Telehealth Billing Services
Telehealth Billing Services Built for the Way Virtual Care Actually Works
Telehealth is Evolving. Your Billing Should Keep Up.
Virtual care has transformed how patients access healthcare, but it has also introduced billing workflows that trip up even experienced practices. MedixCode’s telehealth billing services ensure every virtual visit is documented, coded, and submitted correctly so you collect every dollar you’ve earned, without the compliance risk.
The Complexity, Solved
MedixCode Makes Complex Telehealth Billing Easier
The problem is straightforward: many practices bill telehealth visits the same way they bill in-person encounters. They use incorrect modifiers. They assign the wrong place of service code. They miss parity requirements that entitle them to full reimbursement. And they leave revenue sitting uncollected because payer policies for virtual visit billing vary significantly, and change frequently.
MedixCode exists to close that gap. Our telemedicine billing specialists understand the technical and regulatory distinctions that define telehealth claims, and we build billing workflows that are precise, compliant, and optimized for reimbursement from day one. Whether you are a primary care practice that launched a virtual care program, a behavioral health group conducting remote sessions, or a multi-specialty organization scaling telehealth across multiple locations, we have the expertise to get your billing right.
MedixCode exists to close that gap. Our telemedicine billing specialists understand the technical and regulatory distinctions that define telehealth claims, and we build billing workflows that are precise, compliant, and optimized for reimbursement from day one. Whether you are a primary care practice that launched a virtual care program, a behavioral health group conducting remote sessions, or a multi-specialty organization scaling telehealth across multiple locations, we have the expertise to get your billing right.
What Makes It Different
What Makes Telehealth Billing Different
Telehealth billing is not simply regular billing with a video call in the middle. The clinical encounter may look familiar, but the billing mechanics are governed by a distinct and layered set of rules that span federal policy, state regulations, and individual payer contracts. Our telehealth billing experts streamline your billing operations by accurately documenting every session. We take care of:
01
Place of Service Codes
Which determine where the patient and provider were located during the encounter. Using POS 02 (telehealth provided other than in patient’s home) versus POS 10 (telehealth provided in the patient’s home) is not interchangeable, and an incorrect code leads directly to a denial or a contractual underpayment.
02
Telehealth Modifiers
Which tell the payer how the service was delivered. Modifier 95 signals a synchronous telemedicine service rendered via interactive audio and video telecommunications. Modifier GT is still required by some payers. Modifier 93 covers audio-only telephone services.
03
Audio-Only vs. Audio-Video Services
Are billed differently, reimbursed at different rates, and subject to different coverage policies depending on the payer. Behavioral health audio-only services, for example, have specific billing pathways under Medicare that do not apply to general medical visits.
04
Originating Site vs. Distant Site Billing
Introduces another layer. Certain federally qualified health centers and rural health clinics have originating site fee billing rights. Distant site providers, the clinicians delivering the care, have their own claim requirements.
05
Payer Policy Fragmentation
For which Medicare, Medicaid, and commercial payers each maintain their own telehealth coverage and billing policies, many of which were modified during the public health emergency and have since been updated, extended, or restricted. We keep ourselves updated with them.
Full-Service Telehealth Billing
Our Telehealth Billing and Coding Services Include
MedixCode delivers a full-service billing and coding solution designed specifically around the workflows of telehealth and virtual care providers. Every component of our service is built to address the specific challenges of remote patient billing, not adapted from a generic billing model.
01
Telehealth Coding Accuracy
Our certified coding specialists assign the correct CPT and HCPCS codes for virtual services across primary care, behavioral health, chronic care management, remote patient monitoring, and specialty telehealth encounters. We apply the appropriate E&M level based on medical decision-making or time, in alignment with current AMA guidelines, and flag non-covered services before submission.
02
Modifier and Place of Service Management
Our billing team applies the correct modifier combinations and place of service codes for every claim, differentiated by payer, by service type, by patient location, and by care setting. We maintain up-to-date modifier and POS mapping for Medicare, Medicaid, and all major commercial payers, and update workflows whenever policy changes.
03
Payer-Specific Telehealth Policy Management
Telehealth coverage is not uniform. A given state Medicaid plan may not cover a service covered by Medicare, and a commercial payer may cover audio-only visits for behavioral health but not primary care. Our team maintains payer-specific telehealth billing profiles that account for these variations before submission.
04
Remote Patient Monitoring (RPM) Billing
RPM is one of the fastest-growing segments of virtual care, and one of the most frequently miscoded. RPM billing involves a distinct set of CPT codes (99453, 99454, 99457, 99458) with specific documentation requirements. We ensure your RPM program generates the revenue it should, compliantly and consistently.
