Telemedicine billing for practices and groups: video visits billed as office visits, audio-only care, behavioral health by telehealth, and remote patient monitoring and digital visits, worked inside the software you already use by a US-based team.
Telemedicine billing services turn every virtual visit and monitoring period into a paid claim. Each visit is billed with the place of service and modifiers each payer requires, the rules in force on the date of service are checked, monitoring is billed only when its minimums are met, and every payment, denial and patient balance is followed until it is resolved.
2027
is the last year of Medicare’s extended telehealth rules: through 31 December 2027, patients can receive telehealth anywhere in the US, including at home
POS 10
is the place of service for a telehealth visit to a patient at home, which Medicare has paid at the non-facility rate since 2024
Telemedicine is billed with the same codes as an office visit, but the rules around it change by payer and by date. Medicare’s pandemic-era flexibilities were extended through 31 December 2027, and on 1 January 2028 most non-behavioral telehealth will again need the patient to be in a rural area and at a medical facility. Commercial plans and Medicaid programs set their own place of service, modifier and audio-only rules, and remote monitoring has minimums that a missed reading can break.
The payer and the date of service decide the claim. That is why we check each payer’s current telehealth rules, the patient’s location and the technology used on every virtual visit before the claim goes out, not after it is denied.
Most practices that offer telemedicine bill video visits, audio-only or behavioral care and remote monitoring in the same week, often for the same patient. Each one pays differently and fails in its own way. Here is where each breaks, and what we do about it.
Pays forOffice and follow-up visits by real-time audio and video, billed with the same codes as in-person visits.
Where it breaks
What we do
Pays forVisits by phone when the patient cannot or does not want to use video, and therapy and psychiatric care by telehealth.
Where it breaks
What we do
Pays forRemote patient monitoring, patient portal visits and other services that are paid for care at a distance but are not telehealth visits.
Where it breaks
What we do
For Medicare, a telehealth visit is billed with the usual visit code and a place of service that says where the patient was. POS 10 is for a patient at home, and Medicare pays it at the non-facility rate. POS 02 is for a patient somewhere other than home, such as a clinic. Audio-only visits are marked with modifier 93. Through 31 December 2027, patients can receive these visits anywhere in the US; from 1 January 2028, the rural and facility requirements return for most non-behavioral care.
Behavioral health is different. Medicare permanently allows it at home, and from 2028 a patient starting mental health telehealth at home will need an in-person visit within six months before the first telehealth visit, then at least once every twelve months. Commercial plans and Medicaid programs set their own rules, and many still ask for modifier 95 or GT, so we check each one.
What we do: before a virtual visit is billed, we check the payer’s current telehealth policy, where the patient and the provider were, whether video or audio was used, and the in-person history for behavioral care. Then we set the place of service and modifiers to match, so the claim fits the rules in force on the date of service.
These are the codes behind most telemedicine claims, and what payers look for on each one. Commercial plans and Medicaid programs add their own telehealth rules, and we check each one.
| Code | What it covers | What payers look for |
|---|---|---|
| 99202 to 99215 | Office visits by telehealth | The same codes as in-person visits, with POS 02 or 10 for Medicare and the modifiers other plans require. |
| 90832 to 90838 | Psychotherapy by telehealth | Permanently allowed at home for Medicare; audio-only when the patient cannot or does not want to use video. |
| G2025 | Telehealth visits by rural health clinics and health centers | Non-behavioral telehealth billed with G2025 through 31 December 2027. |
| 994219942299423 | Online digital visits (e-visits) | Started by an established patient and billed by cumulative time over seven days. |
| 9945399454 | Remote patient monitoring setup and device supply | Setup once per episode of care; the device supply per 30 days, with the minimum days of readings met. |
| 9945799458 | Remote monitoring management | The first 20 minutes in a calendar month and each additional 20, with interactive communication with the patient. |
| Q3014 | Telehealth originating site facility fee | Billed by an eligible site, such as a clinic, where the patient was during the visit. |
Real-time audio and video; asked for by many commercial plans and Medicaid programs.
