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Manage your medical infusion practice with expert billing solutions designed for the precise administration of therapeutic agents and supportive care. Focus on specialized patient treatment while we handle your medical infusion billing, including accurate medical infusion coding (utilizing CPT, ICD-10, and HCPCS codes specific to infusion services) and efficient medical infusion claims management.
Medical infusion practices involve a broad spectrum of services—from administering intravenous medications, hydration, and blood products to complex biologicals and chemotherapy, often requiring specific coding for drug administration, drug units, and associated care. These services are characterized by meticulous documentation requirements, time-based coding for infusions, and a need for precise reconciliation of drug units. Our specialized approach identifies accurate coding, minimizes claim denials, and keeps your medical infusion practice billing efficient and your revenue cycle management robust.
Managing complex drug codes, time-based infusion codes, hydration, and multiple concurrent infusions can overwhelm standard billing systems and lead to errors.
Finding billing staff skilled in CPT codes for infusion services (e.g., initial, sequential, concurrent infusions), drug supply codes (HCPCS), and understanding medical necessity for various infused medications is critical for RCM success.
Incorrect coding for drug administration time, drug units, hydration services, or improper sequencing of infusion codes can lead to significant revenue leakage and audit risk.
Co-pays and deductibles for infusion sessions, often involving high-cost medications, must be tracked accurately to maintain positive cash flow.
Patients receiving medical infusion therapies often face high deductibles, requiring precise benefit verification and prior authorization for medications and administration services to minimize claim denials.
Denials due to lack of medical necessity for specific drugs, insufficient documentation of administration time, or discrepancies in drug unit coding demand prompt, specialized follow-up and appeals expertise.
Perform specialized audits to guarantee accuracy and compliance for drug administration, hydration, therapeutic infusions, and associated services.
Improve your medical infusion billing process with our targeted claims submission and scrubbing services. We identify errors (including those related to drug codes, administration time, and units) before claims leave your system, reducing denials and making sure every service is billed correctly.
Simplify charge entry for the wide range of medical infusion services. Our system accurately captures infusion administration, drug supply, and related services, making sure every service is reflected in your billing for timely payment.
Efficiently post payments (including Electronic Remittance Advice – ERA and Explanation of Benefits – EOB) for all medical infusion services. Our streamlined process reconciles payments quickly, enhancing your overall revenue cycle management.
Utilize our specialized process for managing and appealing denied medical infusion claims, addressing Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs). We review claim denials, address coding errors, and promptly resubmit claims to get every dollar owed.
Optimize your collections with proactive accounts receivable management and follow-up on aging AR. Our systems reduce outstanding balances and see that patient accounts are managed efficiently, supporting your practice’s cash flow.
Net Collection Rate
of A/R Less than 30 days
Clean Claims on First Submission
Increase in Practice Collection
or Less Initial Denial Rate
Deliver valuable insights and training to help your staff better manage claims, post payments and. develop standard operating procedures.
Provide fully customized consulting services to medical providers that include medical billing, coding, credentialing, and practice management analytical that help profitability.
Get expert support to navigate the complex process involved in enrolment and credentialing, all at an affordable cost.
Let us manage your billing challenges so you can devote your energy to providing essential, life-enhancing infusion therapies to your patients. Our expert RCM services promise a smooth revenue cycle and maximized reimbursements.