Telehealth Billing Solutions

Telehealth services are billed using specific CPT codes for virtual visits, along with the appropriate Place of Service (POS) code commonly "02" and modifiers like GT or GQ to indicate remote delivery.

Before providing a telehealth service, it's important to confirm that the patient’s insurance plan covers virtual care and that the service is eligible for reimbursement under their policy.

Providers must maintain thorough records of the telehealth encounter, including patient information, clinical details, services rendered, and the technology used to deliver care.

Billing complexities arise from varying payer policies, state-by-state telehealth laws, modifier and coding requirements, and evolving reimbursement rates that may differ from in-person services.

Billing services assist with accurate code assignment, timely claim submission, and resolving payer-specific requirements to ensure faster and more complete reimbursement.

Telehealth billing solutions include denial management, which involves identifying the cause, correcting the issue, and resubmitting or appealing the claim to recover lost revenue.

Compliance requires staying up to date with federal and state telehealth regulations, payer policies, and HIPAA standards areas where specialized billing services can offer critical guidance.