A visit by phone or another audio-only connection, when the rules allow it.
Used by rural health clinics, health centers and opioid treatment programs for audio-only services.
Still required by some plans and by critical access hospitals billing under Method II.
Not a modifier: the place of service Medicare uses for a patient at home, paid at the non-facility rate.
The place of service for a patient outside the home, such as at a clinic.
Sources: CMS Telehealth FAQ, updated 26 February 2026; CMS MLN booklet MLN901705, Telehealth and Remote Monitoring (December 2025); Medicare Claims Processing Manual, chapter 12, section 190; Consolidated Appropriations Act, 2026. CPT is a registered trademark of the American Medical Association; the descriptions above are summaries. Reviewed October 2026.
It is not for every practice. If you are a hospital-employed group whose billing the hospital handles, you do not need us. And if your in-house team keeps denials low and receivables current, keep them, and consider a periodic billing audit instead.
We look at your clean-claim rate, your denials by payer and reason, telehealth place of service and modifiers, audio-only rules, remote monitoring, and your aging receivables, and tell you what we find, whether or not you go further with us.
We get access to your practice management system and clearinghouse, load each payer's authorization and bundling rules and your fee schedules, list each payer's telehealth rules and every patient on remote monitoring, and agree how escalations work. Most practices are live within one to two weeks.
Virtual and in-person visits are coded and claims submitted within 24 hours. Rejections are corrected the same day, remittances posted as they arrive, place of service, modifiers and monitoring minimums checked, and denials worked to their cause, all inside your system.
A report you can read in ten minutes: what was billed and collected by payer, site and service line, what was denied and why, authorizations pending, and what is aging.
You do not change systems to work with Summit Billing Solutions. We work in the practice management and EHR systems below, and through the clearinghouse you already use. If your EHR is not shown, ask; the list grows as we onboard practices.
2%
Average claim rejection rate
24 hrs
Claims submitted within
28
Average days in A/R
Not only have they helped us streamline our operations, but their expertise has also maximized our revenue cycle, allowing us to focus more on patient care. The level of communication is outstanding; we always feel informed and supported.
Their organization and communication skills are impressive, allowing for effective and efficient collaboration.
Most billing companies charge a percentage of what they collect; some charge a flat monthly fee or a per-claim rate. For a practice that offers telemedicine, a percentage usually fits best: the company is paid when you are paid, so the incentive sits where it belongs.
Summit Billing Solutions charges between 3% and 9% of monthly collections. What moves the number for a practice that offers telemedicine is the mix of virtual and in-person visits, how many patients you monitor, how many states and plans you bill, and how clean the receivables are when we take them on, which is why we quote your exact rate after the free account review, not before.
3% to 9%
of monthly collections
We bill for more than 40 specialties, for practices in all 50 states, from Salem, New Hampshire. Each one has its own codes, modifiers and payer rules.
Chiropractic billing
Family practice billing
Pediatric billing
Urgent care billing
Ophthalmology billing
Mental health billing
Psychiatry billing
Cardiology billing
Gastroenterology billing
Urology billing
Neurology billing
Dermatology billing
Pain management billing
Pulmonology billing
Podiatry billing
Oncology billing
Orthopedic billing
OB/GYN billing
Radiology billing
All 40+ specialties
A free account review looks at your clean-claim rate, your denials by payer and reason, telehealth place of service and modifiers, audio-only and remote monitoring, and your aging receivables, and tells you what we would change. No cost, no obligation, and no pressure to continue. What the review covers, step by step, is on the free account review page.
50A Northwestern Drive, Salem, NH 03079
603-207-3172
(866) 906-3116
info@summitbillingsolutions.com
Mon - Fri @ 9am - 5pm
Billing can easily become stressful and overwhelming, but with their team, the entire process feels organized, manageable, and under control.