Telehealth Billing Services

A telehealth claim carries more information than an in-person claim and has less room for error. Where the patient was, where the provider was, whether the visit was audio-video or audio-only, and whether the provider is enrolled in the patient's state all have to line up with the rules of that payer on that date of service. Those rules still change often.

What our telehealth billing service covers

• Payer-specific place of service and modifiers. POS 10 when the patient is at home and POS 02 when they are elsewhere, with modifier 95, 93 or others as each payer requires. We keep a rule set per payer rather than one telehealth template.
• Audio-only visits. Audio-only services are coded and billed only where the payer covers them, with the documentation that payer asks for.
• Eligibility and benefits before the visit. Telehealth coverage, cost-sharing and virtual-care carve-outs are verified up front, not discovered on the denial.
• Documentation checks. Patient location, consent, modality and time are confirmed in the note before the claim goes out.
• Denials worked within 48 hours, with telehealth-specific denials traced to the rule that caused them.

Multi-state providers and enrollment

A provider licensed in several states still has to be enrolled with each payer in each state where patients are seen. A missing enrollment produces denials that look like coding problems but are not. Provider credentialing and payer enrollment are included free with our revenue cycle management, and we track every state and payer combination so a new market does not start with a month of unpaid claims. See credentialing and credentialing vs. payer enrollment.

Medicare and changing rules

Medicare telehealth coverage has been set by a series of temporary extensions since 2020, and commercial and Medicaid plans each follow their own policies. We check the rule in force for the payer and the date of service rather than relying on last year's billing, and we update your workflow when a payer changes course.

Built for hybrid practices and virtual-first groups

Hybrid practices need in-person and virtual visits billed correctly side by side. Virtual-first groups and behavioral health practices often run almost entirely on telehealth. We support both, inside your existing EHR or telehealth platform. For the underlying rules, read our telehealth medical billing guide; for mental-health practices, see behavioral health billing.

What you get with Synergy

A 98% clean-claim rate, claims out within 24 hours, denials worked within 48 hours, and insurance aging worked at 25–30 days. Insurance verification, coding review, provider credentialing and a monthly Practice Performance Report are included at no extra charge. We work inside the EHR and practice-management system you already use, there is no long-term contract, the first 30 days are free, and full revenue cycle management carries a 90-day money-back guarantee.

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