Infusion Billing Made Simple, Accurate, and Profitable
Streamlining Your Infusion Center Revenue Cycle
- For Optimal Performance
Mastering Infusion Center Billing with Best Practices
In the increasingly complex realm of healthcare, revenue cycle management in infusion centers is essential. The intricate billing requirements, continuously evolving regulations and guidelines, the necessity of accurate clinical documentation, and revenue leakage pose challenges in efficiently executing the revenue cycle operations, resulting in delayed reimbursements and decreased cash flow. We understand these challenges and how they can impact your overall revenue. This is where our knowledge and expertise in coding and billing of Infusion, Injection and Hydration therapies become indispensable to ensure precision in your billing processes.
Unbeatable Service, Quality & Price
Challenges
Challenges in Infusion Center Medical Billing
Adherence to payer-specific rules and guidelines: Each insurer may have different requirements for billing infusion services, such as pre-authorization for high-cost medications or specific documentation for particular treatments. Navigating them can be difficult and time-consuming, causing reimbursement delays or denials if not handled correctly.
High cost of specialty drugs: Expensive drugs used in infusion treatments also presents a billing challenge. They are expensive, and even small billing errors can cause major financial losses. Infusion centers must ensure proper billing and reimbursement to cover the costs, but underpayments and denials are common when dealing with high-cost drugs.
Coordination between clinical staff and billing departments: Infusion therapy involves multiple clinical touchpoints, from physicians to nurses, and a breakdown in communication between clinical documentation and billing can lead to errors. The billing team must often work closely with clinical staff to ensure accurate charge capture.
OUR PROCESS
Our Infusion Center Billing Workflow
Order Intake
Eligibility & Benefits Verification
Confirm patients’ primary and secondary insurance and verify their benefits coverage, co-pays, co-insurance, and deductibles.
Prior Authorization
Medical Coding
Check accuracy of codes and modifiers according to specialty and assign corresponding and appropriate charges to the codes.
Charge Posting
Claims Edits & Submission
Payment Posting
Denial Management
AR Management
Patient Collection
BENEFITS
Outcomes guaranteed
With years of experience in Infusion billing services, we bring unparalleled industry knowledge that translates into faster reimbursement and increased cash flow. Our analytics driven approach and meticulous review help us to address inefficiencies quickly, resulting in minimized denials and maximized revenue.
WHY US?
Why partner with us
Infusion centers are subject to intricate billing, often involving high-cost medications, multi-payer systems, and evolving regulations and guidelines. Traditional billing approaches often fall short of addressing these challenges, leading to denied claims. With RCM Workshop, you can rest assured that your revenue cycle operations are in good hands. We are committed to delivering unparalleled support that not only gives you revenue protection but also ensures sustainability and growth in the extremely competitive healthcare landscape. Outsource infusion center billing to us today to transform your operations.