Doctor has telehealth appointment with patient while implementing AI in telemedicine
  • AI scribes generate real-time notes during telehealth visits, saving providers time daily.
  • 82% of providers demand full control to review and edit AI-generated notes before submission.
  • 51% of early adopters report less after-hours charting with AI; 49% report more patient-facing time.

Telemedicine has become a core part of modern care delivery. According to a Tebra survey conducted during June 2025, 66% of providers had conducted virtual visits in the previous 30 days. But the rapid acceleration of virtual visits has put pressure on providers to multitask, document accurately in real time, and manage technology without the usual in-clinic support.

The growing need for telehealth solutions is clear. AI has the potential to address these issues and ease clinician workload, but careful integration is essential — especially in remote care environments. 

This list of best practices includes survey insights and tips on how AI can support telemedicine and how to implement it conscientiously.

Where AI fits in the telehealth workflow

According to Tebra’s survey, 64% of clinicians report they’d be comfortable using AI-generated notes for telehealth visits. AI-powered scribes work by listening in on virtual appointments, generating real-time SOAP notes or other note structures, so that you can give the patient your full attention. 

AI-powered scribes can also:

  • Draft notes for routine follow-ups
  • Auto-fill common clinical fields, like patient histories or medication lists
  • Preload templates for follow-up care
  • Summarize clinical conversations
  • Suggests diagnosis/ICD-10 codes from relevant details shared during the patient visit

AI scribes can offer powerful support and give providers hours of their time back. Before implementing AI scribes into your telehealth workflow, however, here are best practices to consider.

Explore Tebra's AI Note Assist, which transcribes patient conversations in real time — turning them into structured, HIPAA-compliant clinical documentation.

Maintain full review and editing control

The majority of providers (82%) say having full control to review and edit AI-generated notes is non-negotiable. AI should never finalize or submit documentation without human oversight. Think of it as a co-pilot, but ultimately, you’re flying the plane. It’s never a replacement for clinical reasoning or compliance.

As Dr. Soma Mandal, MD, internal medicine specialist, explains: “AI in telemedicine isn’t about replacing the clinician’s expertise — it’s about reclaiming time, reducing cognitive overload, and allowing us to focus on what matters most: the patient in front of us.”

AI in telemedicine isn’t about replacing the clinician’s expertise — it’s about reclaiming time, reducing cognitive overload, and allowing us to focus on what matters most: the patient in front of us.

Using note templates that align with your specialty helps the AI scribe to structure information correctly. For instance, therapists can use Therapist Initial and Therapist Progress templates for patient notes. This can reduce the need for edits and ensure documentation meets clinical and compliance requirements.

For 61% of providers, legal and compliance risks are the top concern about AI in telehealth. The majority (56%) also say they worry about technical reliability, and 55% are concerned about patient discomfort with being recorded.

Consider these tips to ensure compliance:

  1. Document patient consent whenever AI is recording or transcribing a visit. 
  2. Ensure any AI tools are fully HIPAA-compliant — a requirement for 80% of providers. 
  3. Choose an AI platform that generates a clear audit trail for every interaction.

Be transparent with patients

Informing patients that AI is helping to document their visit is a priority for 65% of providers. Consider offering simple, non-technical disclosures at the start of visits. 

Tip: Use a short script to simplify the disclosure, such as:

“Today we’re using a secure AI tool to help document our conversation in real time. Your privacy is protected. As your provider, I maintain complete control over all notes and care decisions.”

Choose tools that integrate with your EHR

Fully integrated AI should enhance existing processes, not feel like a separate system. Survey participants agree: 71% of providers are more likely to trust AI tools that fit seamlessly with their EHR, while 63% prioritize unified, single login tools across telehealth, EHR, and documentation systems.

Here are red flags to avoid:

  • Platforms that require manual copy/paste between systems.
  • Systems that create parallel processes rather than supporting your current workflow.
  • AI tools that can only launch from one EHR location or require multiscreen toggling to adjust.
71% of providers are more likely to trust AI tools that fit seamlessly with their EHR.
Tebra's 2025 AI Survey

Benefits in practice: What AI users are already seeing

“If AI could help with documentation during telehealth, it would be a miracle,” one survey respondent commented. These words underscore the toll that documentation can take on providers who offer telemedicine.

The good news is that early AI adopters are seeing tangible gains. More than half (51%) report less after-hours charting, while 49% say patient-facing time has increased. Furthermore, 46% say AI tools helped reduce overall stress levels. 

These benefits are crucial in virtual care, where multitasking and screen fatigue are intensified. AI solutions can translate into smoother workflows, better focus, and improved well-being for telemedicine providers.

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Smarter telehealth starts with smarter AI use

Combining AI and telemedicine can lead to more efficient, less stressful care — but it must be approached thoughtfully. That means following best practices around compliance, transparency, and control, and insisting on seamless integration with existing platforms. 

For practices delivering virtual care, AI is progressing from a helpful add-on to a critical component of sustainable workflows. As AI evolves, it will continue to empower providers to engage fully with patients while maintaining compliance — without sacrificing care quality or personal well-being.

Tebra’s AI tools offer compliant, robust support for charting and other tasks. Tebra’s AI Smart Staff can significantly boost efficiency and make after-hours charting a thing of the past.

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Amantha May, freelance healthcare writer

Amantha May is a freelance healthcare writer specializing in health tech, primary care, and health equity. She has written for a large range of clients, including medical equipment manufacturers, large health systems, digital health entrepreneurs, and private practices.

Reviewed by

Soma Mandal, MD

Dr. Soma Mandal is an ABMS board-certified internal medicine physician. She specializes in women’s health with an active practice in New Jersey. She obtained her MD from New York University School of Medicine, and has been listed on Castle Connolly’s top doctor lists in both New York and New Jersey for several years.

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