A Quick Way to Get Rid of Infusion Billing Revenue Leakage

Not sure how to stop revenue leakage in your infusion pharmacy?

Today’s the day you’ll finally find out!

First of all, infusion billing and coding processes play a crucial role in your pharmacy’s financial and functional stability.

Bad habits are easy to break once they are created and poor billing habits are something that can ruin your practice’s operational resilience and care quality.

While the infusion therapy market is growing at a CAGR of 8.36%, the heightened administrative protocols are putting pounding pressure on providers.

Infusion billing services are already plagued with complex documentation and coding requirements. On top of that, continuous changes within the administrative scenario are making it difficult for the providers to optimize their revenue.

Let’s dive deep into the complexities of infusion billing to better develop a well-defined strategy for efficient revenue cycle management.

The Complexities of Infusion Billing Services

Massive documentation and coding requirements, paired with claim submission guidelines of different payers, infusion pharmacies are struggling every day to optimize their operations and revenue.

Apart from these nuances, there are something else that are making infusion billing even more complicated and hard to handle.

1. Start and stop times: Accurate documentation of start and stop timing of the drip is critical. Even a one-minute error can affect whether an infusion is billed as a “push” or a “long charge”. For infusions longer than 15 minutes should be considered under long charge. However, if the timings aren’t recorded properly, they are billed as a “push”, which reimburses less. By keeping an accurate record of the procedure timings, you can ensure correct and timely reimbursements.

2. Hierarchy of drugs: When administering multiple drugs in an infusion; for instance, a therapeutic drug with a chemo drug- it is crucial to bill the initial drug as chemo, as it offers the highest reimbursements. This requires a deep understanding of coding and drug hierarchies which can put an extra burden on you and your staff.

3. Calculation of units: Billing for the correct number of units is essential to obtain accurate and timely reimbursements. Missing information can lead you to underpayments thus crippling your practice’s functionality.

From Denials to Dollars with Outsourcing Your Infusion Billing

Instead of relying on automated systems, years of experience in infusion billing and coding is a wiser solution to your revenue leakage issues.

Addressing these challenges requires expertise, technology and time- resources that are often stretched thin in-house.

With an outsourced partner who has a team of expert medical billers and coders well-versed in industry comprehensive practices and technology can transform your practice’s ROI in a positive direction.

Take the Step Towards Financial Efficiency with Sun Knowledge

Imagine a partner that just doesn’t handle your infusion billing services but also identifies the areas of improvement in your revenue cycle!

We at Sun Knowledge Inc understand the unique challenges of infusion billing and coding processes. By outsourcing your revenue cycle management, you can focus on quality patient care while our experts will ensure your revenue cycle remains robust and leak-free.

Here is how to get started:

Schedule a consultation: Discuss your specific challenges with our RCM experts over a non-commitment call.

Get a tailored plan: Receive a customized billing strategy designed to meet your practice needs.

Watch your revenue grow: Experience reduced denials, enhanced cash flow with faster and accurate reimbursements, and higher productivity and profitability.

Never let the infusion billing complexities poison your revenue. Take charge today with the right revenue cycle management partner.