Telehealth Billing Services

Telehealth is the fastest-changing corner of medical billing. The place-of-service codes, the modifiers, the covered-code lists, and the payer rules all shift from year to year — and the practices that get paid are the ones whose biller tracks every change and applies it the same day it takes effect. Use last year's modifier, bill the wrong place of service, or miss a payer's audio-only rule, and a visit you actually delivered comes back denied. Our telehealth billing services exist to keep your virtual care coded to the current rules, on every claim, for every payer.

247 Medical Billing Services runs the full revenue cycle for telehealth and hybrid practices across specialties — synchronous video, audio-only, remote patient monitoring, and in-person visits billed side by side. The result is more first-pass payments, fewer policy-driven denials, faster cash, and clinicians who can practice virtually without wondering whether the visit will actually be reimbursed.

20+ Years in Medical Billing	99% Clean-Claim Rate	Under 25 Days in A/R
Medical billing since 2005	Claims built to pass on the first submission	Cash in weeks, not quarters

 

20+ years (since 2005) · HIPAA-compliant · SOC 2 Type II · HBMA member · AAPC/AHIMA-certified coders

What our telehealth billing delivers

Practices that move to us typically see denials fall by up to 40%, a first-pass clean-claim rate around 99%, net collections near 99%, and days in A/R pulled under 25 — with roughly nine of ten worked denials overturned on appeal. Those results hold month after month, which is why our client-retention rate sits at 98%. Every claim is scrubbed and filed within 24 hours, so revenue that used to stall in a work queue starts landing in your account instead. A free audit puts real numbers against your own remits before you change a thing.

What makes telehealth billing different

Most billing companies treat a telehealth claim like an in-office visit with a modifier tacked on. That's exactly how virtual visits get denied — telehealth has its own rules, and they move:

• Place of service decides payment. Whether the patient was at home or at another site changes the place-of-service code and, with it, the reimbursement. Bill the wrong one and the claim is wrong before it leaves the door.
• The modifiers carry the encounter. Synchronous audio-video, audio-only, and asynchronous visits each require the correct modifier, and payers don't treat them the same way.
• The rules change every year. Covered-code lists, originating-site and geographic requirements, and audio-only coverage have been extended, narrowed, and revised repeatedly. A biller that isn't tracking each update will bill against expired policy.
• Every payer is different. Medicare, Medicaid, and commercial plans each set their own telehealth coverage and parity rules, so the same visit can be payable one way for one plan and another way for the next.

Managing all of that, across every payer and every policy change, is exactly what professional telehealth billing services are built to do.

How telehealth billing actually works

We manage each element of a virtual claim to the current rulebook, so nothing is coded against expired policy and nothing bounces:

Billing element	What it involves	What we manage
Place of service	Telehealth in the patient's home vs. another originating site	The correct POS on every claim, matched to where the patient actually was
Modality modifiers	Synchronous audio-video, audio-only, and asynchronous visits	The right modifier for the encounter type each payer recognizes
Covered-code lists	Medicare and payer lists of telehealth-eligible services, which change yearly	Codes checked against the current list before submission
Originating-site fees	Facility fees where an originating site applies	Billed where eligible, omitted where not
Remote monitoring (RPM/RTM)	Device setup, data review, and management time	Coded to the correct monthly components and thresholds
Payer-specific rules	Medicare, Medicaid, and commercial coverage and parity	Each claim built to that payer's current telehealth policy

Every telehealth service, coded to the current rules

Virtual care loses money in quiet ways — a home visit billed as an office visit, an audio-only encounter denied for the wrong modifier, a monitoring component never captured. We close each gap:

• Synchronous video visits, billed correctly. The right place of service and modality modifier for each payer, so the visit pays the first time.
• Audio-only encounters, captured not lost. Where a payer covers audio-only, we bill it with the correct modifier instead of writing it off as non-reimbursable.
• Remote patient monitoring and remote therapeutic monitoring. Setup, device supply, and monthly management time coded to their proper components and time thresholds, so a growing revenue stream isn't left on the table.
• Hybrid schedules, billed as one. In-person and virtual visits on the same schedule handled together, each to its own rules, without cross-contamination.

Our telehealth billing services

Everything it takes to move a virtual claim from the visit to paid, run by one certified team rather than split across vendors:

• Telehealth coding & policy tracking — place of service, modality modifiers, and covered-code checks applied to the current-year rules for each payer.
• Eligibility & benefit verification — telehealth coverage, audio-only rules, and any originating-site requirements confirmed before the visit.
• Charge capture & clean-claim submission — encounters reconciled to the visit record, scrubbed, and filed within 24 hours.
• Denial management & appeals — every denial worked to root cause, including policy-driven and modality-based rejections.
• A/R recovery — aged claims pursued relentlessly across Medicare, Medicaid, and commercial payers.
• Credentialing & payer enrollment — providers enrolled and re-credentialed, including the cross-state considerations telehealth practices face.

If you'd rather keep telehealth billing and coding services under one roof, that's exactly the model — certified coders and billers on the same team, working from the same visit record, instead of handing your claims between companies. And because virtual care is only as compliant as the systems behind it, everything runs on HIPAA-compliant, secure workflows end to end.

