Confirm telehealth coverage, patient cost share, service limits, modality rules, and plan-specific exclusions before the scheduled visit.
Telehealth Medical Billing Services
Telehealth Medical Billing That Fits Your Virtual Care Model
Specialized billing for live video visits, audio-only encounters, telebehavioral care, virtual E/M services, and remote patient monitoring across diverse payer plans.
HIPAA compliant
Certified billing and coding professionals
Nationwide service
🔒 100% confidential. We never sell your data. Privacy Policy
Built for remote care revenue
Keep Virtual Visits Simple From Intake to Payment
Thrive manages billing for telehealth by checking coverage before the encounter, matching documentation to the service delivered, applying the payer’s required code, modifier, and place of service, then tracking the claim through payment. When a claim is rejected, denied, or underpaid, the team identifies the exact cause, corrects what can be corrected, and follows the balance until a documented resolution is reached.
- Fewer avoidable denials tied to telehealth modifiers, patient location, and modality
- Faster movement from completed encounter to payer-ready claim submission
- Clear visibility into open balances, payer delays, appeals, and next actions
- More consistent billing across providers, locations, and virtual visit types
HIPAA compliant operations
Patient information is handled within defined billing responsibilities and compliance controls.
Certified billing and coding professional
Claims are reviewed by staff trained in coding, payer edits, denials, and compliance.
Nationwide billing support
Workflows account for commercial plans, Medicare, and state-specific Medicaid requirements.
Complete revenue cycle coverage
What We Handle for Telehealth Practices
Each service is connected to the virtual encounter, payer rule, and follow-up work required to move the claim toward payment.
Coverage and Benefit Verification
Authorization Review
Check whether the payer requires approval for the underlying service, remote monitoring program, or specialty treatment delivered virtually.
Encounter Coding
Match documented medical decision making, time, visit type, modality, diagnosis, and provider credentials to the billable service.
Claim Preparation and Submission
Validate patient location, provider information, place of service, modifiers, and payer edits before timely electronic submission.
Rejections, Denials, and Appeals
Correct front-end rejections, investigate payer denials, prepare supported appeals, and track every open action through resolution.
Accounts Receivable Follow-Up
Work unpaid and underpaid virtual care claims by payer, age, filing limit, balance, and reason for delay.
Payment Posting and Reconciliation
Post insurance and patient payments, contractual adjustments, denials, and recoupments while reconciling deposits and remittance data.
Patient Statements and Collections
Generate clear balances after payer adjudication and manage respectful follow-up for copays, deductibles, and non-covered services.
Credentialing and Payer Enrollment
Support enrollment and revalidation work that affects whether telehealth claims can be billed under the provider, group, and service location.
High-intent coding reference
Common Telehealth CPT and HCPCS Code Categories
These examples show the service families commonly reviewed during telehealth billing. Final code selection depends on documentation, payer policy, provider type, modality, and date of service.
- 99202 to 99205
New patient E/M
Office and outpatient evaluation and management for a new patient when the payer allows the service through telehealth.
- 99211 to 99215
Established patient E/M
Office and outpatient evaluation and management for an established patient, selected by time or medical decision making when applicable.
- 98000 to 98007
Synchronous audio-video E/M
New CPT telemedicine E/M codes for real-time audio-video encounters. Acceptance depends on the payer and Medicare does not use this family.
- 98008 to 98015
Synchronous audio-only E/M
New CPT telemedicine E/M codes for real-time audio-only encounters. Coverage and adoption vary by payer.
- 90791 to 90792
Behavioral health evaluation
Psychiatric diagnostic evaluation, with or without medical services, when telehealth coverage requirements are met.
- 90832 to 90838
Psychotherapy
Time-based psychotherapy services, including selected add-on combinations when documentation and payer rules support them.
- 99453 to 99458
Remote physiologic monitoring
Setup, device supply, data review, and treatment management services with patient interaction when all billing requirements are satisfied.
- 98975 to 98981
Remote therapeutic monitoring
Setup, device supply, and treatment management for qualifying therapeutic data, subject to code-specific and payer requirements.
- Q3014
Originating site facility fee
A facility fee that may be reported by an eligible originating site. It is not a general professional telehealth visit code.
Where virtual claims break down
Telehealth Billing Problems That Lead to Denials or Underpayment
Patient Location Is Missing
The patient’s location affects place of service, coverage, licensing, and sometimes payment. Missing location details can make the claim unsupported.
Wrong Place of Service
POS 02 and POS 10 are not interchangeable. The claim must reflect whether the patient received care at home or another location.
Modifier Does Not Match the Payer
Some plans expect modifier 95, 93, GT, or another plan-specific indicator. Applying a familiar modifier without checking policy can trigger an edit.
Audio-Only Coverage Is Assumed
A plan may cover video but not telephone care, or it may limit audio-only services by code, patient circumstance, specialty, or location.
Service Is Not Eligible for Telehealth
A clinically appropriate virtual encounter is not automatically billable. The payer must recognize the service for the provider and date of care.
Documentation Does Not Support the Code
Notes must support the selected level, time, modality, consent when required, participants, and clinical work performed during the encounter.
