You’ve heard of telehealth before, and you may use it for specialty physician-to-physician communication, but the concept of utilizing telehealth for seeing patients in a primary and specialty care setting is relatively new for rural health. DocOutsideTheBox™ represents the concept of coordinating patient care outside of the traditional bricks and mortar “box,” while also connoting a paradigm shift of “thinking outside the box” when it comes to primary care.

Legato works in tandem with strategic partner Valis, Inc., a leading national telehealth program administrator and advisor, to develop and communicate a solution customized to your unique situation. Your telehealth program can be up and running in a few weeks.


We develop a customized telehealth solution for primary & specialty care

  • We evaluate your individual situation.
  • Our telehealth experts have already vetted a number of technology platforms, and we will compare these for you along with other suggestions you may have, to land on the best solution for you.
  • We provide assistance along the way for implementation and communication to your providers, clinical teams and patients.




Selecting the right software is only the first component of your telehealth strategy. Among other things, our team manages the following details on your behalf:

  • Telemedicine vendor vetting and selection support
  • Vendor demo coordination
  • Workflow, billing and coding
  • Staff training
  • Implementation guidance
  • Provide access to ready-to-use communications tools to patients and providers, including customization and implementation by the Legato team
  • Program design as allowed under the current state and federal regulatory requirements as outlined in the CMS 1135 Waivers and COVID-19 Telehealth Expansion rules
  • State-specific requirements and definition of telemedicine
  • Legal and risk management considerations (HIPAA, HITECH, administrative security rules, BAA's, Fraud & Abuse laws, etc.)
  • Credentialing (Payor/Hospital)
  • Documentation requirements
  • Video etiquette/website manner tips
  • EMR integration
  • Provider buy-in


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Customized Communications

The “DocOutsideTheBox” service includes ready-to-use communication tools needed to share the news of this service internally, and with existing and prospective patients, along with up to 10 hours of support solely for implementation and customization of materials, including:

  • Patient letters and emails
  • Training presentation for communication to providers, employees
  • Print ads
  • Radio scripts
  • Website content
  • Website display ads
  • Social media posts
  • Phone scripting
  • Video etiquette and website training


Next Steps:

  1. You schedule a 30-minute introductory session to learn program details, timing and costs.
  2. We e-mail you a questionnaire that you return in advance of our scheduled session so we can be best prepared and make the best use of your time.
  3. During the video chat or call, we discuss various platforms, demonstrate success with other rural health organizations, evaluate your particular situation, and discuss details regarding implementation and communication in order to customize your program.
  4. Within 24 hours of the introductory session, we’ll submit a proposal and timeline for your approval, with the goal of having you beginning your implementation within two days.
  5. We implement the program for you, guiding you in every aspect including billing, EMR integration, coding, provider training and communication.


Schedule your 30-minute session now.

Please contact Mike Milligan at Accommodations can be made for evening and weekend sessions.



Mike Milligan

Legato’s founder and president, Mike Milligan, counsels CEOs and other leaders of rural health and physician practices on service line growth, telehealth, strategic and marketing planning, branding, crisis communications and employer and provider engagement.


donna jennings

Donna Jennings, Valis, Inc, president, is a national leader specializing in clinical operations, service line design and implementation, and relationship management. Recognized as a results-focused executive, Donna is a subject matter expert on healthcare operations, population health, value-based care, regulatory compliance and virtual care-telemedicine.

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