MedSole RCM

Revenue cycle management for virtual care

Outsource telehealth billing services for Medicare and commercial payers to expert coders, from an affordable 2.99%

Accurate billing for every virtual visit, with no setup fee. AAPC-certified coders check the place of service (POS) code and modifier on each claim before it goes to the payer.

MedSole RCM's telehealth billing services cover your virtual visits from the eligibility check to the final payment. We verify telehealth benefits, get prior authorizations, code each visit to the payer's rules, and set the right POS code and modifier. Then we submit the claim and appeal any denial until the money comes in. Pricing starts at 2.99% of collections.

Payers don't agree on how to bill a video visit. Medicare wants office E/M codes with POS 02 or 10. Many commercial plans want modifier 95 or the newer 98000 codes. Our telemedicine billing services start with each payer's telehealth policy, so every claim goes out the way that payer wants it.

Start my free audit Call (602) 563-5281

Free telehealth billing audit

Send us 90 days of telehealth claims. We'll flag each one that was denied or underpaid and show you what caused it.

  • HIPAA compliant
  • US-based billing team
  • No long-term contracts
Thank you. Your audit request is in. A MedSole RCM billing specialist will contact you shortly to set up your free telehealth billing audit.
First-pass claim acceptance
99%
Average days in A/R
24
Providers served
4,000+
Business days to go live
7 to 10

What's included

Full-service telehealth medical billing and coding, from eligibility to final payment

Outsourcing telehealth billing and coding services to MedSole RCM puts one team on every claim, start to finish. Our telehealth billing services follow the same revenue cycle management process as your in-person visits, plus checks for rules that only apply to virtual care. One fee covers all eight steps.

Telehealth eligibility verification

Before the patient logs on, we confirm video coverage, audio-only coverage, copay, and deductible. A plan can cover video and still refuse audio-only, and that gap becomes a denial weeks later.

Benefit verification

Authorizations before the visit

Some plans require authorization for psychological testing or extended therapy, in person or by video. We request it ahead of time and log the number and dates, so the claim doesn't deny as CO-197.

Prior authorization

Telehealth coding and charge capture

Our telehealth coding services set the E/M level from time or medical decision making and catch telehealth CPT codes providers miss, like 98016. We match your schedule to charges daily, since video visits on a separate platform often never get one.

POS and modifier claim scrubbing

A coder confirms the POS matches where the patient was and the modifier matches how the visit happened. We fix mismatches, a common cause of CO-4 and CO-5 denials, before the 837P claim goes out.

Claims submission
MedSole RCM logo

Telehealth denial appeals

We appeal each telehealth denial and trace it to the step that caused it. If a front desk script or an EHR template is behind it, we tell you what to change.

Denial management

Aging claims worked to payment

Our A/R team works open claims by dollar value and filing deadline. Medicare's timely filing limit is 12 months from the date of service, and many commercial plans allow 90 to 180 days.

AR follow-up

Posting and underpayment checks

Our posting team checks each ERA and EOB against the expected rate for that code and POS. If a payer paid a POS 10 visit at the facility rate, we send a corrected claim or an appeal.

Payment posting

Telehealth reporting

Weekly reports split telehealth from in-person work, with clean-claim rate, denial reasons, payer mix, and days in A/R. Audio-only and video visits show separately, so you can see which one is losing money.

RCM reporting

Not sure which step is costing you money?

Send us 90 days of telehealth claims. We'll mark each denial and underpayment with the step that caused it, so you can see where the fix belongs. The audit is free whether or not you outsource your telemedicine billing to us. Billing in-person visits too? Our outsourced medical billing services cover those.

Payer-by-payer billing

Medicare and commercial telehealth billing rules we apply to every claim

Medicare Part B bills a video visit like an office visit, with the same E/M code and a POS that shows where the patient was. Commercial plans and state Medicaid programs each publish their own telehealth policy. We keep a policy file for every plan you bill and recheck it when the plan updates.

How we code telehealth claims by payer (as of September 2026)
Situation Medicare Part B Commercial plans
Video visit 99202 to 99215 with POS 02 or 10, no modifier in most cases 99202 to 99215 with modifier 95, or 98000 to 98007, depending on the plan
Audio-only visit E/M code with modifier 93, when the patient is at home and can't or won't use video 98008 to 98015, or an E/M code with modifier 93, depending on the plan
Brief check-in 98016; Medicare doesn't pay 98000 to 98015 Varies by plan
Modifier 95 Only for hospital-based clinicians treating patients at home, and for outpatient PT, OT, and SLP Often required on video visits
Home telehealth end date December 31, 2027, unless Congress extends it Set by each plan and state

Sources: Noridian Medicare JE Part B telehealth guidance (updated April 6, 2026), the AMA's telemedicine code set, and HHS telehealth policy updates.

