Patient location and modality
Record the relevant location and whether the service used audio-video or another permitted modality. Confirm requirements for the service date.
Telehealth-only Practices BILLING SUPPORT
Capture where and how the visit happened.
Telehealth billing needs the service, patient location, modality, provider enrollment and current payer requirements to agree. A remote appointment is not a single universal claim type.
WHERE THE WORK GETS STUCK
The claim starts before submission.
Payers can use different rules for modifiers, place of service and covered modalities. Repeating one claim configuration across every plan can repeat the same rejection.
SPECIFIC OPERATIONAL CHECKS
What we connect in the workflow.
Payer configuration
Maintain a payer-specific view of required modifiers and place of service. Review changes before carrying old settings into new claims.
Provider and claim review
Confirm participation and practice details. Track telehealth edits separately so the operational cause is visible.
ILLUSTRATIVE CODE REFERENCES
Small details.
Different claim questions.
Examples for understanding the workflow.
Code selection follows the actual service.
| Code | Example service | Operational check |
|---|---|---|
| POS 02 / POS 10 | Telehealth place-of-service examples | Differentiate patient not at home from patient at home. |
| 95 / GT | Modifier examples | Use only the modifier required and supported for the payer and service. |
Illustrative CPT, HCPCS or other billing references, not coding instructions or coverage promises. Current code sets, documentation, payer policy and date of service control the correct claim. Review the relevant billing reference
WHAT YOUR PRACTICE RECEIVES
Clear exceptions.
A visible next action.
A payer-specific telehealth matrix, encounter detail checklist and dedicated denial follow ups.
- A named owner and agreed communication plan
- Enrollment and payment setup gaps included in the review
- Written scope before access or service begins
CLAIM VOLUME AND SCOPE
Use your workload, not an industry guess.
Provider schedules, payer mix, modalities and state-specific operations determine scope. No visit volume or payment rate is assumed.
Billing is quoted as a percentage of monthly collections. Provider count, workflows and historical outstanding work help define the responsibilities included in your agreement.
See Billing & RCMBEFORE WE BEGIN
Agree on the details that affect delivery.
We map your payer mix, systems and the three workflow checks above, then agree on the records and scope needed. No practice information is required before the mutual agreement is signed.
No. We identify gaps and possible next actions. Coverage, records, filing windows and payer decisions determine whether a claim can be corrected or paid.
After the agreement and a BAA, we arrange a secure handover with approved access. Please do not send patient information through public website forms or regular email.
CONNECT THE DETAILS
Start with your practice, not a generic proposal.
A Free Practice Review connects billing, credentialing, enrollment and payment setup. We agree on scope first, with a signed agreement and BAA before practice data moves.