eClaim Solution

Outsource Telehealth Billing Services – Get Paid Fast for Your Virtual Services

Telehealth billing and remote healthcare services are rapidly evolving—but is your revenue keeping pace? If not, then outsource telehealth billing services to get your payments smoother, faster and more accurate than ever!

At eClaim Solution, we simplify the complex coding process, understand every aspect of telemedicine medical coding, and ensure clean claim submissions.

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Why Telehealth Providers Need to Outsource Medical Billing Services?

Telehealth billing providers often face challenges in medical coding and are usually underpaid or even experience claim denials due to ongoing healthcare changes. And that’s why they need to outsource medical billing services to the experts who know where, when and how to use POS codes. Moreover, they always stay updated on payer-specific changes regarding virtual services, patient remote care, and compliance rules, so that providers don’t need to worry about their revenue.

Here are the most common challenges that telehealth providers face in medical billing;

Incorrect POS codes

Missing or incorrect POS codes

Incorrect telehealth modifiers

Incorrect telehealth modifiers

Payer-specific telehealth billing rules

Payer-specific telehealth billing rules

Inaccurate patient demographics

Inaccurate patient demographics

Shortage of experienced telehealth billers

Shortage of experienced telehealth billers

eClaim Solution – Your Trusted Partner in Telehealth Billing Services

You might see everyone claim to be your trusted partner, but we own it because we deliver real results through our professional telehealth billers. At eClaim Solution, we use advanced tools to automate telehealth billing tasks, helping our billing experts submit error-free claims and ultimately reducing claim rejections and denials. Moreover, our RCM specialist stays up to date with current CPT, ICD-10, and HCPCS codes for telehealth to ensure accurate coding and clean clinical documentation.

Eligibility & Benefits Verification

For telehealth billing services, verifying the insurance coverage plan for virtual visits before the provider delivers patient care is essential. Our eligibility & benefits verification team checks the patient’s coverage plan, whether it’s Medicare, Medicaid or any commercial one, verifies the co-pays and deductibles before claim submission, streamlining your billing process while increasing revenue.

Claims Creation & Submission

Submitting claims for telemedicine services is critical, as it requires attention to detail to ensure the patient demographics are accurate, which depends on the communication between the provider & patient. To maintain accuracy in claims creation, our healthcare billing experts double-check every claim before submission, ensuring accurate provider and facility information to achieve first-time claim acceptance. Moreover, we ensure timely claim submission, typically within 24–48 hours, to prevent payment delays, so you get paid on time.

Denial Management & Appeals

Our denial management experts handle every telehealth claim denial efficiently and smoothly, as we know the reasons behind CO-17, M77, CO-50, and more denial codes. Hence, our team promptly correct the claims and submits the appeal within the specific time period based on your insurance plan to ensure every dollar you owe is recovered.

A/R Follow-Up & Payment Posting

At eClaim Solution, we ensure that every claim for telehealth services is processed and paid via EOB/ERA. Moreover, our team of billing experts follows up on the unpaid telehealth claims to resubmit them for faster payments.

Step-by-Step Process of Our Telehealth Medical Billing

247 Billing Supports radiology

Reach Out to Us

You can contact us via email or book your free consultation for telehealth services.

Real-Time Verification

Verify Your Credentialing

We verify your medical licenses, credentialing, and enrollment for telehealth services.

98% Clean Claim Ratio radiology

We Submit Claims

Our experts apply accurate telehealth billing codes and submit claims within the time.

Predictive AY Modifier Scrubbing

Receive Payment

Once the claim is processed, payments are posted to your billing system with complete EOB/ERA reconciliation.

Analytics & Reporting

Analytics & Reporting

Our experts analyze, track, and monitor unpaid claims until they are processed, so you never lose revenue.

Why Outsourcing Telehealth Billing Services to eClaim Solution

Across the overall healthcare industry, the most common insurance claims denials faced by telehealth providers are due to incorrect modifiers, missing place-of-service codes, and missing patient demographics. And that’s why you need to outsource telehealth billing services to the RCM experts like eClaim Solution, who achieved a 98% clean claim ratio. With years of industry experience, our virtual healthcare billing experts handle over 3 million telehealth claims, 99% of which are processed the first time, helping providers get paid on time without stress. Whether you’re a solo provider or a large telehealth organization, our experts handle everything – from patient registration to payment posting and denial resolution for you, so your payments are never disrupted.

Affordable Telemedicine Services

Choosing us means you choose affordability over expenses! Our telemedicine services save up to 40% on costs you would otherwise invest in training staff, billing software, and employee salaries. Moreover, we offer a custom service plan tailored to your practice size and goals, with no hidden charges.

24/7 Telehealth Billing Support

You offer remote patient billing solutions, so we provide 24/7 telehealth billing support. Whether you need assistance with your payments or with denied claims, our medical billing experts are always available to answer your every query promptly and efficiently.

