Issue
Most commonWrong place of service (home vs. site)
The denial it triggers
POS mismatch denial
How we prevent it
We set the POS to where the patient actually was
Specialty billing · Telehealth & Virtual Care
Telehealth Billing Services
Coded to the current rules, not last year's.
Telehealth billing services from 247 Medical Billing Services keep every virtual visit paid the first time — synchronous video, audio-only, remote monitoring, and hybrid schedules billed to each payer's current rules across Medicare, Medicaid, and commercial plans. Running the full revenue cycle since 2005, we pair a dedicated account manager with a free 360° reporting dashboard, all on HIPAA-compliant, SOC 2 Type II workflows.
HIPAACompliant
SOC 2Type II
Serving Since2005
Specialty-FocusedRCM
Virtual encounter
Resolving · Live
Modality — the encounter itself
AUDIO-VIDEO
AUDIO-ONLY
ASYNCHRONOUS
Variable 01Where the patient actually wasPOS → HOME
Variable 02Modality modifier this payer recognizesMATCHED
Variable 03Covered-code list checkedCURRENT YEAR
Variable 04Payer telehealth & parity policyPER PAYER
Coverage is rewritten yearly
lists widened, trimmed and reissued · we bill the rulebook in force today
Claim built to today's policy, not last January's
Filed within 24 hoursDays in A/R < 25
We work with Telehealth providers across the U.S.
Virtual Visits
Remote Patient Monitoring
Telemedicine
eConsults
Chronic Care
01Four moving parts, every claim
What telehealth billing has to get right
No other corner of medical billing moves as fast as virtual care. Place-of-service codes, modality modifiers, covered-code lists, and payer parity rules are rewritten from one year to the next, and the practices that actually collect are the ones whose biller applies each change the day it takes effect.
Bill last year's modifier, choose the wrong place of service, or overlook a plan's audio-only rule, and a visit you genuinely delivered comes back denied.
That volatility is the whole problem telehealth billing has to solve. A virtual encounter is not an office visit with an extra character on the claim — it carries its own eligibility questions, its own documentation of modality and patient location, and its own payer-by-payer coverage logic. Get any one of those wrong and the claim either denies outright or underpays against a parity rule you never saw.
To capture telehealth revenue in full, the billing has to hold four moving parts together on every claim, for every payer, in real time.
PART 01
Place of service drives the payment
Whether the patient sat at home or at another originating site changes the place-of-service code — and, with it, what the visit is worth. The wrong code makes the claim wrong before it ever leaves the practice.
PART 02
The modality is the encounter
Synchronous audio-video, audio-only, and asynchronous visits each demand their own modifier, and no two payers score them identically.
PART 03
Coverage is rewritten yearly
Telehealth-eligible code lists, originating-site and geographic conditions, and audio-only coverage have been widened, trimmed, and reissued repeatedly. A biller who isn't tracking each revision is billing against expired policy.
PART 04
Every payer sets its own terms
Medicare, Medicaid, and each commercial plan publish their own telehealth coverage and parity rules, so the same visit can be payable one way here and another way there.
Holding all of that together, across every payer and every mid-year policy shift, is precisely the work a telehealth billing services company is built to carry.
02The intersection, not a template
The place-of-service, modality & monitoring rules we manage
We code each element of a virtual claim to the rulebook in force the day it's submitted, so nothing is billed against expired policy and nothing bounces on a technicality.
| Encounter type | Place of service | Modality modifier | Originating-site fee | Covered-code check |
|---|---|---|---|---|
| Synchronous audio-video | WHERE PATIENT WAS | PER PAYER | IF SITE APPLIES | CURRENT LIST |
| Audio-only | WHERE PATIENT WAS | PAYER-SPECIFIC RULE | IF SITE APPLIES | CURRENT LIST |
| Asynchronous | WHERE PATIENT WAS | PER PAYER | OMITTED IF NOT | CURRENT LIST |
| Remote monitoring (RPM/RTM) | NOT A VISIT POS | COMPONENT-CODED | NOT APPLICABLE | MONTHLY THRESHOLDS |
Every cell is resolved against that payer's current telehealth policy at the moment of coding. The same encounter can be payable one way with one plan and another way with the next, which is why we bill to the payer's rulebook rather than to a single house template.
| 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 |
Read across those rows
Telehealth revenue leaks in small, quiet ways — a home visit billed as an office visit, an audio-only encounter denied for the wrong modifier, a monitoring component that was delivered but never captured. We close each of those gaps at the point of coding rather than after the remit lands.
03A case about pace
Outsource telehealth billing services
The real argument
The case to outsource telehealth billing services is really a case about pace. Coverage policy for virtual care is a moving target, and an in-house biller — however capable — is also fielding phones, posting payments, and working the office schedule.
The day it slips
Staying current on every place-of-service reassignment, modifier revision, and parity rule for Medicare, Medicaid, and a dozen commercial plans is a full-time discipline, and the day it slips is the day clean visits start denying against rules that changed while no one was watching.