Every code and modifier, with full descriptors, is in our 2026 telehealth code guide.

What the wrong POS code costs on a 99214

99214 at POS 10
$135.61
99214 at POS 02
$84.50
Gap per visit
$51.11

Under the 2026 Medicare Physician Fee Schedule, a 99214 pays $135.61 at POS 10 and $84.50 at POS 02, a $51.11 gap before geographic adjustment. At 200 home video visits a month, billing POS 02 by mistake leaves about $10,200 unpaid every month. Our coders set the POS from where the patient was, and our posting team flags any payment made at the facility rate.

How we prepare your claims for January 1, 2028

If Congress doesn't extend the flexibilities again, most non-behavioral patients would need to be at an approved rural site, and therapists would lose telehealth billing. We track every CMS rule and payer bulletin and update your claim edits before changes take effect. At-risk visit types show up in your reports well ahead of 2028.

POS 02 on a home visit costs you $51.11 per 99214

We'll pull 90 days of your Medicare telehealth payments and list each home visit paid at the facility rate.

or call (602) 563-5281

Who we bill for

Expert telehealth billing for mental health, therapy, primary care, and rural clinics

Each specialty bills virtual visits differently. These are the rules we watch in the practices that rely on telehealth most.

Behavioral health and teletherapy

Psychotherapy codes turn on minutes: the 90834 CPT code needs 38 to 52, and 90837 needs 53 or more. When a video session drops, we bill only the face-to-face time the note supports. Audio-only therapy from home can stay billable with modifier 93.

Telepsychiatry billing

An E/M visit paired with a psychotherapy add-on like 90833 needs separate time for each in the note, or payers can deny the add-on. The DEA's telehealth prescribing flexibilities run through December 31, 2026.

Primary care and chronic care

Medicare pays annual wellness visits by video, and G2211 goes on eligible visits for patients the practice follows over time. Remote patient monitoring codes run through the same team.

Rural health clinics and FQHCs

Mental health visits by video or phone are paid as clinic visits, with modifier 95 or FQ. Non-behavioral telehealth goes out as G2025 at a set rate through December 31, 2027. We keep the two apart so neither one pays at the other's rate.

Don't see your specialty?

A billing specialist can walk you through its telehealth rules on a call.

Contact our billing specialists

Payer enrollment

Affordable telehealth credentialing from $99 per payer, with multi-state enrollment

Your providers can't bill telehealth until each payer enrolls them. MedSole RCM handles provider enrollment and credentialing from $99 per payer application. We file within 48 hours of receiving complete documents and follow up with each payer weekly.

Telehealth follows the patient, so a provider in Arizona treating a patient in Texas usually needs a Texas license and Texas plan enrollment. Once your licenses are active, we enroll in each state in parallel. Our telemedicine credentialing guide explains the licensure compacts.

Across our current applications, Medicare and Aetna decide in 30 to 45 days, and most commercial plans take 40 to 70. State Medicaid programs take about 90.

Telehealth credentialing specialist reviewing a payer enrollment application with a physician

How onboarding works

Switch telehealth billing companies in 7 to 10 business days

Most practices go live with MedSole RCM within 7 to 10 business days of the first call. We run in parallel with your current biller, so claims keep moving during the switch.

  1. Step 1

    Claims review

    We review 90 days of your telehealth claims, payer mix, and A/R aging, then show you which claims denied or underpaid, and why.

  2. Step 2

    BAA and system access

    We sign a BAA before we see any patient data. Then we get role-based access to your EHR, practice management system, clearinghouse, and payer portals.

  3. Step 3

    Documentation and enrollment check

    We check your note templates against telehealth documentation requirements and confirm each provider's enrollment with each payer.

  4. Step 4

    Live claims

    Claims go out on the first day of live billing, and your weekly reports start in week one.

We work inside your current EHR, including athenahealth, eClinicalWorks, Tebra, AdvancedMD, SimplePractice, and TherapyNotes. Your staff learns no new software and exports no data.

What it costs

What outsourced telehealth billing costs: from 2.99% of collections, no setup fees

When you outsource telehealth billing services to MedSole RCM, pricing starts at 2.99% of collections. There's no setup fee, software fee, per-claim charge, or long-term contract, and the rate covers all eight service steps above. Credentialing is billed separately, from $99 per payer application.

The Bureau of Labor Statistics puts the median wage for medical records specialists, the category that includes coders, at $51,140 (May 2025). That's before benefits and software. At our 2.99% starting rate, a practice collecting $50,000 a month pays $17,940 a year, and billing doesn't stop when an employee quits.

