Billing for virtual psychotherapy and telepsychiatry requires exact navigation of Place of Service codes (POS 02 vs. POS 10), state mental health parity mandates, and audio-only modifiers. We ensure your virtual claims are paid at full in-person parity.
Using the wrong Place of Service code will result in automatic claim rejections or underpayments. Here is how our automated billing scrubbers ensure 100% compliant reimbursement.
Use when the patient is located in their private residence (home, apartment, private dorm) at the time of the virtual session. Reimbursed at the higher non-facility rate for most commercial payers and Medicare.
Use when the patient is at an originating site other than their home (e.g., patient in a private work office, community clinic, or temporary commercial facility). Reimbursed at the facility rate for specific regional payers.
When video connection fails due to poor broadband or patient technological limitation, you can still bill if clinical necessity is documented. We apply modifier 93 or FQ to prevent technical denial.
Whether you operate in one state or nationwide, let us inspect your virtual billing compliance.
Complete this confidential inquiry and our senior behavioral health billing director will follow up with your customized analysis.