Telehealth
Billing

The rapid expansion of telehealth services has introduced a new and complex layer of billing requirements that many practices are not fully equipped to navigate. At Careways RCM, our Telehealth Billing service provides specialized expertise in virtual care reimbursement — ensuring that your telehealth encounters are coded, billed, and collected accurately under the rules governing this evolving care modality.

Telehealth billing requires a nuanced understanding of place-of-service codes, telehealth-specific CPT and HCPCS codes, modifier requirements, and the payer-specific policies that govern virtual service eligibility. Our team stays continuously updated on federal and state telehealth regulations, CMS guidelines, and commercial payer policies — ensuring that your claims reflect current compliance requirements at all times.

We manage billing for a full range of telehealth encounters, including synchronous video visits, audio-only consultations, remote patient monitoring (RPM), chronic care management (CCM), and behavioral health telehealth services. Each service type has distinct coding and documentation requirements, and our specialists ensure that every encounter is billed to maximize appropriate reimbursement.

Our team verifies telehealth eligibility and coverage for each patient prior to the encounter, confirming that the planned service is a covered benefit under the patient’s plan and jurisdiction. We also document originating site and distant site requirements where applicable, ensuring full compliance with payer and regulatory standards.

Following service delivery, we submit claims promptly with all required modifiers and supporting documentation, tracking remittance and managing any denials through resolution. As telehealth policy continues to evolve, Careways ensures that your practice is always operating at the forefront of compliant virtual care billing.