Telehealth revenue cycle management: claims that get paid, and a report that shows why they didn't.
What is telehealth revenue cycle management?
Telehealth revenue cycle management (virtual care RCM) is coding, claim submission, denial management, and accounts receivable for visits delivered over video or phone. Anvil runs that virtual care RCM under either entity and reports clean-claim rate monthly.
Updated November 1, 2026
Telehealth revenue cycle management is where denials cost new programs a meaningful share of revenue in year one. We run virtual care RCM every week, report it every month, and carry claims risk while you bill under our PC.
What telehealth revenue cycle management covers
Telehealth RCM covers coding, claim submission, denial management, and AR for virtual care visits, run every week and reported every month. The monthly report shows clean-claim rate, denial rate, and days to pay by payer.
Published ranges for the codes you bill are on reimbursement rates by state and CPT code.
The same work follows the entity. Read whether to rent a PC or build your own, how an MSO-PC structure for telehealth is papered, and switching from a network rental vendor if you are already on one.
Compare vendors on the Bridge insurance billing alternative.
Virtual care RCM and the clean claim rate on the monthly report
Most of RCM is not clever. It is done every week or it is not done. We do it every week.
In behavioral health, telehealth credentialing services enroll the clinicians, and behavioral health payer contracting covers the panels.
- Coding review against charting standards that survive an audit
- Claim submission under the right entity, automatically, as volume migrates
- Denial management and appeals, with reasons tracked by payer
- AR worked by aging bucket and by payer, not by whoever is loudest
- Monthly report: clean-claim rate, denial rate, days to pay, by payer
Best revenue cycle management company for a telehealth startup?
Look for a telehealth revenue cycle management company that codes, submits claims, works denials, and reports clean-claim rate under the entity that holds the contract. Anvil runs virtual care RCM while you bill on our PC and we carry claims risk, and after volume moves to your PC. Ask who owns the payer contracts.
Documentation that holds up
Health plan audit risk for virtual care shows up in the chart.
Time-based codes
Start and stop times, total minutes, and the service description that matches the code billed. Templates per EHR.
Supervision and incident-to
Which clinician can bill what, under whom, in which state. The rules differ and the audits find the gaps.
Medical necessity
Diagnosis, plan, progress, and the link between them. The three flags auditors look for and how to chart past them.
While you bill under our PC we carry claims risk; once you own your payer contracts, the same RCM runs under your entity. That entity's contracts come from payer contracting for telehealth.
Questions, answered
What is telehealth revenue cycle management?
Telehealth revenue cycle management (virtual care RCM) is coding, claim submission, denial management, and accounts receivable for visits delivered over video or phone. Anvil runs that virtual care RCM under either entity and reports clean-claim rate monthly.
Best revenue cycle management company for a telehealth startup?
Look for a telehealth revenue cycle management company that codes, submits claims, works denials, and reports clean-claim rate under the entity that holds the contract. Anvil runs virtual care RCM while you bill on our PC and we carry claims risk, and after volume moves to your PC. Ask who owns the payer contracts.
Who carries claims risk during the rental phase?
Anvil. Claims are billed under our PC. If a claim is denied and not recoverable, that is our problem, not yours. It is also why we care about coding and charting standards on day one.
What denial rate should we expect?
Denials cost new programs a meaningful share of revenue. We report clean-claim and denial rates monthly by payer so you can see where you are.
Do you handle patient responsibility?
We calculate it and can collect it through your existing payment processor. Statements and reminders are configurable. No PHI crosses this website.
Which specialties do you code for?
Behavioral health in depth (psychotherapy, psychiatry, ABA, IOP and PHP, collaborative care), plus primary care and the E/M and chronic care codes most virtual care companies bill. Interventional psychiatry, in-home care, and school-based programs as well.
What do we see?
Collections by entity, payer, state, clinician, and code. Contracted rate and platform fee separated. AR aging by payer. Denials by reason. Exports and a reporting API.
See what a clean claim looks like on your codes.
Send us your top ten codes and payers. We will tell you what we would flag before the first claim goes out.