Expert Prior-Authorization Checks

If prior authorization is required for your insurance plan, our experts verify it before claim submission, streamlining the billing process and boosting your cash flow.

Dedicated Account Manager

By choosing us, you’ll get access to dedicated medical billing experts who know how to handle your remote services. Whether you’re delivering teleradiology or teleoncology services, our experts manage your revenue smoothly.

HIPAA-Compliant Telehealth Billing Services

Do you have a fear of data breaches which cost you penalties? Don’t worry, because our experts stay up to date with HIPAA regulations, Medicare and Medicaid policies, and ever-changing telehealth billing codes, so every step of our billing remains compliant and protects your revenue.

HIPAA COMPLIANT

Prevent Data Breaches

Certified Professional Biller Certification

Strict Compliance

Certified Professional Code Certification

Boost Cash Flow

Best Telehealth Medical Billing & Coding Solutions to Improve Revenue

Your telehealth billing deserves revenue, not repetitive coding tasks! Every virtual visit, remote patient monitoring, and even a consultation requires accurate medical codes, place-of-service codes, and modifiers to ensure timely payment. That’s why we exist: with our best-in-class telehealth medical billing and coding solutions, we provide 99% accuracy, so you never lose revenue due to coding errors! Let’s explore some of our expertise in telehealth billing codes here.

01

Place of Service (POS) Codes

Without place-of-service codes, you can’t bill for your virtual medical services. Our experts know when to use POS 10 (Telehealth in Home) and POS 02 (Telehealth Outside Home), ensuring fast and quick reimbursements.

02

Medicare Telehealth Consultation Codes

We have expertise in using Medicare telehealth consultation codes, such as G0425, G0426, and G0427, so every claim is submitted precisely to avoid payment delays.

03

Telehealth Modifiers

Without using modifiers, you can’t submit claims! So, our experts use valid telehealth modifiers based on your insurance plan. For Medicare telehealth services, our experts apply modifier 95 for eligible audio-video visits and modifier 93 for approved audio-only services, strictly following CMS and payer-specific telehealth guidelines. However, if you’re in-network with a commercial plan, then we use appropriate telehealth CPT codes (98000–98015) based on payer-specific guidelines.

Your telehealth billing deserves revenue, not repetitive coding tasks! Every virtual visit, remote patient monitoring, and even a consultation requires accurate medical codes, place-of-service codes, and modifiers to ensure timely payment. That’s why we exist: with our best-in-class telehealth medical billing and coding solutions, we provide 99% accuracy, so you never lose revenue due to coding errors! Let’s explore some of our expertise in telehealth billing codes here.

Telehealth Medical Billing & Coding Solutions to Improve Revenue

Real Outcomes of Our Telehealth Billing Services

10- 2 %

Revenue Increase

2 %

Clean Claim Submission Ratio

2 %

Client Satisfaction

2 %

Accurate Coding

2 %

On-time Claim Submission

15- 2 %

Denials Reduction

Telehealth Billing Specialties We Cover in the USA

Telehealth Billing Specialties We Cover in the USA

From family medicine to almost all medical specialties in the USA, we help every healthcare organization and provider receive every dollar for the services they render remotely. Here are some specialties we cover;

We Serve Telemedicine Billing Services Across the USA

No matter where you deliver telemedicine services, you can find us anywhere! From Pennsylvania, Texas, Michigan, New York, to California, Indiana and across the USA, our experts provide exceptional and affordable telehealth billing & coding services that increase your cash flow, minimize administrative load and help you focus more on patient care.

USA States

No More Claim Denials – Recover Your Lost Revenue Now!

eClaim Solutions’ expert medical billing team is here to assist you with your unpaid telehealth claims & denials. Book your RCM Consultation for FREE to know where you lose revenue & how you can boost 10 – 15% revenue within a month. Let’s connect now!

Frequently Asked Questions

Why do telehealth providers face more denials than other healthcare professionals?

As we all know, telehealth billing policies and regulations change frequently, and a minor mistake in using CPT, ICD-10, and HCPCS level codes, POS codes, and modifiers can lead to claim rejections and even denials.

Do you offer EHR integration for telehealth services?

Yes, our healthcare experts have experience with all EHR platforms, including TherapyNotes, WebPT, Tebra, AdvancedMD, and OfficeAlly, so your data transfers smoothly and without disruption.

How do you reduce denials by medical billing & coding?

By implementing AI in medical coding, our team of professionals ensures accuracy throughout the medical billing process. Our AI assistant medical coder suggests valid CPT codes based on clinical notes and detects errors and missing modifiers before claim submission, helping reduce denials and payment delays.

How do you pass a first-time claim acceptance?

By staying updated on telehealth billing changes and payer-specific requirements, our experts use precise codes and perform claim scrubbing, which ultimately helps us achieve first-time claim acceptance.

Frequently Asked Questions

🎉New Year Special: Free Medical Billing Audit

Identify revenue leaks, denied claims, and billing errors at no cost. Start the new year with better cash flow.

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