This chapter covers fundamentals in administrative management of a clinical headache practice, with a focus on telemedicine and coding. Over recent years, telemedicine has been shown to be a valuable tool in the care of headache patients, with the potential to reduce disparities and improve access across the globe. Adequate knowledge of running a practice is also needed to improve clinical care and reduce barriers associated with headache management. This chapter is intended to provide an overview of topics such as access, staffing, and other coding-related services for the effective delivery and management of headache medicine.