Telehealth billing myths that won't die
- Alyssa Sen Arce
- May 19
- 1 min read
Telehealth billing is still one of the most misunderstood areas in general practice.
And the same myths keep coming up — even in well-run clinics.
Let's clear a few up.
MYTH 1: YOU CAN'T SPLIT BILL TELEHEALTH ITEMS
This isn't true.
You can bill:
• A general attendance
• And a sexual health/reproductive health (SHR/BBV) item
…as long as:
✔ Both services are clinically relevant
✔ Both meet their criteria
✔ Both are clearly documented
The issue isn't the combination — it's whether the work was actually done.
MYTH 2: YOU CAN'T DO CARE PLANS VIA TELEHEALTH
Also not true.
Care plans can absolutely be done via telehealth if all requirements are met:
• Comprehensive assessment
• Patient input and agreement
• Clear goals and management plan
The challenge is: → It's often harder to do properly
WHERE THE REAL RISK IS
Telehealth becomes risky when:
• There's no established clinical relationship
• Documentation is weak
• Services are rushed or templated poorly
WHAT GOOD LOOKS LIKE
Strong telehealth billing looks exactly like good face-to-face billing:
✔ Clear clinical reasoning
✔ Proper documentation
✔ Services that genuinely occurred
WHERE BETTERBILLING FITS
We don't just tell you what's "allowed" — we show you:
• How to do this properly in real consults
• What documentation actually needs to include
• How to reduce audit risk
Because telehealth isn't the problem. Poor understanding of it is.



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