Telehealth Billing Services in Indiana
Indiana's telehealth practices face unique billing challenges shaped by Anthem Blue Cross Blue Shield's commercial rules, Hoosier Healthwise / HIP requirements, and Novitas Solutions Medicare policies. Our AAPC-certified coders specialize in both IN payer rules and telehealth coding complexity.
Why Indiana Telehealth Practices Need Specialized Billing
Indiana's healthcare market includes 15,000+ physicians, and telehealth practices here face a payer market dominated by Anthem Blue Cross Blue Shield on the commercial side and Hoosier Healthwise / HIP on the public payer side. Medicare claims are processed through Novitas Solutions, which applies its own Local Coverage Determinations that directly affect telehealth procedure coverage and medical necessity requirements. Generic billing teams without IN specific knowledge leave revenue on the table.
Telehealth billing itself is complex. Telehealth billing requires precise modifier and place-of-service coding that varies by payer and state. The distinction between POS 02 (telehealth facility) and POS 10 (telehealth patient home) affects reimbursement rates. Modifier 95 designates real-time audio/video services, while modifier 93 covers audio-only visits. Remote patient monitoring codes 99453-99458 and telephone E/M codes 99441-99443 add further billing opportunities that many practices miss entirely. When you combine this coding complexity with Indiana's specific payer rules, authorization requirements, and 4 Hoosier Healthwise / HIP managed care plans that each have their own billing rules, you need a team that understands both dimensions. Go Medical Billing provides that expertise at 2.49% of collections, serving telehealth practices from Indianapolis to Evansville and across Indiana.
Top CPT Codes for Telehealth in Indiana
Our IN coders handle these telehealth codes daily, applying Novitas Solutions Medicare rules and Anthem Blue Cross Blue Shield commercial policies to each claim.
Indiana Payer Challenges for Telehealth
Every IN payer has specific rules for telehealth claims. Here's how we navigate them.
Anthem Blue Cross Blue Shield Telehealth Claims
Anthem Blue Cross Blue Shield processes the largest share of Indiana commercial telehealth claims. We know their IN specific fee schedules, prior authorization requirements for telehealth procedures, and their appeal timelines when claims are denied. POS 02 reimburses at facility rates while POS 10 reimburses at non-facility rates — choosing incorrectly reduces reimbursement by 15-30%.
Hoosier Healthwise / HIP Telehealth Billing
Hoosier Healthwise / HIP routes telehealth patients through 4 managed care plans: Anthem, MDwise, CareSource, and 1 more. Each MCO has its own telehealth authorization and billing rules that we manage.
Medicare (Novitas Solutions) Telehealth Coverage
Novitas Solutions processes Medicare telehealth claims in Indiana with its own Local Coverage Determinations. We navigate Novitas Solutions's policies around modifier 95 vs 93 requirements to prevent medical necessity denials.
Denial Prevention for Indiana Telehealth
Common telehealth denials in Indiana include pos 02 reimburses at facility rates while pos 10 reimburses at non-facility rates — choosing incorrectly reduces reimbursement by 15-30% and synchronous audio/video visits use modifier 95, audio-only visits use modifier 93, and payers vary on which they accept. Our team catches these issues before submission and appeals aggressively with IN payer-specific documentation when denials occur.
Get Expert Telehealth Billing in Indiana
Free billing assessment for your IN telehealth practice. See where revenue is leaking.
What We Handle for Indiana Telehealth Practices
Indiana Telehealth Billing Cost Comparison
Hiring an in-house biller with telehealth expertise in Indiana costs $34K-$46K annually in salary alone. Add benefits, software, clearinghouse fees, and office space, and the true cost is even higher. At 2.49% of collections, Go Medical Billing provides an entire team of AAPC-certified telehealth coders and IN payer specialists for a fraction of that cost.
$34K-$46K
In-House Biller Salary
+ benefits, software, space
2.49%
Go Medical Billing Rate
Full team, all services included
60-80%
Typical Cost Reduction
With better results
Related Pages
Explore our Indiana and telehealth billing resources.
Frequently Asked Questions
Fix Your Indiana Telehealth Billing
Call 888-701-6090 for a free billing assessment specific to your IN telehealth practice. We'll show you where revenue is leaking and how to fix it.