As 2025 Comes to an End, Telehealth Billing Is No Longer Optional
Telehealth is no longer a “pandemic workaround.” As we close out 2025, virtual care, remote patient monitoring (RPM), and mobile health (mHealth) services have become a permanent part of how practices deliver care.
But here’s the problem many providers are facing:
The care is virtual — but billing mistakes are still very real.
Practices that fail to align their billing workflows with telehealth and mHealth requirements are seeing higher denial rates, delayed reimbursements, and compliance risks.
This blog breaks down what’s changed in telehealth & mHealth billing in 2025 and the best practices providers should adopt before heading into 2026.
Why Telehealth & mHealth Billing Is More Complex in 2025
Telehealth billing today goes far beyond simple video visits. Providers are now billing for:
Virtual office visits
Remote Patient Monitoring (RPM)
Chronic Care Management (CCM)
Wearable data reviews
Asynchronous (store-and-forward) services
Each service category comes with specific CPT codes, modifiers, place-of-service rules, and payer-specific policies.
One small error — wrong modifier, missing documentation, incorrect POS — can turn a clean claim into a denial.
Common Telehealth Billing Mistakes Providers Are Still Making
Even experienced practices struggle with virtual care billing. The most common issues we see include:
1. Incorrect Place of Service (POS)
Many payers still require POS 02 or POS 10, depending on where the patient is located.
Using the wrong POS can result in underpayment or outright denial.
2. Missing or Incorrect Modifiers
Modifiers like 95 and GT are still payer-specific.
Assuming “one modifier fits all” is a costly mistake in telehealth billing.
3. Poor Documentation for mHealth & RPM
Remote services require time tracking, device usage records, and medical necessity documentation.
Without this, RPM and mHealth claims are among the first to be denied or audited.
4. Billing Telehealth Services That Are No Longer Covered
Temporary coverage rules introduced during COVID are being rolled back.
Billing outdated or discontinued telehealth services can trigger compliance flags.
Best Practices for Telehealth & mHealth Billing in 2025
✅ 1. Audit Your Telehealth Billing Codes Regularly
Payer rules change — sometimes quietly.
A quarterly audit helps ensure:
Active CPT codes are being used
Modifiers align with payer policies
POS codes reflect patient location accurately
✅ 2. Standardize Documentation Templates
Create documentation templates specifically for:
Telehealth visits
RPM services
mHealth data reviews
This reduces missing elements and strengthens audit readiness.
✅ 3. Track Time Meticulously for RPM & CCM
Many virtual services are time-based.
Accurate time tracking is essential for:
Justifying billed units
Preventing downcoding
Avoiding payer disputes
✅ 4. Separate Telehealth Billing From In-Person Workflows
Mixing workflows often leads to errors.
Successful practices treat telehealth billing as its own revenue stream with dedicated checks.
✅ 5. Partner With a Billing Team That Understands Virtual Care
Telehealth billing requires constant updates, payer monitoring, and compliance awareness.
This is where specialized billing support becomes critical.
How MABS Helps Practices Bill Telehealth the Right Way
At Medical Accounting and Billing Services (MABS), we help practices:
Stay compliant with evolving telehealth billing rules
Reduce denials related to virtual care
Optimize reimbursement for RPM, CCM, and mHealth services
Maintain clean claims across both in-person and remote care
As we move into 2026, practices that adapt their billing processes now will protect revenue and avoid costly surprises.
Final Thoughts: Preparing for 2026 Starts Now
Telehealth and mHealth are here to stay — but only practices that bill them correctly will fully benefit.
As 2025 wraps up, now is the ideal time to review, refine, and future-proof your virtual care billing strategy.
If you’re unsure whether your telehealth claims are fully optimized, a proactive billing review can make all the difference.
Need help navigating telehealth billing in 2025 and beyond?
