4 Intelligent Tips to Handle Your Infusion Billing Smartly

You know, infusion billing is growing like crazy! By 2032, the market’s set to hit over $113 billion, growing super fast at nearly 9% each year. But here’s the thing—lots of infusion practices are losing money. Why? Because figuring out infusion billing is tough, and when you don’t get it right, you miss chances to earn and end up with money problems.

If you’re dealing with this issue, you need to understand what’s causing all the confusion with infusion billing.

Understand the major confusion around infusion billing

You might think your facility is doing great, but if your billing isn’t running smoothly, you could still lose a lot of money. To make the most of what you earn, you need to fix how you handle infusion billing and coding. If you mess up paperwork, miss patient details, or get the codes wrong, it can hurt your profits big time. You must keep up with all the regulations set by the insurance companies and this is exactly where a professional infusion billing companies can be a perfect help for you as they know how to manage your end-to-end administrative hurdles.

Fortunately, you can still manage your infusion billing job by following the tips mentioned below.

4 Perfect tips to handle your infusion billing:

• You should always bill for infusion first. After that, you can bill for injections or IV pushes. Then, third on the list is billing for hydration therapy.
• You should only bill one initial code for infusion services during a single patient visit, unless there’s a real medical reason to use two different IV sites. Like, if a patient needs two separate treatments with different IV lines, you might need to bill another initial code for the second site. But here’s the thing—if you’re billing Medicare for that extra code during the same visit, you have to use modifier 59. This tells Medicare the extra service is totally separate from the main one. For example, if a patient gets two different infusion therapies at the same time through different IV lines, you’d add modifier 59 so Medicare handles both codes correctly.
• You need to know the difference between IV pushes and infusions. IV pushes are quick—they take 15 minutes or less. Infusions take longer than 15 minutes. For example, if you’re giving medicine in just a few minutes, that’s an IV push. But if it drips into the IV for a while, that’s an infusion. And when you do an IV push, you must keep a close eye on the patient the whole time to make sure they are alright.
• You should start billing for sequential infusion right after you finish the initial infusion. If you’re giving different drugs or services through the same IV line, make sure there’s a good medical reason for it.

You can make infusion billing so much easier by outsourcing it. When you team up with a company like Sun knowledge, you get to focus on taking care of your patients while we handle all your billing, prior authorization, denial management and revenue stuff. We have already helped hundreds of infusion practices across the country, saving them up to 80% on costs and boosting their revenue. It’s like having an expert handle all the tricky billing work for you! If you want to know more about end-to-end infusion billing services, schedule a call with one of our billing experts today.