Introduction
With the rise of telehealth, healthcare providers face new challenges in managing billing for virtual care. From accurately coding remote consultations to keeping up with changing reimbursement policies, telehealth billing requires specialized attention. For telehealth practices, selecting the right billing service is key to improving financial performance and minimizing administrative hassles. In this article, we’ve rounded up the Top 10 Medical Billing Services for Telehealth Practices, showcasing solutions designed to simplify billing, improve reimbursement rates, and help practices comply with telehealth-specific guidelines.
1. DrChrono
DrChrono provides a medical billing solution specifically designed for telehealth practices. Their platform combines electronic health records (EHR), practice management, and telehealth billing all in one system. With virtual care becoming more common, DrChrono has adapted to meet the unique needs of telehealth billing, like ensuring accurate coding for virtual visits and staying up-to-date with changing regulations. Their system automatically identifies the right telehealth modifiers and place of service codes, which helps reduce claim denials. It also includes customizable telehealth superbills and automated eligibility verification for virtual visits. Plus, DrChrono’s mobile-friendly platform makes it easy for practitioners to manage billing from anywhere, offering flexibility that’s essential for telehealth. The billing team is well-versed in telehealth reimbursement policies across major insurers and government programs, helping practices boost revenue from virtual care services.
Key Factors:
- All-in-one platform with integrated EHR, practice management, and billing
- Automated telehealth-specific coding and modifiers
- Mobile-first design for virtual practice workflows
- Telehealth billing expertise
- Customizable templates for telehealth documentation and billing.
- Reporting capabilities for telehealth revenue analysis.
2. AdvancedMD
AdvancedMD has made a name for itself in telehealth billing with its powerful analytics and automation features. Their platform simplifies the complexities of virtual care reimbursement, from checking insurance eligibility to processing payments. With a dedicated telehealth module that integrates seamlessly with their billing system, it ensures a smooth transition from virtual appointment to claim submission. The system’s rules engine automatically applies the correct telehealth codes and modifiers based on each payer’s requirements, cutting down on administrative work and reducing errors. It also handles the challenges of multi-state licensing that telehealth practices often face, with built-in compliance tools for interstate billing. AdvancedMD’s reporting tools give practices a clear view of their telehealth revenue, helping them fine-tune their virtual care offerings. Plus, their billing specialists are trained in telehealth reimbursement policies, so practices stay informed and compliant with the latest regulations.
Key Factors:
- Analytics for telehealth revenue optimization
- Automated telehealth coding with payer-specific rules
- Interstate billing management for multi-state telehealth practices
- Real-time eligibility verification for virtual visits
- Dedicated telehealth revenue cycle reporting
- Denial management for telehealth claims
3. Kareo
Kareo is a popular choice for smaller telehealth practices and solo practitioners because of its simple interface and billing features designed for telehealth. The platform makes telehealth billing easier, which is helpful for practices with limited administrative resources. Kareo includes telehealth documentation templates that connect to billing, helping with proper coding for virtual visits. It also checks telehealth coverage before appointments, reducing claim denials. Kareo stays up to date with telehealth billing regulations, including state-specific parity laws, so practices stay compliant. With its clearinghouse connections, Kareo processes telehealth claims and applies the correct modifiers for virtual care. For practices offering both telehealth and in-person visits, Kareo provides tools to compare the financial performance of each, helping providers adjust their service mix.
Key Factors:
- User-friendly interface for smaller telehealth practices
- Built-in telehealth documentation templates linked to billing
- Pre-appointment telehealth eligibility verification
- Support for state-specific telehealth regulations
- Affordable pricing structure for growing virtual practices
- Comparative analytics for telehealth vs. in-person revenue
4. athenahealth
athenahealth provides a telehealth billing solution that uses data and automation to improve workflows and boost reimbursement rates. Their platform taps into data from thousands of healthcare providers to refine billing processes. athenahealth’s system ensures the correct telehealth codes are applied based on service type, locations, and payer requirements. It also makes handling multi-state and multi-payer billing easier. With a team of telehealth billing experts, athenahealth stays on top of regulatory changes and payer policies, adjusting practices to stay compliant and optimize revenue. Plus, their platform offers valuable analytics that help practices evaluate telehealth usage and identify potential areas for growth.
Key Factors:
- Network intelligence from thousands of providers for telehealth billing
- Automated telehealth-specific coding based on multiple variables
- Handling of multi-state telehealth billing complexities
- Monitoring of telehealth regulatory changes
- Detailed telehealth utilization and financial analytics
- Denial prevention and management for virtual care claims
5. CareCloud
CareCloud offers telehealth billing and practice management solutions aimed at boosting the financial performance of virtual care services. Their platform integrates telehealth features directly into the billing process, making it easy to go from virtual patient check-in to claim submission. CareCloud’s system applies the right place of service codes, modifiers, and CPT codes based on the type of virtual visit, helping practices get it right every time. The platform also handles the specific documentation needed for telehealth reimbursement, with customizable templates that align with payer policies. CareCloud provides financial analytics to help practices monitor the performance of their virtual care services. Their billing team includes telehealth specialists who are well-versed in virtual care reimbursement across various specialties and payer types.
