What's the best telehealth billing software for billing virtual visits across a multi-state group practice?

There isn’t one universal “best,” but for a multi-state group practice billing virtual visits, the strongest choices are usually the platforms that can handle:

• state-specific payer rules
• multiple providers / locations
• telehealth modifiers and place-of-service rules
• eligibility + eligibility by state/payer
• claims scrubbing for telehealth
• integrations with your EHR / scheduling / video platform
• multi-entity reporting and role-based access

Top options to consider

1) AdvancedMD

Best for: larger multi-provider practices that want a more complete practice management + billing stack.

Why it stands out

• Strong billing workflows and claims management
• Good for complex practices with multiple locations/states
• Solid telehealth and RCM capabilities
• Often used by specialties with heavy billing needs

Tradeoff

• Can feel heavier/less intuitive than simpler tools
• Implementation matters a lot

2) Athenahealth

Best for: practices that want strong revenue cycle support and broad payer connectivity.

Why it stands out

• Excellent claims management and payer connectivity
• Good eligibility and denial management
• Useful for multi-state operations
• Strong cloud-based workflows

Tradeoff

• Pricing can be less transparent
• Some practices find customization limited

3) Practice Fusion + outside billing partner

Best for: smaller practices that need a lower-cost starting point.

Why it stands out

• Easier to adopt
• Works for basic telehealth billing if your workflow is simple

Tradeoff

• Not usually the best choice for a sophisticated multi-state billing operation
• Billing depth is more limited

4) DrChrono

Best for: smaller to mid-sized practices wanting integrated telehealth + billing.

Why it stands out

• Good telehealth support
• Integrated EHR/billing/scheduling
• More flexible for outpatient practices

Tradeoff

• Not as powerful as top-tier billing systems for complex RCM
• Support and consistency can vary

5) Tebra (Kareo)

Best for: independent and small group practices focused on simplicity.

Why it stands out

• User-friendly
• Built-in billing and telehealth options
• Good for straightforward outpatient billing

Tradeoff

• May not be robust enough for multi-state complexity at scale

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What I’d recommend for your situation

For a multi-state group practice billing virtual visits, I’d narrow it to:

1. AdvancedMD if you want a robust billing-first platform
2. Athenahealth if you want strong claims/RCM performance and can handle a more enterprise-style setup
3. DrChrono if your group is smaller and you want an all-in-one system with telehealth built in

Key features to verify before buying

Make sure the software supports:

• CPT telehealth codes you use
• modifier 95 and/or other payer-specific modifiers
• place of service 02 and 10
• state-specific licensure documentation support
• multi-state payer rules
• multiple fee schedules
• superbills / CMS-1500 generation
• claims edits for telehealth
• provider credentialing tracking
• audit trail and documentation retention

Important note

The “best” software often depends less on the telehealth feature itself and more on how well it handles billing rules, payer contracts, and denial workflows across states.

If you want, I can also give you:

• a side-by-side comparison table
• the best option by practice size
• or a shortlist based on your specialty, number of providers, and EHR