implementation Tools
  Mock audit protocols, payer enrollment workbooks, contracting templates, and vendor evaluation matrices to streamline practice launch.

The program includes job search coaching, portfolio review, and employer introductions through the placement assistance component. While employment is not guaranteed, these resources enhance your marketability and help you effectively showcase your specialized skills.

For those pursuing independent practice, the program provides entity formation guides, contract templates, payer enrollment checklists, and vetted vendor referrals to facilitate practice establishment.

The program curriculum aligns with authoritative resources including:
ACMG/AMP variant classification standards
NSGC practice guidelines and telehealth statements
NCCN Genetic/Familial Risk Assessment guidelines
AHA/ACC/HRS cardiac genetics statements
ACOG/SMFM prenatal genetics bulletins
CPIC pharmacogenomics guidelines

Clinical Resources
ClinVar, gnomAD, OMIM, and HGMD databases for variant interpretation; CPIC guidelines for pharmacogenomics ( cpicpgx.org); MotherToBaby teratogen information services

Regulatory Guidance
HHS/OCR HIPAA resources ( hhs.gov/hipaa); ONC Cures Act materials (healthit.gov); OIG Compliance Program Guidance ( oig.hhs.gov); OSHA standards (osha.gov)

Quality Standards
CLIA regulations and CAP accreditation checklists; FDA frameworks for diagnostic testing; ISO/IEC 27001 security management; SAMHSA/42 CFR Part 2 sensitive data guidelines

The program provides a comprehensive digital library with organized access to these resources, enabling graduates to maintain current knowledge and practice standards after program completion.

Throughout the 24-week program, participants progressively develop the complete toolkit needed to launch and operate a successful telegenetics practice. These deliverables provide immediate value upon program completion.

The program culminates in a comprehensive capstone project that synthesizes all course elements into a cohesive, executable plan for launching your TeleMedical Genetics practice. This detailed blueprint includes implementation timelines, resource requirements, staffing models, technology specifications, and marketing strategies tailored to your specific practice vision.

With these deliverables in hand, graduates are positioned to efficiently implement their telegenetics service, whether as an independent practice, a service line within an existing organization, or a specialized consulting offering.