The trade
Handing that discipline to a dedicated telehealth billing company converts a compliance risk into a predictable revenue stream. Policy tracking becomes someone's standing job rather than an afterthought squeezed between patient calls; audio-only encounters and remote-monitoring components stop being written off as "too complicated to bill"; and a growing virtual-care line finally gets coded to everything it's actually worth. You also stop carrying the fixed cost and turnover risk of billing staff who each have to relearn telehealth every January — and you get a named account manager and a live dashboard in their place.
What the numbers look like
Virtual-care practices billing with us typically see:
0%
First-pass clean claims
0%
Net collections
up to 0%
Fewer denials
<0
Days in A/R
Encounters are reconciled to the visit record, scrubbed, and filed within 24 hours — which is where the A/R number comes from.
04Visit to paid
Services spanning your full revenue cycle
Everything it takes to move a virtual claim from the visit to paid, run by one certified team rather than split across vendors:
- 01Verify
Insurance eligibility and benefit checks
Telehealth coverage, audio-only rules, and any originating-site requirements confirmed before the visit.
- 02Code
Telehealth coding and policy tracking
Place of service, modality modifiers, and covered-code checks applied to the current-year rules for each payer.
- 03File
Charge capture and clean-claim submission
Encounters reconciled to the visit record, scrubbed, and filed within 24 hours.
- 04Resolve
Denials worked to root cause
Every denial resolved at its source, including policy-driven and modality-based rejections.
- 05Enroll
Provider enrollment and re-credentialing
Clinicians enrolled and re-credentialed, including the cross-state considerations telehealth practices routinely face.
Prefer to keep telehealth billing and coding services under one roof? That's exactly the model — certified coders and billers on one team, working from the same visit record, rather than handing your claims between companies. And because virtual care is only as compliant as the systems behind it, everything runs end to end on HIPAA-compliant, secure workflows.
Revenue review
Put a dollar figure on your denied virtual visits.
A certified telehealth specialist reviews your denied virtual visits, wrong-POS claims, and aged A/R — and shows what they are actually costing.
- Place of service checked against where the patient actually was
- Codes tested against the current-year covered list
- RPM and RTM components reconciled to what you delivered
HIPAA & SOC 2 Type II
Back within one business day
No long-term lock-in
Request a Revenue Review
Tell us about your virtual-care line.
A telehealth billing specialist will reach out within one business day.
Thanks — we've got it.
A telehealth billing specialist will reach out within one business day.
05Current, so you don't have to be
Why telehealth practices choose 247MBS
Choosing us isn't hiring a general biller who happens to accept virtual-visit claims. It's engaging professional telehealth billing services that already know where virtual-care revenue leaks and how to shut each leak off — and that stay current so you don't have to:
Policy changes land on your claims the day they take effect.same-day
Covered-code lists, place-of-service rules, and audio-only coverage are applied the moment they shift, so you're never billing against last year's policy.
The modality is always coded right.video · audio · async
Video, audio-only, and asynchronous visits each carry the modifier the specific payer recognizes — not a best guess.
Remote monitoring gets captured.RPM · RTM
RPM and RTM are billed to their correct monthly components and time thresholds, turning an often-missed service into dependable recurring revenue.
Each payer is billed on its own terms.no template
Medicare, Medicaid, and every commercial plan are matched to their own telehealth coverage and parity rules rather than a single template.
You always see the work.named manager · live dashboard
A named account manager owns your account and a live dashboard shows every claim, denial, and dollar — with no long-term lock-in.
06Already fluent, and current
247MBS vs. a generalist
A generalist learns telehealth on your claims — and telehealth changes faster than a generalist can keep up. We arrive already fluent in it, and current:
Capability
General billing company
247MBS
Correct place of service (home vs. site)Wrong before it leaves the practice.
No
Yes
Modality modifiers (video / audio-only / async)No two payers score them identically.
Limited
Full
Current-year covered-code trackingLists are reissued every year.
No
Yes
Payer-by-payer telehealth policyEach plan sets its own terms.
No
Yes
Remote monitoring (RPM/RTM) codingOften written off as too complicated.
No
Yes
HIPAA-compliant, secure workflowsVirtual care is only as compliant as its systems.
Sometimes
Always
Dedicated account manager and live dashboardEvery claim, denial and dollar.
Sometimes
Always
07Closed at the front end
Denials and missed revenue we prevent
Most telehealth losses trace back to the same short list of failure points. We close each one at the front end, before it hardens into a denial or a write-off:
Issue
Missing or wrong modality modifier
The denial it triggers
Modifier/coverage denial
How we prevent it
We apply the modifier the payer recognizes for that visit type
Issue
Service billed against an expired covered-code list
The denial it triggers
Non-covered-service denial
How we prevent it
We check every code against the current-year list
Issue
Audio-only billed like a video visit
The denial it triggers
Modality denial
How we prevent it
We bill audio-only to each payer's specific rule
Issue
RPM/RTM time or component missing
The denial it triggers
Lost or reduced monitoring revenue
How we prevent it
We capture each monthly component and time threshold
Issue
Payer parity rule missed
The denial it triggers
Underpayment vs. in-person
How we prevent it
We bill each payer to its own telehealth policy
Every one of these is preventable before submission rather than argued after the fact. Request a revenue review and we'll show you which of them is hitting your remits right now.
