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Results-Driven Telehealth Billing Services
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Telehealth Billing Services Tailored for Your Practice
Are you in pursuit of a telehealth billing company with a proven track record? If yes, MediBillMD is your best choice. What makes us stand out? We offer specialty-specific tailored services that are 100% HIPAA-compliant. Besides, we hire only certified professional coders (CPCs) and invest in rigorous training of our billing specialists.
What's more? When you partner with us, we assign you a dedicated account manager to ensure the communication lines stay open 24/7. Our monthly billing reports keep you in control of your revenue cycle. That's not all; beyond billing, our other offerings include credentialing, denial management, and A/R recovery.
Common Challenges in Telehealth Billing
Virtual care has helped clinicians reduce no-show rates, optimize care for chronic conditions, expand geographic reach, and increase profitability. But telehealth medical billing complexities keep healthcare practices on their toes. These include staying in sync with the annual CPT code updates, evolving payer guidelines, state-wise payment parity rules, and fulfilling comprehensive documentation requirements.
If you truly want to unlock the benefits of telehealth care for your practice, navigating these challenges is the only way. Fail to overcome these, and you will find yourself in hot water, from unsteady cash flow to higher denial rates and a strained revenue cycle.
Evolving Payer
Policies & State
Parity Laws
Are you aware that telehealth billing guidelines vary significantly across Medicare, Medicaid, and commercial insurance carriers? As a result, you must keep track of states that enforce payment parity rules.
Strict POS
Code & Modifier
Requirements
When submitting a telehealth claim, you must match the POS code with the patient location. Besides, appending the wrong modifiers, i.e., 93 instead of 95, also leads to claim denials.
Outdated or
Invalid CPT
Code Usage
AMA updates the CPT code manual annually. This calls for practices to stay updated on changes made to telehealth code families. For example, the 98000 series vs. standard E/M codes.
Cross-State
Licensing &
Credentialing
Bottlenecks
What happens when you render virtual encounters across state lines? It opens up regulatory barriers. Thus, you must be credentialed and licensed in the state where the patient was present.
Why Outsource Telehealth Billing to MediBillMD?
MediBillMD is a reliable telehealth billing company trusted by 200+ healthcare practices nationwide. The reason? We offer a percentage-based collection fee structure that directly aligns your success with ours. This means making you a profitable practice, lowering denial rates, and keeping the days in A/R to a minimum is what our team strives for day in, day out.
When you outsource telehealth medical billing to MediBillMD, you get access to CPCs and billing specialists. The best part? You can leverage our team's expertise without spending a fortune on an in-house billing department.
Undoubtedly, navigating complex telehealth billing requirements in-house demands significant staff time. However, when you partner with MediBillMD, it removes the burden of managing evolving code sets and continuous clearinghouse edits. The result? Reduced administrative burden.
Comprehensive documentation is the key to preventing audit risks and post-payment clawbacks. Thus, our telehealth billing experts conduct thorough documentation reviews to verify patient consent, modality details, visit duration, and provider locations before claim submission.
One of the major reasons behind telehealth claim denials is the misapplication of modifiers and POS codes. However, at MediBillMD, our expert team leverages a scrubbing tool to cross-reference clinical documentation against current payer policies.
Different insurance carriers mandate varying reimbursement guidelines surrounding virtual visits. Thus, our team of billing specialists and CPCs continuously monitors changing coverage rules, location criteria, and parity updates across all regions to ensure compliance.
The rules surrounding virtual care vary significantly across states. Thus, our telehealth billing specialists strive to stay current with the evolving state-specific rules and payer-specific policies. The benefit? When you partner with our experts at MediBillMD to streamline your billing workflow, you achieve peace of mind. How? Because we ensure every claim is 100% compliant with government regulations and specific payer policies across all 50 states of the US.
Do you want to outsource telehealth billing operations but are unsure where to find a billing vendor that can handle your specific specialty's unique requirements? At MediBillMD, we offer highly customizable billing services across 60+ specialties. Besides, we provide a dedicated account manager and around-the-clock support for our partnered practices.
Eliminate Telehealth Billing Errors with MediBillMD
Billing for your virtual encounters requires specialized knowledge. That is, you must be aware of place of service (POS) codes, communication-type modifiers (93, 95, GT, GQ), and payment parity laws. Non-compliance with these billing guidelines can lead to serious repercussions. These include claim denials, audit risks, financial penalties, and lawsuits. However, with MediBillMD’s telehealth medical billing services, you can steer clear of the challenges and ensure a seamless cash flow.
| Common Telehealth Billing Errors | MediBillMD Solution |
|---|---|
| Misusing POS codes 02 and 10 | Our team utilizes automated claim scrubbing software to verify the patient’s location against clinical notes before claim submission. The outcome? We ensure accurate POS code application and clean claim submission. |
| Incorrect Modifier 93, 95, GT, GQ Application | At MediBillMD, our telehealth billing specialists build custom, payer-specific coding rules into the automated clearinghouse workflows. This helps us validate the communication technology and match it against payers’ preferred modifiers. |
| Reporting Outdated CPT Codes (e.g., 99441-99443) | We maintain a dual-track telehealth billing engine. That is, we route commercial medical claims through accepted CPT series (98000-98015), but for Medicare, we report standard E/M codes with compliant modifiers. |
| Inadequate Clinical Documentation | Our expert team conducts pre-billing documentation audits. The result? This helps us flag incomplete notes for clinical staff before we start claim creation, ensuring every chart meets rigorous audit standards. |
Get in Touch with Our Telehealth Billing Experts
Are you overwhelmed with varying state laws and payer policies stealing away your revenue? Connect with our telehealth medical billing specialists to optimize your revenue cycle and maximize your reimbursements!
FAQs
MediBillMD offers platform-agnostic telehealth billing services. This means our offerings integrate seamlessly with major EHR and PM systems, including Epic, eClinicalWorks, AdvancedMD, NextGen, DrChrono, and Athenahealth.
Yes. At MediBillMD, our team of CPCs and billing specialists can handle Medicare, Medicaid, and commercial payer telehealth claims.
Yes. Even though Medicare has standard baseline rules nationwide for billing for telehealth services, Medicaid programs and private payer policies vary significantly by state. These include cross-state licensing requirements, modifier requirements, parity laws, etc.
With our free billing audit solution, we help practices identify uncollected, underpaid, or wrongly denied telehealth claims. How do we do it? By assessing claims for missing modifiers, incorrect POS codes, or expired waiver rules. The best part? It is also the first step we initiate whenever a provider partners with us for telehealth medical billing services.
A standard onboarding transition typically takes 2 to 4 weeks. During this period, our telehealth billing experts set up software integrations, configure custom payer rules, and establish clean claim workflows. Besides, we handle all this with zero downtime or disruption to your daily clinical operations.
When you outsource telehealth billing, you do not have to invest in hiring, training, leasing a place, and software updates. Besides, third-party companies like MediBillMD typically operate on a percentage-of-collections model, aligning their success with yours. Thus, it creates a win-win situation for you.