Why telehealth practices choose 247MBS

Bringing us on isn't hiring a general biller who happens to accept telehealth claims. It's hiring a telehealth billing services company that already knows where virtual-care revenue leaks and how to stop it:

• We track every policy change. Covered-code lists, place-of-service rules, and audio-only coverage are applied the moment they change, so you never bill against expired policy.
• We get the modality right. Video, audio-only, and asynchronous visits each coded with the modifier the specific payer recognizes.
• We capture remote monitoring. RPM and RTM billed to their correct monthly components and thresholds, turning a often-missed service into steady revenue.
• We handle every payer separately. Medicare, Medicaid, and each commercial plan billed to its own telehealth coverage and parity rules rather than a one-size template.
• You always see the work. A named account manager owns your account and a live dashboard shows every claim, denial, and dollar — with no long-term lock-in.

247MBS vs. a general billing company

A generalist learns telehealth on your claims — and telehealth changes faster than a generalist can keep up. We show up already fluent in it, and current:

Capability	General billing company	247MBS
Correct place of service (home vs. site)	❌	✅
Modality modifiers (video / audio-only / async)	Limited	✅ Full
Current-year covered-code tracking	❌	✅
Payer-by-payer telehealth policy	❌	✅
Remote monitoring (RPM/RTM) coding	❌	✅
HIPAA-compliant, secure workflows	Sometimes	✅ Always
Dedicated account manager & live dashboard	Sometimes	✅ Always

The telehealth denials we prevent

Most telehealth losses trace back to the same handful of failure points. We close each one at the front end, before it becomes a denial or a write-off:

Issue	The denial it triggers	How we prevent it
Wrong place of service (home vs. site)	POS mismatch denial	We set the POS to where the patient actually was
Missing or wrong modality modifier	Modifier/coverage denial	We apply the modifier the payer recognizes for that visit type
Service billed against an expired covered-code list	Non-covered-service denial	We check every code against the current-year list
Audio-only billed like a video visit	Modality denial	We bill audio-only to each payer's specific rule
RPM/RTM time or component missing	Lost or reduced monitoring revenue	We capture each monthly component and time threshold
Payer parity rule missed	Underpayment vs. in-person	We bill each payer to its own telehealth policy

Every one of these is preventable before submission rather than argued after the fact. Get your free telehealth billing audit and we'll show you which of them is hitting your remits right now.

Who we serve

Telehealth cuts across specialties, and we bill each context to the detail it demands:

• Telehealth-first and virtual-care practices — high-volume virtual schedules that depend on clean first-pass billing.
• Hybrid practices — in-person and virtual visits on the same calendar, each billed to its own rules.
• Behavioral and mental-health telehealth — telepsychiatry and virtual therapy, where telehealth and specialty rules overlap; see our related behavioral health billing.
• Remote monitoring programs — practices running RPM or RTM alongside visits.
• Multi-state and cross-state providers — where licensure and enrollment add a layer we manage during onboarding.

What switching to 247MBS looks like

Changing billers shouldn't mean a gap in cash flow, and with us it doesn't. We work inside your existing practice-management and telehealth platforms, so nobody relearns a system. Credentialing and payer-enrollment review — including cross-state considerations — run in parallel while your claims keep going out, a named account manager leads the transition from day one, and most telehealth practices are fully live within a few weeks. The denial drop and faster A/R show up in the first cycles, not a quarter later.

Telehealth billing FAQ

How do you keep up with telehealth rules that change every year?

Tracking policy is core to what we do. Covered-code lists, place-of-service rules, and audio-only coverage are monitored continuously and applied to your claims the moment they change, so you're never billing against expired policy.

Do you bill audio-only visits?

Yes, where the payer covers them. We apply the correct audio-only modifier to each payer's specific rule rather than writing the visit off or billing it like a video visit.

Can you handle remote patient monitoring?

Yes. We code RPM and RTM to their proper monthly components — setup, device supply, and management time — and hold each to its time threshold so the revenue is captured in full.

Do you offer telehealth billing and coding together?

We do. Certified coders and billers work as one team on HIPAA-compliant workflows, so place of service, modifiers, and claim submission all stay aligned instead of being split across vendors.

Do you support hybrid practices with both in-person and virtual visits?

Yes. We bill in-person and telehealth visits on the same schedule, each to its own rules, so nothing is misclassified in either direction.

How fast can our practice go live?

Most practices are live within a few weeks. We bill from your existing systems, run credentialing and enrollment review — including cross-state licensure — in parallel, and assign a dedicated account manager on day one.

Ready to get more of your telehealth claims paid the first time?

Whether you're a virtual-first practice, a hybrid clinic, or a remote-monitoring program, our telehealth billing services keep every visit coded to the current rules for every payer. Outsource telehealth billing services to a team that tracks each policy change and treats place of service, modality modifiers, and payer parity as routine — and stop losing virtual visits to yesterday's rules.

Get Your Free Telehealth Billing Audit  ·  +1 888-502-0537  · 

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