Telehealth Billing and Coding Services

Stop giving away free telehealth visits. You’re seeing patients. Payers aren’t seeing clean claims. That’s the whole problem. We built telehealth billing and coding services that decode every policy, preempt denials, and make reimbursement a sure thing.

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The Hidden Reasons You’re Getting Paid Less for Doing More

You’re showing up for every virtual visit. On time. Documented. Clinically sound. But when the payments arrive, the numbers don’t add up. It feels like you’re doing more and earning less and no one can explain why. That’s because the problem isn’t your care. It’s your telehealth billing.

Behind the scenes, minor coding mistakes are costing you thousands. A wrong place of service drops your reimbursement by 30 percent. A missing modifier flags the entire claim for denial. One outdated payer rule and suddenly, a full day of work becomes unreimbursed effort. And most billing teams? They either don’t catch it, or they don’t care.

This isn’t about “tightening things up.” It’s about stopping a revenue drain that’s been normalized. If your current team isn’t treating telehealth billing like a discipline of its own not just a sidecar to in-person billing then they’re already behind. And every day they stay behind, your practice pays the price.

What a Clean Telehealth Claim Looks Like When iRCM Works on It

The Visit
Happens

Your provider finishes the session. It’s video-based, well-documented, and marked as complete in your EHR.

We Detect the Visit Type Automatically

Audio-only? Video? Asynchronous check-in? We read the signal not just the code.

Claim Is Matched to Payer-Specific Rules

We don’t use generic codes. Every payer has their own modifiers and POS requirements. We apply exactly what they want to see.

Real-Time Error Checks Run Instantly

Before it ever gets submitted, the claim passes through logic gates that test for denials the same ones your payer uses behind the curtain.

Submission Happens
Fast

We don’t batch and sit. We file within 12 hours of chart lock. Every time.

The Claim Gets
Paid

No rework. No “can you check on that?” Just money where it belongs in your account.

Custom Telehealth Billing for Psychiatry, RPM, eConsults, and More

How You Practice

What We’ve Already Built For It

We Bill Medicare Telehealth the Way Medicare Actually Wants

Most billers file Medicare telehealth claims like it’s still 2020. Wrong POS. Wrong modifier. Wrong assumption that “it’ll probably go through.”

Here’s what we do instead:

We apply the correct POS

Not just 02 by default. We match the place of service to the actual care setting (10, 11, or 02) based on CMS guidance and the visit type.

We map the right modifiers every time

95, GT, FQ, FR applied based on whether the visit was audio-only, synchronous video, or hybrid. No guesswork. No denials from lazy coding.

We validate CPT codes against real-time CMS coverage

Just because it looks like it’s billable doesn’t mean Medicare agrees. We cross-check every code before it ever leaves your system.

We submit in under 12 hours, scrubbed and ready

No batching. No sitting in a queue. If it’s billable, it’s moving.

4-Step Migration Plan for Telemedicine Billing Services With Zero Downtime

In the field of neurology billing, practitioners often encounter a host of obstacles that can affect their practice’s financial health and administrative efficiency. These hurdles can be particularly daunting.

Step 1

Secure Data
Handshake

We start with a HIPAA-compliant, read-only sync to your EHR or PM system, no manual exports, no risk. You stay in control the entire time.

Step 2

48-Hour Rules
Mapping

Our telehealth logic engine maps your payer mix, visit types, and CPT structure. You’ll see where revenue leaks, modifiers break, and POS logic is off.

Step 3

Parallel Run on 10 Live Claims

Before we go full scale, we run 10 actual claims through our system while your current billing stays untouched. You compare results. We show you the delta.

Step 4

Go Live with Weekly ROI Reports

Once you’re ready, we go live. No hold-ups, no backlogs. From Week 1, you’ll see weekly reports showing first-pass rate, payer behavior, and recovered revenue.

State-Specific Telehealth Billing Rules? We’ve Already Solved Them.

From California’s parity mandates to Texas’ rural POS modifiers, telehealth billing doesn’t just vary, it shifts beneath your feet. Some states reimburse for phone visits. Others want live video. Some still cling to temporary COVID-era flexibilities. And let’s not even talk about Medicaid.

At iRCM, we’ve made it simple. Our engine is hard-coded with state-specific telehealth billing rules, so your claims pass clean the first time wherever you practice.

Here’s what we track — so you don’t have to:

Modifier + POS Logic by
State

95, GT, FQ, FR, every one mapped to your state’s accepted formats

Audio-Only CPT Codes Eligibility

99441–99443 might get paid in one state, denied in the next. We know where

Parity Reimbursement
Laws

Not every state pays video visits equally. Our rules engine adjusts accordingly

Medicaid & Commercial Payer Overlaps

We apply the right logic depending on the payer and the plan.

Real-Time Updates to Changing Policies

Our system doesn’t wait for denials to adjust, we push new rules every week

What’s Included in Our Telehealth Medical
Billing Services

You shouldn’t have to guess what you’re paying for. And we don’t believe in hiding behind vague words like “full-service.” Here’s exactly what you get when you choose our telehealth billing services.

