Telehealth Billing — Virtual Visits, Real Reimbursement
Telehealth rules change; payers deny incorrectly. We code virtual visits and RPM correctly so you get paid for every encounter.
Proven Results
- 38% Telehealth Revenue Increase
- 96% First-Pass Acceptance
- 15+ Telehealth CPT Codes
- 100% Payer Policy Compliance
Common Challenges
Complex Modifier Requirements
Telehealth requires proper use of place of service codes, modifiers (95, GT, GQ), and originating/distant site distinctions that vary by payer.
State Licensure & Location Rules
Providers must be licensed in the state where the patient is located, and billing rules vary by patient location and payer.
Inconsistent Payer Coverage
Each payer has different telehealth coverage policies, eligible services, reimbursement rates, and technology requirements.
Technology Platform Documentation
Payers require documentation proving HIPAA-compliant, audio-visual technology was used rather than phone-only communication.
Our Solutions
Telehealth Billing Specialists
Expert team with specialized training in telehealth CPT codes, modifiers, place of service requirements, and payer-specific rules.
- Certified telehealth billing expertise
- Up-to-date on COVID-19 policy changes
- Proper CPT code selection (99441-99443, 99421-99423)
- Modifier application for all platforms
Payer Policy Management
Comprehensive tracking and application of each payer\
- Real-time payer policy database
- Medicare, Medicaid, and commercial rules
- State-specific guideline tracking
- Proactive policy update monitoring
Compliance & Documentation Support
Ensure all telehealth encounters meet documentation requirements including technology platform, consent, and clinical necessity.
- Platform compliance verification
- Consent and authorization tracking
- Proper location documentation
- HIPAA compliance assurance
Reimbursement Optimization
Maximize telehealth reimbursement through proper code selection, bundling avoidance, and appeal of improper denials.
- Maximize reimbursement opportunities
- Proper remote monitoring billing
- E-visit and virtual check-in optimization
- Appeal telehealth-specific denials
Service Features
Synchronous Telehealth Billing
Real-time video visit billing with proper modifiers, place of service codes, and documentation requirements.
- CPT 99201-99215 with modifiers
- POS 02 or 10 as appropriate
- Originating site facility fees
- Distant site provider billing
Remote Patient Monitoring
Billing for RPM devices, setup, device supply, and monthly monitoring services under appropriate CPT codes.
- CPT 99453-99454 device setup
- CPT 99457-99458 monitoring time
- CPT 99091 data analysis
- Monthly service tracking
E-Visits & Virtual Check-ins
Asynchronous communication and brief virtual check-in billing using patient portal and phone-based codes.
- CPT 99421-99423 online assessments
- CPT 99441-99443 telephone visits
- G2010, G2012 virtual check-ins
- Proper time documentation
Store-and-Forward Telehealth
Billing for asynchronous transmission of patient data including images, vital signs, and clinical information.
- State Medicaid programs
- Dermatology and radiology
- Ophthalmology screening
- Chronic condition monitoring
Related Billing Resources
Key Services
- telehealth billing
- telemedicine billing
- virtual visit billing
- remote patient monitoring billing
- online consultation billing
Contact Medtransic today for expert telehealth billing services. Call 888-777-0860 or visit https://medtransic.com/contact for a free consultation.