Solutions
Telehealth & Telemedicine Billing Built for Shifting Payer Rules
Telehealth reimbursement changes faster than any other billing line. RevPath keeps virtual-visit claims clean and compliant as POS codes, modifiers, and parity rules move.
Telehealth billing changes faster than any other line of medical billing. Place-of-service codes, modifier 95, audio-only rules, and payer-by-payer parity policies shift from quarter to quarter — and a claim billed to last year’s rules is a denial waiting to happen.
RevPath keeps telemedicine claims aligned to each payer’s current policy: the right POS code for where the patient actually is, the correct modifier (95, GT, or audio-only equivalents), and the parity rules that decide whether a virtual visit pays like an in-person one. When a payer changes its telehealth policy, that change gets tracked before it turns into a rejection.
What we handle:
- Correct place-of-service coding (02 vs 10) for each telehealth encounter
- Modifier 95 / GT and audio-only modifiers applied per payer policy
- Payer parity tracking so virtual visits are reimbursed correctly
- State-specific telehealth rules for multi-state practices
- Eligibility and consent documentation that holds up to audit
Telehealth is now core to behavioral and mental health practices especially, where a large share of visits are virtual. It also connects to clean medical coding and, when the whole cycle is outsourced, full revenue cycle management.
Done right, telehealth claims pass first-pass at nearly the same rate as in-person visits. Done casually, they become one of the fastest-growing denial buckets in the practice.
Revenue Leak Calculator
How much is your practice leaving on the table?
Are Your Virtual Visits Getting Paid?
Send 90 days of telehealth claims and the free audit shows where shifting payer rules are costing you.