09Every context, to the detail
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 live or die on clean first-pass billing.
What decides the moneyClean first-pass billing at volume
Hybrid practices
In-person and virtual visits on the same calendar, each billed to its own rules.
What decides the moneyNothing misclassified in either direction
Behavioral and mental-health telehealth
Telepsychiatry and virtual therapy, where telehealth and specialty rules overlap. See our behavioral health billing page for the carve-out side.
What decides the moneyTwo rulebooks applied at once
Remote monitoring programs
Practices running RPM or RTM alongside their visits.
What decides the moneyMonthly components and time thresholds
Multi-state and cross-state providers
Where licensure and enrollment add a layer we manage during onboarding.
What decides the moneyLicensure and enrollment handled up front
10No cycle of cash lost
Onboarding without a cash-flow gap
Switching billers shouldn't cost you a cycle of cash, and with us it doesn't.
Your platforms stay
We work inside your existing practice-management and telehealth platforms, so nobody has to relearn a system.
Enrollment runs in parallel
Credentialing and payer-enrollment review — including cross-state considerations — run in parallel while your claims keep going out, and a named account manager leads the transition from day one.
Live in weeks
Most telehealth practices are fully live within a few weeks.
The denial drop and faster A/R turn up in the first cycles, not a quarter down the road.
11Volatility into collections
Medical Billing for Telehealth
Get every virtual visit paid the first time.
Medical billing for telehealth is where 247MBS turns a fast-moving policy landscape into dependable collections — video, audio-only, asynchronous, and remote-monitoring claims sent out matched to the rulebook in force the day they're submitted. Our telehealth billing services team verifies coverage and audio-only rules before the visit, sets place of service to where the patient actually was, applies the modality modifier each payer recognizes, and captures every RPM and RTM component you delivered. You get up to 40% fewer denials, no underpayments against parity rules, and a virtual-care revenue line that finally reflects the care you provided. Practices that hand medical billing for telehealth to a team living in these rules collect more, faster — with 99% first-pass clean claims, a named account manager, and a live dashboard proving it. Request a revenue review
- BEFORECoverage and audio-only rules verifiedAhead of the visit, not after the remit.
- POSPlace of service set to where the patient wasHome or another originating site.
- MODModality modifier each payer recognizesVideo, audio-only or asynchronous.
- RPMEvery monitoring component you deliveredCaptured, not written off.
12Measure them on the numbers
Choosing a Telehealth Billing Services Provider
The right telehealth billing services provider pays for itself in recovered virtual-care revenue — and 247MBS is built to be exactly that.
- Tracks policy as a standing jobCovered-code lists, place-of-service reassignments and parity revisions, applied the day they take effect.
- Doesn't wait for a remit to prove it wrongNot a generalist applying last year's modifiers until a denial arrives.
- Bills audio-only to each payer's specific ruleRather than writing the visit off.
- Captures the remote-monitoring revenue most practices write offAs too complicated to bill.
- A named account manager and a live dashboardEvery claim and denial in real time.
- Measure one company against another on the numbers99% clean claims and A/R days under 25.
13The January problem, handed off
Outsource Telehealth Billing — What Outsourcing Looks Like With Us
What changes hands
Outsource telehealth billing to 247MBS and the volatility that keeps your team up every January becomes our problem, not yours. The ongoing payoff is steady: policy tracking runs full-time instead of squeezed between patient calls, audio-only and remote-monitoring revenue stops slipping through, and more of your claims are paid the first time — up to 40% fewer denials and net collections near 99%.
Outsourcing telehealth billing services also lifts the fixed cost and turnover risk of staff who each relearn virtual-care rules every year. You still see everything: a named account manager leads the relationship and a free dashboard shows every claim, denial, and dollar, with no long-term lock-in.
Telehealth billing services outsourcing handled this way means you focus on virtual care while we run the revenue cycle behind it. Ready to hand it off? Request a revenue review or call +1 888-502-0537.
The standing job becomes ours
- Covered-code lists
- POS reassignments
- Modifier revisions
- Parity rules
- Audio-only coverage
- RPM & RTM components
FULL-TIMEPolicy tracking, not an afterthought between callsNO CHURNNo staff relearning virtual-care rules every JanuaryVISIBLEEvery claim, denial and dollar on a live dashboard
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.
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.
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.
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.
Yes. We bill in-person and telehealth visits on the same schedule, each to its own rules, so nothing is misclassified in either direction.
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.
place of service·modality modifiers·covered-code lists·payer parity
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.
Prefer email? [email protected]