Billing for telehealth is not general billing with a different code set. Place-of-service and modifier requirements that have diverged between payers again since the pandemic flexibilities lapsed.
Originating-site rules, audio-only coverage, and cross-state licensure all vary by payer and by state at the same time.
At a glance
What drives the coding
Place-of-service and modifier requirements that have diverged between payers again since the pandemic flexibilities lapsed.
What drives the payer behavior
Originating-site rules, audio-only coverage, and cross-state licensure all vary by payer and by state at the same time.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where telehealth claims actually fail
- Place of service inconsistent with payer policy
- Audio-only visit billed where video was required
- Provider not licensed in the patient location
How we work it
We code from what your record documents and query you when it does not support a code, which in telehealth is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at your current telehealth denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Telehealth — Frequently Asked Questions
Do you have coders who know telehealth?
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Yes. All coding is performed by certified coders, and specialty assignment is deliberate — place-of-service and modifier requirements that have diverged between payers again since the pandemic flexibilities lapsed.
Do you guarantee we will collect more?
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No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
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