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Telemedicine & Telehealth Credentialing Services

Your telehealth platform may be live and appointments fully booked—but without proper credentialing, those sessions generate no revenue. Credentialing delays can cost up to $10,122 per provider each month. Our telemedicine and telehealth credentialing services remove bottlenecks, accelerate approvals, and eliminate repetitive administrative work—so you can bill confidently and get paid on time.

Why Telehealth Credentialing Fails More Often (And Costs More When It Does)

On paper, your credentialing team looks busy. Applications are submitted. Provider profiles are completed. Licenses are verified. It feels like progress—until denials start rolling in and that “approved” provider can’t bill a single telehealth visit.

Here’s the reality no one tells you: telemedicine and telehealth credentialing isn’t just traditional credentialing with a webcam. It’s an entirely different compliance ecosystem.

Payers will:

  • Flag your application if platform validation is missing
  • Pause approvals for cross-state care issues
  • Auto-deny claims when taxonomy, service location, or modifiers aren’t virtual-ready

When even one of these elements is off, approvals stall, claims get rejected, and revenue quietly disappears. That’s why telehealth credentialing fails more often—and why it costs significantly more when it does.

Hospital Credentialing for Telehealth & Telemedicine Isn’t Linear — It’s Multi-Layered

Hospital-based telehealth credentialing involves far more than a single approval step. That’s why we’ve built credentialing systems designed to manage—and simplify—the full complexity of modern telemedicine environments.

Credentialing Layer

How WTS Manages It

Payer-Specific Telehealth Definitions
WTS configures credentialing workflows based on individual payer contracts. Each provider file is aligned with the exact telehealth reimbursement rules of your active payers.
EMR & Platform Integration Validation
Every submission includes HIPAA-compliant platform documentation, EMR evidence, and workflow snapshots—customized for each specialty and service line.
Mixed-Privilege Scenarios
WTS credentials providers for both facility-based and remote-only care within the same file, ensuring accurate privileging whether services are delivered on-site or off-campus.
Modality-to-Modifier Alignment
Provider scopes are mapped to billing-ready documentation, including modifiers such as 95, GT, FQ, and GQ—supported by payer-accepted rationale to prevent denials.
State-by-State Licensing Management
WTS validates multi-state care models using IMLC pathways, state licensing requirements, and payer-specific credentialing timelines—ensuring compliance across all jurisdictions.

Credentialing Telehealth Providers That Actually Pay Off

What We Did

Secured 3-state telehealth licensure within 21 days

Achieved 96% first-pass payer enrollment approvals

Created modality-specific credentialing files for video, audio, and asynchronous care

Implemented a built-in revalidation and compliance tracking system

What It Delivered

Enabled providers to launch without missing a single billable visit

Reduced internal payer follow-ups by 70%

Achieved zero claim rejections for virtual care in the first 60 days

Passed Joint Commission readiness review with zero compliance flags

What our Client say about us

I have been using WTSmedical billing services since 2011, and they have consistently exceeded my expectations. Their expertise has played a significant role in increasing my practice’s revenue and improving overall reimbursement performance. WTS’s professionalism, reliability, and results-driven approach make them a trusted partner. I would confidently recommend their services to any medical professional seeking to enhance their billing efficiency and financial outcomes.

Dr. Robert J. Anderson, MD Advanced Medical Office, PC