CPT Code Mapping for All Virtual Visit Types

Video, phone-only, asynchronous — we match the right code, not the closest one.

Modifier & POS Precision Per Payer

No more “safe guesses.” We apply 95, GT, FQ, or FR only when (and where) they’re required per payer logic.

Daily Payer Rule Audits

Commercial and government payers quietly change rules every week. We catch it before it hits your bottom line.

24-Hour Submission Guarantee

We don’t “batch.” Your completed visits get billed within 24 hours of chart lock.

Dedicated Billing Specialist

No call center. You get a direct line to a human who knows your practice and fights for every dollar.

Weekly Reporting + Insights

Know what’s paid, what’s pending, and what’s trending in plain English.

Credentialing, Coding, and Claim Submission All in One Place

You don’t need three different vendors to stay compliant, get credentialed, and submit clean claims. You just need one partner who does all three and actually knows what they’re doing.

✔ Credentialing Built for Virtual Providers: We onboard you with Medicare, Medicaid, and commercial payers — including parity-based rules for telehealth.

✔ Coding That Matches the Visit, Not Just the Specialty: Audio-only, video-based, async, RPM our CPT logic adapts to the how, not just the who.

✔ Submission That’s Fast and Rule-Proof: No batching. No ambiguity. Claims filed within 12 hours, scrubbed against the latest payer policies.

✔ One Team, One Dashboard, One Outcome: You don’t chase vendors. You get a single point of contact and full visibility from credentialing to cash posting.

Why Smart Telehealth Providers Stick With iRCM

Practice-Style Calibration

We calibrate your billing setup based on how you practice, not a cookie-cutter protocol.

Real-Time Workflow Syncing

Our billing process syncs with your EHR flows — no extra steps for your staff.

Hidden Revenue Finder

We audit 90 days of past claims and show you what money you’re leaving behind.

Provider-Matched Coders

Psych gets a psych coder. RPM gets a tech-savvy one. You don’t teach us your field.

Human-AI Hybrid Billing

You get intelligent automation and an expert who sees what software alone never will.

Locked Weekly Check-Ins

We don’t “update” you. We meet you. Same day, same time, every week.

Customer Feedback That Makes Us Proud

Don't just take our word for it - see what our happy clients are saying about our personalized medical billing services.

    
 
 
       Posted on Google  
   
   Elena Rainone 
 
 
 
 Trustindex verifies that the original source of the review is Google. I have been using IRCM in order to obtain authorizations on peripheral vascular procedures and Genicular Artery Embolization's. The staff there Ethan and Kent have been extremely efficient in obtaining these authorizations. Ethan and Kent provide immediate feedback when i  send an email to them confirming receipt and submission. It is very comforting to know that they get right on this project. They have been going above and beyond when additional documentation is requested in assisting me in obtaining an authorization. I am so grateful for their care in servicing our company. Thank you Ethan and Kent!
  
 
      Posted on Google  
   
   Rebecca Herrman 
 
 
 
 Trustindex verifies that the original source of the review is Google. iRCM is wonderful to work with as they are super responsive to our needs and always willing to work as a team. We are so glad we found them!
  
 
      Posted on Google  
   
   Arun Mangla 
 
 
 
 Trustindex verifies that the original source of the review is Google. I have been using IRCM Medical Billing Company for many years. I am extremely pleased with the services. The staff is very efficient, does accurate billing, verify receivables, follow up with Insurance companies and always available. My office practice has seen very significant improvement in getting payments from the Insurance companies. I am especially thankful to Mr. Victor Thomas and Tom Elick who are very helpful in solving day to day problems in billing. I am also very thankful to Mr. Ahmad Masoud  for all the help.
I highly recommend IRCM Medical Billing Co.

Arun Mangla, MD
  
 
      Posted on Google  
   
   REZAUL JAMEE 
 
 
 
 Trustindex verifies that the original source of the review is Google. I would like to extend my sincere appreciation to IRCM for their exceptional efficiency and professionalism as our billing company. Your consistent accuracy and timely handling of claims have been instrumental in maintaining smooth operations and meeting our financial goals.

A special acknowledgment goes to Lance Burton, our Lead Credentialing Specialist, and his associate David Brent, for their dedication and proactive approach in managing credentialing processes. Your commitment ensures compliance and timely onboarding, which is critical for our success.

Additionally, I want to recognize Howard Bell, Billing Manager, along with his team members Travis Lyon and Allen Greene, for their outstanding performance. The Billing Team has consistently worked as per our expectations, demonstrating reliability and responsiveness in addressing challenges.
Dr. Alvaro Olayo
  
 
      Posted on Google  
   
   Aravinda Bommareddy 
 
 
 
 Trustindex verifies that the original source of the review is Google. Kate Grace and Derek have been working with me for the last year—great at communication and punctuality! They make the credentialing process easy for me.

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Telehealth Billing and Coding Services

The Hidden Reasons You’re Getting Paid Less for Doing More