Telehealth & Telemedicine Billing

Telehealth Medical Billing Services

Telehealth billing rules change constantly and vary by payer — the wrong place-of-service or modifier turns a covered visit into a denial. Our coders track telehealth policy so your virtual visits get paid.

Get a Free Telehealth Billing Audit

We handle telehealth billing end to end across specialties — applying the correct place-of-service, modifiers, and payer-specific policies to virtual visits. Because telehealth coverage and coding rules shift frequently, staying current is the single biggest factor in whether these claims are paid.

Telehealth billing we handle

Place of service — POS 10 (home) vs 02, applied per payer.
Modifiers — 95 and GT (and payer-specific variants) on telehealth claims.
Audio-only visits — coded per current audio-only coverage rules.
E/M & specialty services — telehealth-eligible codes across specialties.
Payer-specific policies — Medicare, Medicaid, and commercial rules tracked.
Eligibility & benefits — telehealth coverage verified before the visit.

The moving target. Telehealth policy — POS codes, audio-only coverage, and payer rules — changes often. A billing team that isn’t tracking it will rack up denials on visits that were actually covered.

Why telehealth practices lose revenue

The losses come from outdated coding: wrong POS, missing or incorrect modifiers, audio-only visits billed under video rules, and filing to payers whose telehealth policy changed. We keep current with each payer so covered virtual visits don’t get denied on technicalities.

What you get with PRMS

Policy-current

We track shifting telehealth rules per payer so claims stay compliant and paid.

Cross-specialty

Telehealth-eligible coding for primary care, behavioral health, and specialists.

Clean submission

Correct POS and modifiers the first time to prevent avoidable denials.

Telehealth billing FAQs

What place-of-service and modifiers do telehealth claims need?

It depends on the payer and setting — commonly POS 10 (patient home) or 02, with modifier 95 (or GT for some payers). We apply each payer’s current requirement, because using the wrong combination is a leading telehealth denial reason.

Do you bill audio-only telehealth?

Yes, per current audio-only coverage rules, which differ from video visits and by payer. We code them correctly rather than defaulting to video rules.

Which specialties can you bill telehealth for?

Any specialty with telehealth-eligible services — behavioral health, primary care, neurology follow-ups, and more. We match the telehealth-eligible codes to your specialty.

How do you keep up with changing rules?

Tracking payer telehealth policy is part of our process. When Medicare or a commercial payer updates POS or coverage rules, we adjust coding so your claims keep getting paid.

Related services & specialties

Explore our full billing, coding & denial management services and provider credentialing, or see other specialties we bill including behavioral health and more.

Get a free, no-obligation revenue analysis

See exactly where your practice is leaking revenue — denials, underpayments, and AR gaps — before you commit to anything.

Request Your Free Analysis

Or call (551) 320-2027 · info@prmsbs.com