


Our telehealth billing services are designed for providers offering video visits, phone consultations, follow-ups, and remote specialty care. We manage the full billing workflow so your team can focus on patient care instead of navigating frequent billing changes.
Primary care and family medicine
Behavioral and mental health services
Therapy and rehabilitation providers
Specialty consultations and follow-up visits
Our billing team ensures each telehealth claim reflects the correct CPT codes, diagnosis support, and payer rules applicable to the date of service.
Accurate coding is the foundation of successful telehealth billing. We apply the appropriate CPT codes for telehealth visits, psychotherapy, and specialty services, while ensuring modifiers and reporting requirements are met.
We also track annual updates, including telehealth CPT codes 2024 and upcoming revisions to telehealth CPT codes 2025. This helps providers avoid denials caused by outdated codes or incorrect billing logic.
Telehealth billing rules vary widely by payer and continue to evolve. Our workflows align with CMS telehealth billing guidelines and payer-specific policies, including:
Medicare telehealth billing requirements
Medicaid telehealth billing rules by state
Commercial payer telehealth policies
We review claims before submission to ensure documentation, coding, and reporting meet current guidelines.
Telehealth billing often fails due to incorrect place-of-service selection or missing documentation. We ensure claims reflect the correct telehealth place-of-service code based on patient location and payer guidance.
Our documentation checks confirm that telehealth visits include:
Patient consent for virtual care
Visit modality (video or audio-only)
Duration when time-based billing applies
Clear clinical notes supporting medical necessity
This reduces denials and improves audit readiness.

Telehealth billing under Medicare and Medicaid requires close attention to eligibility rules and coverage limits. We manage Medicare telehealth billing, Medicaid telehealth billing aligned with state policies, and audio-only telehealth billing when permitted.
Our team stays current with CMS updates so claims remain compliant even as regulations change.

Beyond coding, strong financial performance depends on effective revenue cycle management. Our telehealth revenue cycle management services include:
Eligibility verification and benefit checks
Clean claim submission and follow-up
Denial management and appeals
Payment posting and accounts receivable tracking
This structured approach helps providers reduce AR days and improve cash flow from telehealth services.
Many U.S. providers choose to outsource telehealth billing to India for efficiency and cost control. As an offshore medical billing partner, we offer:
Dedicated telehealth billing specialists
Secure system access and HIPAA-aligned workflows
Faster turnaround without increasing in-house staff
Outsourcing allows practices to scale telehealth services while maintaining billing accuracy and transparency.


We support independent practices, multi-location clinics, virtual-first healthcare organizations, and providers expanding telehealth programs. Whether telehealth is a small part of your practice or your primary care delivery model, our billing workflows adapt to your needs.
ICS telehealth billing specialists stay current with rapidly evolving CMS telehealth payment rules, state-specific telehealth policies, and commercial payer coverage expansions. Our dedicated team ensures proper POS codes, modifiers, and documentation for all telehealth services. Let ICS maximize your telehealth billing reimbursements.
These checkpoints summarize published CMS guidance for telehealth claims. The payer’s policy and the rule in effect for the date of service always apply.
POS 02 is Telehealth Provided Other than in Patient's Home. CMS describes it as telehealth where the patient is not located in their home.
POS 10 is Telehealth Provided in Patient's Home. It applies when the patient is at home, a private residence rather than a hospital or other facility, during the telehealth service.
CMS defines the originating site as the patient location. Its booklet notes that authorized originating site types and geography rules apply, so confirm eligibility before billing.
The distant site is where the physician or practitioner is located when providing telehealth. CMS adds that distant site providers are subject to state licensing requirements.
CMS publishes a list of services payable under the Physician Fee Schedule when furnished via telehealth. Check the current list for each code before billing.

Who We Are?
We’re a team of Indian grounded experts streamlining medical billing
services to US-based healthcare professionals for more than 10 years. We strategise specialty-specific conditions and agree working windows with each client, offering customized services.

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End-to-End Medical Billing Services provider across entire US.

We offer medical billing services that feed to different types of medical practices.
Ambulance
Cardiology
Radiology
Family Practice
Ophthalmology
Whether you operate as an individual practitioner or manage a healthcare association with multiple sites, we offer a solution tailored to your requirements.

With over a decade of experience serving diverse specialties and provider groups across the U.S., we ensure you get local-quality support, regardless of location.
Select your location below to learn how we support practices like yours.
To ensure top-notch service delivery, we use premier industry platforms similar to
Also, we offer support for custom APIs and integrations with customer systems, streamlining data synchronization and billing operations.

Discuss your telehealth billing workflow, payer mix, backlog and reporting requirements with ICS. Compare a dedicated offshore FTE team with a percentage-based billing model, then choose the structure that fits your volume and control requirements.
How does telehealth billing work?
Telehealth billing involves coding virtual visits, applying the correct modifiers and place-of-service codes, and submitting claims according to payer guidelines.
What CPT codes are used for telehealth visits?
Telehealth visits typically use standard evaluation and management CPT codes, psychotherapy codes, and specialty-specific procedure codes with telehealth modifiers when required.
What are the key changes in telehealth billing for 2025?
Telehealth billing updates for 2025 include revisions to CPT codes, coverage rules, and CMS guidance, particularly for behavioral health and audio-only services.
Can audio-only telehealth visits be billed?
Yes, audio-only telehealth visits may be billed when allowed by Medicare or commercial payers and supported by proper documentation.
Which place-of-service code is used for telehealth?
Telehealth services generally use place-of-service code 02 or 10, depending on patient location and payer requirements.
Why do telehealth claims get denied?
Denials commonly result from incorrect modifiers, wrong place-of-service codes, missing documentation, or outdated CPT codes.
Can telehealth billing be outsourced to India?
Yes. Many U.S. providers outsource telehealth billing to India to reduce costs while maintaining compliance and billing accuracy.
Do you handle Medicare telehealth billing?
Yes. We manage Medicare telehealth billing in line with CMS telehealth billing guidelines.
Who can bill for telehealth services?
Eligible providers include physicians, nurse practitioners, therapists, and behavioral health professionals, depending on payer and state rules.
How long does onboarding take?
Onboarding typically takes 2–4 weeks, depending on system access, payer setup, and workflow complexity.
What technology does CMS describe for Medicare telehealth?
The CMS booklet describes 2-way, interactive, audio-video technology as the general requirement. It also describes limited audio-only situations, and those conditions can change over time.
Is there a separate fee for the originating site?
CMS describes HCPCS code Q3014 as the Medicare telehealth originating site facility fee, which the originating site bills to its MAC when eligible.
Where should I check for current telehealth rules?
CMS points readers to its Telehealth webpage for the latest information, because telehealth flexibilities and policies can change.
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