The infusion services market continues to grow. However, this growth brings challenges to the infusion billing and coding team due to detailed documentation requirements. From pre- to post-billing, infusion service providers see their share of revenue cycle management issues. In fact, to receive accurate and timely payments for infusion services you need to focus on CPT/HCPCS codes, required modifiers, detailed documentation, and many more. With enlarging market and skyrocketing wages for administrative services, providers are facing issues regarding the reduced revenue. The practice's financial health is deteriorating, and thus the quality of service might hinder. In this scenario, developing an insight is necessary for effective reimbursements.
Infusion Billing Tips
Eliminate the complications of infusion billing with the following tips-
- Don’t rush the intake process: Patient registration and insurance verification takes time. When billers are saturated with works, they might intake incorrect information. In this rush, the patient eligibility verification might get erroneous, which will lead to claim denial. Also, you might find unsigned delivery tickets which are required for effective reimbursements.
- Track your documents: Missing documents result in delay in reimbursements and claim denials. To maintain a seamless operation within the process you should focus on the necessary forms like – Assignment of benefits, DME information form and so on. Along with that, updated prescriptions and patient’s medical records are also necessary for hassle-free reimbursements.
- Avoid coding errors: Coding is paramount in the infusion billing process. An appropriate code ensured the credibility of the service. Incorrect code and modifiers or erroneous calculated billing units lead to claim denials. Furthermore, under coding or over coding for a service can result in penalties as it is considered fraudulent in claim submission.
Outsource Experts
A team of expert medical billers and coders can solve these issues. A trained professional has a deeper understanding of infusion billing and coding tidbits. A reliable partner like Sunknowledge Inc can work as an operational arm for your infusion practice. Their team of dedicated employees are available 24/7 to solve your issues.
With 100% HIPAA compliance they ensure 99% accurate pre- and post-billing services in infusion. For 15+ years, the company has been working with some of the biggest players within the healthcare industry. Versatility and competence through a wide range of infusion billing software systems makes them one of a kind. They have proven experience in reducing overhead expenses by 80% while working efficiently for both providers and payers. You can connect with them over a call to understand what makes them a great billing partner in the long run.
