Specialized Billing Services for Infectious Disease Practices
Infectious Disease Medical Billing That Reduces Denials & Boosts Revenue Flow
Managing Complex Infectious Disease Billing Just Got Easier!
Infectious disease treatments cover a wide range of acute and chronic conditions, including flu, pneumonia, strep throat, HIV/AIDS, hepatitis C, and tuberculosis. These treatments often involve complex care plans, recurring visits, specialty medications, and lab testing—especially for chronic infections that require long-term management. This makes infectious disease medical billing particularly challenging, as it demands precise coding, frequent claim submissions, and strict adherence to payer-specific rules for both acute and chronic care scenarios.
Outsourcing infectious disease billing services to a specialized ally like RCM Workshop ensures accuracy, compliance, and faster reimbursements. With deep expertise in infectious disease coding and payer requirements, we help reduce denials, streamline workflows, and free up your team to focus on delivering quality care—not chasing claims.
Unbeatable Service, Quality & Price
ACCURACY
0
%
TURNAROUND TIME
<
0
Hours
COLLECTION
0
%
PRICE
Starting from $
1100
/Month
CHALLENGES
Challenges in Infectious Disease Medical Billing
Frequent Policy Changes by Payers: Insurance companies frequently revise reimbursement policies for infectious disorder treatments, especially during outbreaks, making it difficult for providers to stay compliant. As a dedicated infectious disease billing company, our professionals stay compliant with constantly changing policies and monitor payer updates in real time to ensure accurate coding and timely submissions— even during outbreaks and public health emergencies.
Documentation Challenges: Accurate documentation is critical for infectious disease billing, especially when dealing with rare or resistant infections. Incomplete or vague records can lead to underpayment or audits. But our trained billers root out these risks by ensuring comprehensive and error-free documentation.
Constantly Evolving Diagnosis & Procedure Codes: Emerging infectious diseases like COVID-19, monkeypox, and avian flu often lack pre-existing ICD-10 and CPT codes, requiring rapid updates and adjustments to billing systems. To combat this, our infectious disease billing and coding teams stay current with evolving codes for emerging disorders to minimize delays and maximize reimbursement accuracy.
OUR PROCESS
Our Infectious Disease Billing Process Workflow
At RCM Workshop, we understand that a well-structured billing workflow is key to keeping your revenue flowing and headaches to a minimum. That is exactly what you get when you opt for our infectious disease revenue cycle management. We start with verifying patient details and insurance coverage, followed by thorough documentation of the diagnosis, treatment, and any related lab or diagnostic services. Then we ensure accurate coding, especially for complex or evolving conditions like HIV, hepatitis, or emerging infections. Once the services are properly coded using the latest ICD-10 and CPT codes, we submit the claims to insurance providers for processing.
If a claim is denied or underpaid, it enters the revenue recovery phase, where our billing experts review, correct, and resubmit it. Throughout the process, we remain compliant with payer rules and public health billing updates. If payments are received, we post them timely and follow up on any outstanding claims. To procure any remaining balance, we finally perform patient collections, especially for patients yet to pay their deductible or co-pay. Through these meticulous steps for infectious disease medical billing, we help improve claim approvals and ensure steady revenue.
Scheduling & Registration
Carry out well-coordinated appointment scheduling, update insurance details, and handle inbound and outbound calls from/to patients.
Eligibility & Benefits Verification
Confirm primary and secondary insurance and benefits coverage of patients and verify their coverage, co-pays, co-insurance, and deductibles.
Prior Authorization
Initiate request for prior authorization with the payer, follow up to check its status till closure and finally update the system with Auth approval reference number.
Medical Coding
Check the accuracy of codes and modifiers according to specialty and assign corresponding and appropriate charges to the codes.
Charge Posting
Enter the charges for the services provided into the billing system including the cost of the medication and the administration fee.
Claims Edits & Submission
Audit the claims thoroughly to check for accuracy and edit if necessary and submit claims – both EDI and paper format.
Payment Posting
Carry out both auto as well as manual posting for payments received and conduct reconciliation against claims.
Denial Management
Analyze and categorize denial claim according to denial codes, $ amount and payers, and resubmit claims after correction.
AR Management
Follow-up with payers to gather status for unpaid claims, and their resolution.
Patient Collection
Sending patient statements and follow-up with patients for final and outstanding payment.
You can confidently rely on us to manage your entire billing process, or you have the flexibility to select specific DME billing services that suit your needs, ensuring a seamless operation without any interruptions.
BENEFITS
Outcomes Guaranteed
From minimizing billing errors and ensuring regulatory compliance to optimizing workflows through data insights and accelerating reimbursements — we manage every aspect of infectious disease RCM. Additionally, our infectious disease billing services are customized to fit your practice’s specific processes to benefit you with seamless operations and stronger financial performance.
WHY US?
Why partner with us
Outsourcing infectious disease medical billing to RCM Workshop ensures your practice benefits from specialized expertise, precision, and efficiency tailored to your unique workflow. With a deep understanding of infectious disease coding, payer policies, and compliance standards, our proficient billers minimize claim delays and rejections and improve reimbursements. Our data-driven approach streamlines the entire revenue cycle, from insurance verification to payment posting, while reducing administrative burdens on your staff. By working with RCM Workshop, you gain a trusted partner committed to enhancing your financial performance and allowing you to focus more on delivering exceptional patient care.