Expert Telehealth Billing Services

Maximize reimbursements and navigate complex telehealth billing regulations with our specialized virtual care billing solutions.

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Optimize Your Virtual Care Revenue

Telehealth has transformed healthcare delivery, but its billing complexities continue to challenge even the most experienced practices. Constantly evolving payer policies, varying state regulations, and unique documentation requirements create significant revenue leakage opportunities. Our specialized telehealth billing services ensure you capture all legitimate reimbursements while maintaining strict compliance with ever-changing virtual care regulations.

We combine deep expertise in telehealth-specific billing requirements with advanced technology to streamline your virtual care revenue cycle. From proper modifier application to navigating originating site requirements, we handle the complexities so you can focus on patient care.

95%

Clean Claim Rate

89%

Reimbursement Rate

72%

Faster Payment

Telehealth Billing Challenges We Solve

Navigating the complex landscape of virtual care reimbursement

Originating Site Requirements

Proper documentation of patient location and provider practice address to meet payer specifications.

Technology Modifiers

Correct application of GT, 95, GQ, and other modifiers based on specific telehealth technology used.

Documentation Specifics

Ensuring medical records properly document virtual encounter specifics required by payers.

Payer-Specific Rules

Navigating individual payer requirements that vary significantly across Medicare, Medicaid, and commercial insurers.

State Licensing Compliance

Ensuring billing compliance when providing cross-state telehealth services with varying regulations.

Time-Based Coding

Proper documentation and coding for time-based virtual services including psychotherapy and chronic care management.

Our Telehealth Billing Methodology

Comprehensive approach to virtual care revenue cycle management

Compliance Assessment

We conduct thorough reviews of your current telehealth billing practices against latest regulatory requirements.

Modifier Optimization

Strategic application of telehealth-specific modifiers and place-of-service codes to maximize reimbursements.

Real-Time Policy Updates

Continuous monitoring of changing telehealth regulations across all payers and states where you practice.

Performance Analytics

Detailed tracking of telehealth-specific metrics including denial reasons and payer reimbursement patterns.

Provider Education

Training for your clinical team on documentation requirements specific to virtual patient encounters.

Audit Protection

Proactive measures to ensure your telehealth billing practices withstand potential audits.

Proven Telehealth Billing Results

Demonstrated success in virtual care revenue optimization

92%

First-pass telehealth claim approval rate

42%

Reduction in telehealth-related denials

18%

Increase in virtual care revenue

$1.8M+

Telehealth revenue recovered last year

Transparent Telehealth Billing Pricing

Flexible options for practices of all sizes

How do we structure our telehealth billing services?

Customized solutions designed for your virtual care volume and complexity:

Percentage Model

Percentage of collected telehealth revenue with no upfront costs

Ideal for: Growing telehealth practices

Per Encounter Pricing

Fixed fee per telehealth encounter regardless of collection amount

Ideal for: Predictable budgeting

Hybrid Solution

Combination of monthly fee plus reduced percentage of collections

Ideal for: Established virtual practices

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Frequently Asked Questions

Common questions about our telehealth billing services

We employ dedicated telehealth compliance specialists who monitor regulatory changes daily. Our team subscribes to CMS updates, payer bulletins, and state regulatory announcements. We also participate in telehealth industry associations and maintain direct relationships with payer representatives to ensure we're ahead of changes that affect your reimbursements.

Yes, we have expertise in billing for all telehealth modalities including video visits, audio-only encounters, and digital communications. Each modality has specific coding requirements and payer rules that we navigate expertly. We ensure proper documentation and coding for each type of virtual visit to maximize your legitimate reimbursements.

We maintain a comprehensive database of state-specific telehealth regulations and licensing requirements. For practices serving patients across state lines, we verify provider licensing compliance, document patient locations accurately, and apply appropriate state-specific billing rules. This multi-state expertise is particularly valuable for specialty practices serving patients regionally or nationally.

We require the same documentation as in-person visits plus telehealth-specific elements: patient consent for virtual care, confirmation of patient location, technology used, and any additional state-required documentation. We provide your providers with customized templates and quick reference guides to ensure all necessary elements are captured efficiently during virtual encounters.

Absolutely. We offer complete telehealth credentialing services including payer enrollment for telehealth services, updating provider profiles with telehealth capabilities, and ensuring all practitioners are properly credentialed for virtual care with each payer. This comprehensive approach prevents claim denials due to credentialing issues specific to telehealth services.

Ready to Optimize Your Telehealth Revenue?

Leverage our specialized expertise to maximize your virtual care reimbursements and minimize compliance risks.

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