05
Behavioral Health Telehealth Billing
Behavioral health providers face a distinct billing environment shaped by mental health parity laws, audio-only coverage policies, licensure-based billing rules, and a payer landscape that varies dramatically by state. Our specialists ensure therapists, psychiatrists, and counselors bill correctly for the full range of virtual services.
06
Clean Claim Submission and Follow-Up
Every telehealth claim we submit is reviewed against payer-specific edits before it goes out the door. Our clean claim process identifies modifier errors, POS inconsistencies, missing documentation flags, and eligibility issues, resolving them before they become denials. Unpaid claims are tracked and followed up systematically.
Denial Management
How We Handle Telehealth Claim Denials
Telehealth denials often stem from policy-level issues, a payer that does not yet cover a particular service via telehealth, a modifier combination that conflicts with their system, or a place of service code that triggers an incorrect fee schedule. MedixCode’s denial management team investigates every denial at the root cause level. We identify whether the issue is a coding error, a payer policy misalignment, a documentation gap, or an eligibility problem, and we respond accordingly. Where a denial is inappropriate, we file detailed, well-supported appeals. Where a systemic pattern emerges, we correct the upstream workflow.
The result is a progressively lower denial rate and a billing operation that learns and improves over time.
Why Outsource
Why Practices Outsource Telehealth Billing to MedixCode
The billing rules governing telehealth are not static. They shift with CMS rulemaking cycles, state legislative sessions, public health emergency extensions, and individual payer contract updates. Keeping an internal billing team current on all of this, while managing day-to-day claim volume, is genuinely difficult. Practices that outsource telehealth billing to MedixCode gain several immediate advantages.
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They gain specialists who work exclusively in this space and maintain current knowledge of every relevant policy change.
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They gain billing infrastructure, clearinghouse connectivity, eligibility verification, and real-time claims tracking, without the capital investment.
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They gain scalability: as telehealth volume grows, our team grows with it, without the lag of hiring and training new staff.
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Most importantly, they gain peace of mind. When a CMS final rule updates telehealth billing requirements or a payer revises its virtual care coverage policy, MedixCode absorbs that change.
Your billing continues without disruption, and your revenue is protected.
Let’s Build a Reliable Operation
Let's Build a Telehealth Billing Operation You Can Rely On
Virtual care is here to stay, and the practices that get telehealth billing right now will be best positioned as the market continues to mature. MedixCode gives you the expertise, the precision, and the compliance framework to bill every virtual visit with confidence.
Schedule a no-obligation consultation with one of our telemedicine billing specialists. We will review your current telehealth billing performance, identify where revenue is slipping through the cracks, and outline a service plan tailored to your practice and payer mix. No generic solutions. No billing guesswork. Just accurate, compliant telehealth billing that works.
Request a Free Telehealth Billing Consultation → Talk to a Telemedicine Billing Specialist
FAQs
Frequently Asked Questions
Common telehealth and telemedicine billing questions we hear from healthcare providers.
What is the difference between Modifier 95 and Modifier GT for telehealth billing?
Modifier 95 is the current standard modifier used by most payers to indicate a synchronous telehealth service delivered via interactive audio and video. Modifier GT was introduced earlier and is still required by some payers, particularly in Medicaid programs. Our team maintains payer-specific modifier mapping and applies the correct modifier, or combination, based on each individual payer’s requirements.
How do I know which place of service code to use for telehealth visits?
Selecting the wrong code affects the applicable fee schedule and is a common source of telehealth claim denials. MedixCode handles this determination as part of our standard billing workflow.
Does MedixCode bill for audio-only telehealth services?
Yes. Audio-only telehealth billing follows different coding and modifier pathways than audio-video services.
Can MedixCode handle telehealth billing for behavioral health providers?
Yes. We manage the full range of therapy, psychiatric evaluation, and medication management billing for virtual encounters.
How quickly can MedixCode begin managing our telehealth billing?
Most practices are fully onboarded within two to four weeks. Onboarding includes a review of your current billing workflows and denial history, payer credentialing verification, system integration, and a telehealth-specific billing profile built for your practice and payer mix.
Free Consultation
Request a Free Telehealth Billing Consultation
We will review your current telehealth billing performance, identify where revenue is slipping through the cracks, and outline a service plan tailored to your practice and payer mix. No generic solutions. No billing guesswork. Just accurate, compliant telehealth billing that works.