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Medicare Home Infusion Therapy (HIT) covers professional services linked to infusion medications. It allows patients to receive treatment at home through a durable medical equipment (DME) pump. This benefit was introduced under Section 5012 of the 21st Century Cures Act. HIT covers nursing care, patient training, and home monitoring. It falls under Medicare Part B.

Today, the shift toward value based care in the U.S. healthcare landscape is a common thing. Especially, with the introduction of the Merit based Incentive Payment System (MIPS) by the Centers for Medicare & Medicaid Services (CMS) to promote high quality care now than ever.

Learn the main distinguishing difference between inpatient and outpatient infusion billing services and explore the reasons that make it more complex.

Urgent care billing has a narrow window. Claims must go out quickly and cleanly. Inaccurate codes or delays can trigger rejections and insurance disputes. Outsourcing firms specialize in urgent care billing workflows. They use dedicated billing experts, real-time analytics, and 24-hour claim turnaround.

With the changes in healthcare, infusion billing services are not only about financial transactions, but they also promote improved patient care, particularly at home. And now, let us see how pairing up with an infusion billing company that is among the best in the industry changes patient outcomes and practice efficiency.

Specialty pharmacies play a leading role in managing patients with chronic, complex, or rare conditions such as cancer, multiple sclerosis, and hemophilia. Since the cost of the pharmacy drug is high, a single billing mistake may result in claim denial. So, that is where the pharmacy has to bear all the associated costs.

High-performing practices don’t just fix denials; they work to prevent them from happening in the first place. That is where expert healthcare accounts receivable management services can really help you. Here are three main reasons why claims often end up in AR and how the right partner can help you stop that from happening.

Healthcare accounts receivable services are crucial for maximizing revenues and solidifying operations for providers. From enhancing AR collection levels and decreasing denials to slashing overhead expenses and smoothing workflows, they turn your AR into a stress point and strategic asset.

Infusion billing is a key aspect of revenue cycle management within the healthcare sector but is still among the most difficult and regulation-laden disciplines. Procedures like injections, infusions, and hydration are not only highly medical but also financially rewarding. Yet the billing itself is battled with intricacies and compliance problems that are highly difficult to solve.

Medical billing firms hire trained staff. These staff have experience of working with the ICD-10, CPT, and HCPCS codes. Outsourcing specialists who know about all billing trends, updates, and guidelines leading to fewer claim denials.

Specialty pharmacy is a branch of pharmacy that provides medications for chronic, and rare health conditions. These conditions include cancer, rheumatoid arthritis, and multiple sclerosis.

Gastroenterology or GI practices deal with several expensive procedures like endoscopies, colonoscopies, liver biopsies, etc. Hence, GI practitioners must ensure timely reimbursement to maintain a healthy cash flow. With all the insurance rules and paperwork, it often feels like chasing payments never ends. Delayed payments, denied claims, and confusing insurance rules can really complicate the entire process.