Provider Enrollment Is Incomplete
Claims can fail when the rendering provider, group, service address, taxonomy, or state enrollment does not match the payer’s records.
Medicaid Rules Are Treated as National
Medicaid billing for telehealth varies by state. Covered modalities, providers, codes, modifiers, consent rules, and facility payments can differ.
A controlled billing workflow
How Thrive Moves a Telehealth Encounter Toward Payment
The process starts before the appointment and continues until the claim, payment, denial, or patient balance has a documented outcome.
Verify Coverage
Confirm benefits, modality, cost share, and authorization requirements.
Review the Encounter
Check documentation, patient location, provider eligibility, and service details.
Code and Scrub
Apply supported codes, modifiers, place of service, and payer edits.
Submit and Track
File within payer deadlines and monitor acceptance and adjudication.
Resolve Variances
Resolve Variances
Correct rejections, appeal denials, and pursue underpayments.
Report and Improve
Show performance, recurring causes, open actions, and upstream fixes.
Evidence over adjectives
Why Virtual Practices Choose Thrive
Outsourcing telehealth billing services should give your practice accountable claim work, clear reporting, and payer-specific follow-through.
Telehealth-specific claim review
Claims are checked for modality, patient location, place of service, modifier, covered service, provider eligibility, and documentation support.
Certified billing ownership
A dedicated billing team manages the work from submission through payment instead of passing open claims between rotating contacts.
Payer and state awareness
Commercial plan rules, Medicare policies, and state Medicaid requirements are reviewed separately rather than treated as one standard.
Denial root-cause tracking
Appeals recover individual claims while trend analysis identifies the upstream issue that caused repeated losses.
Audit-ready documentation checks
Code selection is tied to the documented service, time, medical decision making, participants, modality, and location information required by the payer.
Reporting with clear next actions
Reports distinguish paid claims, unresolved balances, denial causes, underpayments, filing risks, and the person responsible for the next step.
Free 15-minute practice review
Talk With a Telehealth Billing Expert
Share the billing issue that is affecting your virtual practice. Thrive will review the current workflow, identify likely revenue gaps, and explain the next practical step.
- No-cost initial revenue analysis
- Custom fee schedule based on volume, payer mix, and scope
- Transition plan for current claims and aging A/R
Book Your Free Revenue Analysis
Schedule a 15-minute meeting to review where anesthesia claims, denials, payments, and AR follow-up are slowing collections.
🔒 100% confidential. We never sell your data. Privacy Policy
Questions before outsourcing
Telehealth Billing FAQs
How much do telehealth billing services cost?
Pricing depends on monthly claim volume, payer mix, service scope, and whether the practice needs full revenue cycle management or selected billing support. Thrive prepares a custom fee schedule after reviewing the current workflow, aging accounts receivable, and mix of virtual care services.
How long does telehealth billing onboarding take?
The timeline depends on payer access, provider enrollment status, claim volume, and the condition of existing A/R. Thrive begins with a workflow and revenue review, confirms responsibilities, and creates a transition plan designed to keep current claims moving during onboarding.
Can Thrive take over old telehealth claims and accounts receivable?
Yes. Thrive can review open claims, aging balances, unresolved rejections, denials, and underpayments. The team separates recoverable balances from contractual or non-covered amounts, prioritizes claims by filing limits and value, and documents the action taken on each account.
Do you handle Medicare, commercial payer, and Medicaid billing for telehealth?
Yes. Billing rules are checked by payer, plan, state, provider type, patient location, service modality, and date of service. Medicaid telehealth rules vary by state, while commercial plans may apply their own coverage, modifier, place of service, authorization, and payment requirements.
How do you handle telehealth denials and underpayments?
Each denial is reviewed for its actual cause, including coverage, modifier, place of service, provider eligibility, documentation, authorization, or timely filing. Correctable claims are resubmitted or appealed with supporting records, and repeat patterns are reported so the same error does not keep returning.
Is Thrive HIPAA compliant?
Thrive identifies itself as a HIPAA compliant medical billing company and states that its services are supported by recognized billing and coding certifications. Access, claim handling, and communication are limited to the information required for assigned billing work and agreed operational responsibilities.
What reporting will our practice receive?
Reporting can include charge and payment activity, rejection and denial trends, aging accounts receivable, payer performance, underpayments, patient balances, and unresolved action items. The purpose is to show what was collected, what remains open, why it is open, and who owns the next step.
Do you work with telehealth practices in every state?
Yes. Thrive supports healthcare providers across the United States. The billing workflow is adjusted for the practice's payer contracts, state Medicaid requirements, provider enrollment, patient location rules, and the mix of virtual, audio-only, and hybrid encounters.
FREE REVENUE ANALYSIS
Find Out Where Your Telehealth Revenue Is Being Lost
If your practice is dealing with telehealth denials, incorrect place of service, modifier errors, patient-location issues, audio-only coverage problems, or aging A/R, we’ll review your billing workflow and show you exactly where revenue is being lost—at no cost or obligation.
- HIPAA Compliant
- Certified Billing & Coding Support
- Surgical & Procedure Claims
- Nationwide Support