Telemedicine Medical Billing That Keeps Pace With Payer Rules
ClainetRCM delivers revenue cycle management built for telehealth providers and hybrid practices. Stop losing revenue to place of service errors and shifting payer telehealth policy.
Certified coders confirm the place of service, modifier, and originating site combination matches each payer policy before the claim is released
Why Telemedicine Billing Demands a Specialist
Telehealth billing rules change constantly and differ by payer, by state, and by service. The clinical work is straightforward. Getting paid for it depends entirely on coding the encounter the way each specific plan expects.
Place of Service and Modifier Pairing
Whether the patient is at home or at a facility changes the place of service, and the wrong pairing with the telehealth modifier causes silent underpayment or outright denial.
State Parity and Payer Variation
Telehealth coverage and payment parity differ by state and by plan. We maintain the rules per payer so claims match policy instead of assumption.
Audio-Only and Asynchronous Services
Audio-only visits, e-visits, and store and forward services have their own codes and coverage limits. Billing them as standard video visits gets them denied.
Remote Monitoring and Care Management
Remote physiologic monitoring and chronic care management carry device, time, and consent requirements. Documented time and consent are what make them payable.
Complete Telemedicine RCM Solutions
From charge capture to final payment posting, ClainetRCM manages every step of your telemedicine revenue cycle so you can focus on patient outcomes.
Telemedicine Medical Billing
Complete billing management built specifically for virtual care providers, telehealth groups, and hybrid practices.
- Charge entry and claim scrubbing
- Electronic and paper claim submission
- ERA/EOB posting and reconciliation
- Denial management and appeals
- Patient statement and balance collections
Telemedicine Medical Coding
Certified coders with deep telemedicine coding expertise capture every procedure at the correct, compliant level.
- Telehealth place of service and modifier assignment
- Audio-only and e-visit code selection
- Remote physiologic monitoring setup and monthly codes
- Chronic care and principal care management time coding
- Payer policy monitoring and compliance audits
Healthcare Credentialing
Fast payer enrollment and re-credentialing so you never miss a payment because of a lapsed credential.
- Insurance enrollment and re-credentialing
- CAQH profile management
- Medicare and Medicaid enrollment
- Payer contracting and fee schedule review
- Ongoing status tracking and follow-up
Virtual Medical Assistant
Dedicated remote assistants to absorb your front-desk workload so your staff stays focused on patients.
- Prior authorizations and referrals
- Appointment scheduling and reminders
- Insurance eligibility verification
- Patient follow-up calls
- EHR data entry and documentation support
Accounts Receivable Management
Dedicated AR follow-up to recover outstanding claims and pull down aging balances across every payer.
- Aging AR review and prioritization
- Payer follow-up and escalation
- Patient balance collections
- Write-off and adjustment analysis
- Monthly AR performance reporting
Revenue Cycle Audit
A thorough audit of your telemedicine billing to surface revenue leakage and compliance risk before it escalates.
- Billing workflow assessment
- Coding accuracy and payer policy audit
- Denial pattern analysis
- Payer contract review
- Custom revenue improvement roadmap
Telemedicine Billing Challenges We Solve Every Day
Virtual care providers face billing obstacles that generic billing companies consistently get wrong. We know them all, and we fix them.
Wrong Place of Service
Home-based and facility-based telehealth carry different place of service codes that change the payment rate. We assign it from where the patient actually was.
Missing or Wrong Modifier
Payers expect specific telehealth modifiers and reject or underpay without them. We maintain the expected modifier per payer and per service type.
Audio-Only Visits Denied
Telephone and audio-only encounters billed as video visits are denied. We select the correct code family based on the modality actually used.
Cross-State Licensure Gaps
Claims for patients located in states where the provider is not licensed are denied and create compliance exposure. We flag the mismatch before billing.
Missing Consent Documentation
Remote monitoring and care management require documented patient consent. We confirm it is on file before the first monthly claim is submitted.
Undocumented Time
Time-based virtual services denied because total time was not recorded. We flag notes missing the time statement before they are billed.