Key Factors:
- Integration between telehealth platform and billing system
- Automated application of telehealth-specific billing rules
- Customizable documentation templates for telehealth compliance
- Specialty-specific telehealth billing expertise
- Financial analytics for virtual care services
- Patient payment collection tools for telehealth
6. eClinicalWorks
eClinicalWorks offers telehealth and billing solutions that simplify virtual care revenue cycle management. Their platform features an integrated telehealth module that connects directly to their billing system, eliminating the challenges of using separate systems. eClinicalWorks has developed telehealth billing workflows that apply the correct modifiers and place of service codes based on the type of virtual visit. Their system also verifies telehealth eligibility, checking both general coverage and specific telehealth benefits before appointments. eClinicalWorks provides reports on telehealth utilization and reimbursement trends, helping practices adjust their virtual care strategies. Their billing team is well-versed in telehealth billing across various specialties, including behavioral health, primary care, and specialty telehealth services.
Key Factors:
- Native telehealth platform integrated with billing
- Automated telehealth-specific coding workflows
- Telehealth benefit verification prior to appointments
- Specialty-specific telehealth billing expertise
- Telehealth utilization and revenue reporting
- Support for hybrid care billing models
7. Practice Fusion
Practice Fusion is known for its easy-to-use telehealth billing interface, making virtual care revenue management simple for practices of all sizes. Their cloud-based platform links telehealth appointments with billing, featuring automated workflows designed specifically for virtual care. Practice Fusion’s system includes built-in documentation templates that help with accurate coding and compliance with payer requirements. The platform also offers real-time eligibility checks for telehealth services, which helps reduce claim denials. Practice Fusion provides reports on telehealth usage and reimbursement, allowing practices to keep track of the financial performance of their virtual care services. Their billing support team is experienced in telehealth reimbursement across major payers like Medicare, Medicaid, and commercial insurers.
Key Factors:
- User-friendly telehealth billing interface
- Cloud-based platform accessible from anywhere
- Built-in telehealth documentation templates
- Real-time eligibility verification for virtual visits
- Telehealth utilization and revenue reporting
- Affordable pricing structure for smaller practices
8. Greenway Health
Greenway Health provides solutions for managing the telehealth revenue cycle, especially for multi-provider telehealth practices with complex billing needs. Their platform includes rules that apply the right telehealth codes based on factors like provider and patient location, service type, and payer requirements. Greenway Health also helps manage the credentialing challenges telehealth providers face when practicing across different states. The system offers analytics on telehealth usage and reimbursement trends, giving practices valuable insights to improve their virtual care services. Greenway Health’s billing team includes experts in telehealth reimbursement, keeping up with changing regulations and payer policies. The platform also supports hybrid care models, offering tools that allow practices to compare the financial performance of in-person and virtual visits.
Key Factors:
- Solutions for multi-provider telehealth practices
- Rules engine for telehealth-specific coding
- Multi-state credentialing for telehealth
- Telehealth utilization and financial analytics
- Telehealth reimbursement expertise
- Support for hybrid care financial management
9. NextGen Healthcare
NextGen Healthcare offers a telehealth billing and practice management platform designed to boost the financial performance of virtual care services. Their system connects telehealth features with billing workflows, making the process from virtual check-in to payment posting smooth and efficient. NextGen’s platform includes automated telehealth coding that applies the right modifiers and place of service codes based on the type of encounter and payer requirements. It also handles the specific documentation needed for telehealth reimbursement, with customizable templates that help practices stay compliant. NextGen provides financial analytics to help practices track the performance of virtual care services across different providers, specialties, and payers. Their billing team includes telehealth specialists who keep an eye on regulatory changes and payer policy updates, helping practices improve reimbursement.
Key Factors:
- Integration between telehealth and billing systems
- Telehealth coding automation
- Customizable documentation templates for telehealth compliance
- Financial analytics for virtual care
- Handling of telehealth regulatory changes
- Performance in specialty-specific telehealth billing
10. Meditech
Meditech offers solutions designed for larger telehealth providers, with the tools to manage the complex billing needs of hospital-based and multi-specialty telehealth programs. Their platform links telehealth encounters with billing, using workflows built specifically for institutional telehealth billing. The system automatically applies the right telehealth coding based on service type, provider credentials, patient location, and payer guidelines. Meditech also handles the challenges of telehealth billing across different states and payer networks. Their analytics offer valuable insights into telehealth usage and reimbursement, helping organizations adjust their virtual care approach. Meditech’s support team includes specialists in institutional telehealth billing who understand the unique issues faced by hospital-based programs.
Key Factors:
- Enterprise-level solutions for large telehealth providers
- Capabilities for institutional telehealth billing
- Rules engine for telehealth-specific coding
- Management of multi-state telehealth regulations
- Analytics for telehealth program performance
- Support for hospital-based virtual care programs
Conclusion
Choosing the right medical billing service for your telehealth practice can have a significant impact on both efficiency and profitability. The billing platforms listed here offer a variety of features to meet the needs of virtual care, including automatic coding, eligibility checks, and detailed financial tracking. By selecting a service that fits your practice’s needs, you can reduce claim denials, increase reimbursement, and focus on delivering better care. As telehealth continues to expand, partnering with a trusted billing service will help your practice navigate regulatory changes and keep operations running smoothly.