Telehealth Billing Services

A completed virtual appointment is only the start of the billing workflow. Synergy helps practices connect visit documentation, payer requirements, claim submission and follow-up. We first agree which tasks your office retains and which claims our team would handle.

Choose support for a hybrid or virtual-first practice

Tell us whether telehealth supplements office visits or is your main care setting. We can discuss full revenue cycle management or a defined claim and denial queue. A hybrid practice needs a reliable way to distinguish virtual encounters from in-person visits before charges reach billing.

The assessment covers your specialties, provider count, patient locations, payer mix and practice-management system. It also identifies the work your staff will keep, such as registration or scheduling. Support for a particular platform or service is confirmed after reviewing workflow fit and permitted access.

Explore full revenue cycle management · Discuss your existing EHR and billing system

Connect each virtual visit to the information billing needs

We review how completed appointments and signed encounter notes reach the billing team. Missing information becomes a request to a named practice contact, rather than a claim released with assumptions.

• Reconcile completed virtual visits with the charge queue, separating cancellations, unsigned notes and encounters awaiting clarification.
• Confirm the rendering provider, billing entity, service date and documented patient location relevant to the claim.
• Identify whether the encounter used audio-video or audio-only communication and whether the record supports the service reported.
• Return missing documentation or clinical questions to the practice. Billing staff do not infer visit duration, modality or clinical findings.

Check coverage, place of service and modifiers for the actual payer

A telehealth template should not be applied to every payer or every service. The review considers the payer, plan, service, provider and date of service before selecting claim details. Audio-only coverage and documentation requirements need their own check; coverage for a video visit does not establish coverage for a telephone visit.

CMS maintains a Medicare telehealth services list and place-of-service definitions, including separate telehealth settings for the patient's home and other locations. Those references do not by themselves establish payment for a particular claim. Commercial plans and Medicaid programs must be checked separately.

CMS Medicare telehealth services list · CMS place-of-service definitions

Keep enrollment and coverage questions with the right owner

A provider license, payer participation and an active billing record answer different questions. We identify the provider, entity, location and payer records that need confirmation, and who can resolve an enrollment exception. We do not assume that one enrollment covers every patient location or that an enrollment approval guarantees payment.

Your practice retains responsibility for clinical care and licensure decisions. Eligibility and benefits work, enrollment support, authorization coordination and claim follow-up should each have an explicit owner. Prior authorization and referral coordination require a separately priced scope.

Understand credentialing and payer enrollment · Review authorization and referral support

Work telehealth denials by cause and next action

A claim rejection, a coverage denial and an unpaid claim still processing require different actions. We review the response and submission history before correcting, appealing or contacting the payer.

• Modality or place-of-service issue: compare the claim with the encounter record and applicable payer instructions before making a supported correction.
• Coverage or eligibility issue: identify the disputed benefit, service date or member information and request the records needed to resolve it.
• Provider or enrollment issue: confirm the entity and provider records instead of repeatedly changing coding.
• Pending or partially paid claim: check claim status and the remittance, then record the inquiry, posting exception or remaining information request.
• Filing or appeal deadline: flag the known deadline, assigned person and documentation needed. Payment depends on the claim and payer decision.

See our denial management scope · Discuss older unpaid claims

Plan access, starting accounts and the review cadence

Before a handoff, agree the starting work list and cutoff date, how previous submissions will be identified and how teams will avoid duplicate work. Review unresolved claims by next action, owner and information still needed, rather than sending an aging total without a work plan.

For an initial conversation, share general practice details and the queue that needs attention. Patient records are not needed in this inquiry. We can then discuss fit, a secure next step and a proposal for the responsibilities you want covered.

Compare billing service pricing and scope · View fictional sample billing reports

What to discuss first

• Your specialty, provider count and virtual or hybrid visit model.
• Your billing and telehealth systems, payer mix and patient locations.
• The main unresolved claim queue and any known filing or appeal deadlines.
• The tasks your office will retain and the contact who can resolve documentation questions.

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