Denials commonly occur due to missing modifiers (like GT or 95), incorrect place of service codes, or billing for non-covered services. Finnastra ensures every telehealth claim is pre-validated with the correct payer-specific codes, modifiers, and POS to reduce denials by over 90%.
Billable codes depend on the service type—common ones include 99201–99215, 99441–99443, and behavioural health codes. Finnastra keeps an up-to-date codebook per payer and flags non-billable codes before submission.
No. While Medicare and some commercial payers do, others may reduce reimbursement or exclude certain services. Finnastra checks the fee schedule by payer and specialty to ensure optimal reimbursement and prevent underbilling.
We provide end-to-end telehealth billing from claim creation, modifier management, and payer-specific edits, to denial tracking, appeals, and patient collections. Our systems integrate directly with EHRs and telehealth platforms to streamline billing and maximize reimbursement.
Most payers require modifier 95 (synchronous real-time telehealth) or GT. The POS code (usually 02 or 10) must match the encounter setting. Finnastra automatically appends correct modifiers and POS codes based on payer rules.
Yes, but only under certain CPT codes like 99441–99443 (phone E/M) or G2010, G2251 (asynchronous). Finnastra identifies eligible codes and ensures payer-specific compliance to avoid denials.
Medicare and most payers require verbal or written patient consent and full documentation of the virtual encounter. Finnastra provides templates and workflows to ensure all compliance checkpoints are met before billing.
Yes. Most commercial payers and Medicare allow therapy, counselling, and psychiatry sessions via telehealth with proper documentation and coding. Finnastra tracks behavioural telehealth billing rules to support psychologists, therapists, and psychiatrists nationwide.
Eligibility verification is critical. Finnastra performs real-time insurance verification before each visit, confirming if telehealth is covered, under what conditions, and with which codes.
Many temporary waivers have expired, and reimbursement policies now vary by payer and state. Some services are no longer covered, and billing rules have tightened. Finnastra continuously monitors post-pandemic policy changes and updates your billing process to ensure full compliance and uninterrupted reimbursement.