Median wage, medical records specialist (BLS, May 2025)
$51,140
A year at 2.99% on $50,000 a month
$17,940

Full-service telehealth billing

From 2.99% of collections

  • No setup fee
  • No software fee
  • No per-claim charge
  • No long-term contract

The rate covers all eight service steps, from eligibility to reporting.

Credentialing, billed separately From $99 per payer application

See what you'd pay on your own collections before you outsource telemedicine billing.

Client reviews

What practices say about MedSole as their telehealth billing company

More than 50 clients have reviewed MedSole RCM on Google and Trustpilot. Most run mental health or therapy practices, two groups that rely heavily on telehealth. Before you pick a telehealth billing services company, read theirs.

Isabella Saffioti

Occupational Therapist

★★★★★ Trustpilot,

Billing and payments

I cannot thank Medsole RCM for all they do for my practice. I was previously using a different billing company who was making several mistakes with my billing, I was not getting paid and it was a complete mess. I switched over to Medsole RCM at the end of August the week of my wedding and I am so happy I did. Medsole has been amazing. Andrew has been helping me with all of my billing and he even was able to get me a higher reimbursement rate with two insurance companies. I cannot wait to continue to grow my private practice with Medsole!

Cleavon Matthews

Counselor

★★★★★ Google,

Billing and payments

Excellent services. Jack and the team made the credentialing experience pretty seamless. I also contracted with them to do monthly billing and my revenue definitely increased.

Twila Jones Mojica

Mental Health Counselor

★★★★★ Trustpilot,

Billing and payments

I have found Medsole RCM LLC to be knowledgeable, professional, and courteous in regard to credentialing and billing. I found Stephen to be very patient as I had a loss in the family. Andrew communicates in real time and the turnaround for payments moves rather quickly. I highly recommend Medsole RCM for those in private practice.

Meg-Anne Coyne

Clinical Social Worker

★★★★★ Google,

Billing and payments

I had an excellent experience with MedSole-RCM Credentialing and billing. Their team was pleasant, efficient, and got me enrolled with Medicare incredibly quickly. Pricing was competitive, and Noah was a delight to work with, knowledgeable, responsive, and attentive. I highly recommend MedSole-RCM to any provider seeking reliable credentialing and billing support.

Andrea Piazza

Licensed Mental Health Counselor

★★★★★ Google,

Billing and payments

Medsole is an excellent and irreplaceable business partner. We keep coming back to them for more and more services because we trust their work that much. I would highly recommend them to anyone looking for a credentialing, billing or VMA vendor.

Angela Tamayo

Clinical Social Worker

★★★★★ Google,

Credentialing

I had an excellent experience working with MedSole RCM, especially Noah. He was incredibly professional, responsive, and knowledgeable throughout the entire credentialing process. I was especially impressed with how quickly they helped me get credentialed with UHC, it only took about 2 to 3 weeks, which exceeded my expectations. Noah kept me informed, answered my questions promptly, and made what can often be a stressful process feel smooth and straightforward. If you're looking for a reliable credentialing team that is efficient, organized, and truly cares about helping providers, I highly recommend MedSole RCM. Thank you, Noah, for your outstanding support!

Amy Burlison

LPC

★★★★★ Google,

Credentialing

The timeframe in which I received my insurance approvals was incredible. Less than two weeks for a major insurer. MedSole RCM LLC's Noah Stone was delightful to work with. Thank you so much Noah! and MedSole! I will be sending many referrals your way.

Dr. Wina Ambion, PT, DPT

Physical Therapist

★★★★★ Google,

Credentialing

I hired MedSole RCM to handle BCBS Texas credentialing for my new solo physical therapy practice, and the approval came through well ahead of the estimated timeline. Noah was clear upfront about scope and pricing, and Ayaan managed the application and follow-up start to finish, he was consistently responsive whenever I had a question and stayed on it until everything was in place. For a small practice owner who doesn't have hours to spend on payer paperwork, that was worth it.

Alonda Callender

Clinical Social Worker

★★★★★ Google,

Credentialing

MedSole RCM has been thorough, fast, and they are easy to get in contact with. My credentialing specialist Alton keeps me up to date with the whole process and I was approved with one panel in less than three weeks of starting the process. I will recommend to any mental health business to assist with credentialing.

Individual experiences. Approval times vary by payer; typical ranges are in the credentialing section above.

Read all MedSole RCM reviews

Common questions

Telehealth billing services: frequently asked questions

Still have questions?