Shifting Payer Policy
Telehealth rules change frequently and quietly. We track policy updates per payer so your billing does not break the month a rule changes.
Slow Reimbursements
Telehealth claims stall in AR while payers apply inconsistent edits. We work them systematically until they are resolved.
Get Started in 5 Simple Steps
Onboarding with ClainetRCM is fast and seamless. Most telemedicine practices go live within one week with no disruption to daily operations.
Free Consultation
We analyze your current billing setup and identify telemedicine revenue gaps at zero cost.
Custom Onboarding
We integrate with your EHR and PM system and configure telemedicine billing workflows.
Team Assignment
A dedicated billing team with real telemedicine experience is assigned immediately.
Claims Submission
Clean, policy-compliant claims submitted within 48 hours with real-time tracking.
Revenue Growth
Watch collections climb with transparent monthly performance reporting.
What We Commit To on Every Telemedicine Claim
These are the standards we control and hold ourselves to, written into every engagement.
From charge capture to claim submission, on every working day
Business days to onboard your telemedicine practice end to end
Between full accounts receivable reviews, every single cycle
Starting rate on monthly collections. No setup fee, no contract
Telemedicine Billing for Every Practice Size
Whether you run a virtual-first practice or a hybrid clinic offering both in-person and remote visits, ClainetRCM scales with your model.
Independent Virtual Providers
Solo clinicians delivering care remotely who need payer-accurate telehealth coding without in-house billing staff.
Telehealth Groups and Hybrid Practices
Multi-provider virtual care companies and clinics blending in-person and remote visits across multiple states.
Hospitals and Health Systems
Health systems running virtual care lines that need enterprise reporting, compliance oversight, and consistent policy application.
Frequently Asked Questions
We maintain payer-specific telehealth policy for the plans you contract with, covering which services are covered, which place of service and modifier combinations are expected, and whether audio-only is payable. Telehealth policy changes more often than any other area of billing, so we monitor it continuously rather than configuring rules once at onboarding.
Yes. We bill device setup, monthly monitoring, and the time-based management codes, and we verify the two things payers audit hardest, which are documented patient consent and documented total time per calendar month. Where either is missing we hold the claim and tell you rather than submitting something that will be recouped.
We check that the rendering provider is licensed in the state where the patient is physically located at the time of the visit, because that is what determines licensure and payer eligibility. Where there is a mismatch we flag it before billing, since these claims create both denial risk and regulatory exposure.
Yes, where the payer covers them. Audio-only encounters belong to a different code family than video visits, and billing them as video visits is a common and avoidable denial. We select the code based on the modality actually documented and apply the modifier the specific payer expects.
ClainetRCM integrates with the platforms telemedicine practices already use, including Epic, Athenahealth, eClinicalWorks, Kareo, AdvancedMD, DrChrono, and SimplePractice. We adapt to your existing technology rather than forcing a migration, so onboarding does not disrupt your clinical workflow.
Pricing starts at 2.29% of monthly collections, so we are only paid when your practice is paid. There are no setup fees, no long-term contracts, and no hidden charges. Book a free consultation for a quote based on your volume and payer mix.
Ready to Grow Your Telemedicine Revenue?
Talk to a telemedicine billing specialist about your place of service denials, your modifier rules, and your AR aging.
Request Your Free Audit TodayLet's Grow Your Telemedicine Practice
No obligation. Our telemedicine billing specialists will review your current setup and identify exactly where you are losing revenue.
Why Consult With ClainetRCM?
In a single free session, our telemedicine RCM experts will uncover hidden billing gaps and give you a clear roadmap to increase collections starting immediately.
Free Revenue Audit
We review your billing performance and identify gaps at zero cost to you.
Dedicated Telemedicine Billing Expert
You will speak directly with a specialist who understands telemedicine billing deeply.
100% Confidential
All information shared is protected by HIPAA and never shared with third parties.
Fast Onboarding
Practices go live within 7 to 14 business days of signing on.
No Long-Term Contracts
Pricing starts at 2.29% of collections. No setup fee, no lock-in.