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Telehealth Billing Guide for U.S. Providers

Place of service, modifiers, consent, and documentation tips for compliant telehealth billing across commercial and Medicare plans.

TelehealthPOSModifiers

Telehealth is permanent — rules are not

Telehealth remains a permanent part of many care models, but payer rules still vary by plan and state.

Confirm whether the visit is audio-video or audio-only, then apply the correct place of service and any required modifiers.

Documentation that survives audit

Document patient location, consent, and clinical decision-making with the same rigor as an in-office visit.

Watch for frequency limits and originating-site restrictions on Medicare Advantage and commercial plans.

Keep policies current

A specialty-aware billing partner can keep telehealth claims aligned as payer policies evolve — especially for behavioral health and primary care hybrid schedules.

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