A billing specialist can walk you through how we'd bill your telehealth visits.

Are telehealth visits still billable?

Yes. Medicare pays for telehealth from a patient's home through December 31, 2027, under the Consolidated Appropriations Act, 2026. Tele-mental health from home is permanent. Commercial plans and Medicaid set their own coverage, and many states have payment parity laws. Coding still differs by payer, which is where many telehealth denials start.

How much do telehealth billing services cost?

Billing companies usually charge a percentage of collections. MedSole RCM starts at 2.99% of collections, with no setup or software fee. Credentialing starts at $99 per payer. Ask any vendor what its percentage includes, since per-claim and software charges add up.

How do I choose the best telehealth billing company?

Ask four questions. How does it bill Medicare and commercial telehealth differently, and how does it pick POS 02 or 10? What does its fee leave out, and will it sign a BAA before touching patient data? A company that answers with specifics, like modifier rules and payer timelines, knows telehealth. Vague answers usually mean a generalist.

Is outsourcing telehealth billing a good idea?

Usually, when telehealth is a large share of your visits and nobody in-house has time to track payer rules. It pays off fastest when denials or underpayments keep recurring. A practice with a trained coder and one payer may not need it. A free audit of 90 days of claims shows which case you're in.

Is audio-only telehealth reimbursed?

Yes, with limits. Medicare pays audio-only visits through December 31, 2027 when the patient is at home and can't or won't use video. Audio-only mental health visits from home are permanent. Claims take modifier 93, or FQ at RHCs and FQHCs. Commercial plans range from paying 98008 to 98015 to no audio-only coverage.

Can G2211 be billed with telehealth services?

Yes, for Medicare. G2211, the visit-complexity add-on, can go on an office or outpatient E/M visit billed by telehealth. The provider has to be the patient's continuing point of care or manage a serious or complex condition. Medicare won't pay it with modifier 25, except alongside certain preventive services. Commercial plans set their own rules.

Are telehealth visits billed differently?

Mostly the same codes, with different claim details. Medicare takes the office E/M code plus a telehealth POS, and audio-only visits add modifier 93. Commercial plans may want modifier 95 or the 98000 codes instead. Pay can differ as well: 24 states and Puerto Rico require private plans to pay telehealth at the in-person rate.

What POS should be used for telehealth?

POS 10 goes on the claim when the patient is at home. When the patient is somewhere else, such as a clinic, use POS 02. Medicare pays POS 10 at the non-facility rate, the same as an office visit, and POS 02 at the lower facility rate. Commercial plans set their own POS rules.

Does Medicaid pay for telehealth?

Every state Medicaid program pays for some telehealth. All 50 states, DC, and Puerto Rico cover live video in fee-for-service Medicaid, while 46 states and DC cover audio-only, often with limits. Each state sets its own modifier and POS rules, so we check your state's Medicaid manual before the first claim goes out.

Can you bill telehealth for a patient in another state?

The provider usually needs a license in the patient's state. HHS says clinicians must be licensed or legally permitted to practice where the patient is during the visit. Compacts such as PSYPACT and the Interstate Medical Licensure Compact shorten that step. Claims start paying once the provider is also enrolled with that state's plans.

Does HIPAA apply to a telehealth billing company?

It does. HHS lists billing and claims processing as business associate work. That means a billing company must sign a business associate agreement (BAA) before it receives patient data. MedSole RCM signs one before our team sees a single claim. If a vendor asks for claim data first, your practice carries the HIPAA risk.

Is telehealth the same as telemedicine?

For billing purposes, they mean the same thing. Most payers use the two words for any visit by video or phone. The AAFP draws a line: telemedicine is remote clinical care, and telehealth also covers services from nurses and pharmacists. Medicare's rules use telehealth, and the AMA calls its 98000 codes telemedicine services.

Next step

Get a free telehealth billing audit before you outsource

The audit comes back as a list of the denied and underpaid telehealth claims from your last 90 days. Each one shows the reason code and what fixes it. You also get a written quote on your own collections, so you can compare it with what you pay now.

Telehealth billing
From 2.99% of collections
Credentialing
From $99 per payer application
  • No setup fee
  • No long-term contracts
  • HIPAA compliant
  • US-based billing team
Thank you. Your audit request is in. A MedSole RCM billing specialist will contact you shortly to set up your free telehealth billing audit.

Rather talk first? Call a billing specialist at (602) 563-5281.

Free telehealth coding review

Send us 90 days of telehealth claims. A coder will check the E/M levels and flag visits that never got a charge.

Your information is secure and will never be shared.

Thank you! Your request has been received. A MedSole RCM billing specialist will contact you shortly.
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