Administrating infusion billing services is no easy feat, it requires a lot of toil. Especially when it comes down to the Infusion billing and coding process. In this ever-changing and dog eat dog world of the infusion therapy market, you must make your practice stand out. There are certain measures you need to follow to improve your infusion billing, what are they you might be wondering? We will discuss them in details in this comprehensive blog.
The infusion billing landscape keeps changing and evolving at a shockingly rapid pace, so staying current with all the payer policies and regulations gets very hard for the billing professionals. Claim delays and denials must be avoided at every cost as they lead to disruptions in cash flow. Hence in order to elevate your practice, partner with an efficient infusion billing company to optimize your billing procedure and maximize your revenue.
A reliable and robust infusion billing company should carry out the billing with utmost precision, ensuring to focus on the time spent during the infusion and the correct CPT/HCPCS code. Completing accurate records of each patient is essential for being paid by insurance.
Explaining the complexities in infusion billing
In infusion billing, one of the most crucial steps are documentation and coding. Therefore they require utmost precision, unlike many other medical specialties that may have more straightforward reimbursement protocols. The clinical staff must be meticulous in recording both the start and stop times in infusion. They should also carefully jot down the accurate drug dosages and a complete account of patient responses. Not only are these intricate details important, but also they play a pivotal role in the direct reimbursement procedure of the claims. Seemingly harmless errors such as missing minutes in start/stop documentation or incomplete notation of medications can lead to audits or rejection of claims. The consequences of submitting incomplete or insufficient documents can lead to full-scale payer audits, and in cases of non-compliance it can even result in penalizations and in the worst-case scenario, cancellation of license. It is imperative for organizations to institute strict documentation protocols, So we can clearly understand that even the tiniest of errors can lead to delays and denials and affect the cash flow and ruin the mood and satisfaction of the client. These complexities in infusion billing causes heightened stress among the in-house staff, which ultimately leads to burnout. Hence, teaming up with a reliable and reputable infusion billing company can be the solution to these issues.
Top ways to improve the accuracy of your infusion billing
It is absolutely essential to accurately record and document the patient health data. CPT codes 96360 and 96361 as initial codes need to be used and also add-on code 96361 needs to be used when performing longer infusions. Precisely record the start and stop time of the service. Noting down the beginning and ending time of each infusion is absolutely mandatory so you have the appropriate information for charging and so no mistakes are made. Detailed documentation must be provided. Always remember to specify the type of infusion used, the medicine, and how much was given, and note any problems. You must confirm the patient’s insurance before you begin giving treatments. Claims need to be submitted right away so there is no chance of missing the deadlines and there is proper coverage of the insurance. Ensure to do frequent follow ups. You must check the status of submitted claims and making sure to follow up on any rejected or incomplete ones. Infusion billing providers must stay updated with all the latest coding and billing regulations, including information about each payer’s rules. Always remember to follow the important guidelines. The billing experts should always be following all the coding and billing rules, both from private insurance providers and from CMS. You must properly train all your staff; it is one of the most essential elements in a successful billing procedure. Providing regular education to your team about billing and coding for infusion treatments is invaluable. Last but not the least make sure that your patients are well informed about what they are responsible for financially and what their insurance will cover. Communication is the key.
Why is outsourcing infusion billing required?
In today’s cutthroat competitive infusion billing market, outsourcing infusion billing services is not just an option, but has become an absolute necessity in today’s healthcare landscape. It is not only one of the wisest and best decisions that you can take for your practice, but also can be a total game change for your business. These specialized third-party vendors not only help with cost cutting; but also ensures in saving the workspace too. They reduce the administrative burden on the in-house staff, which helps them dedicate more of their time and efforts to patient care. These renowned infusion billing companies also help in reducing any errors that might happen in the billing process, which helps to significantly reduce any risks of delays or denials. With the help of outsourcing, the cash flow is enhanced, leading to an increase in revenue. Thus choose a trusted infusion billing solution today and rest assured about your claims and let your practice flourish.
Why is SunKnowledge Inc the best option when it comes to infusion billing?
SunKnowledge Inc is well regarded as a pioneer when it comes to delivering focused RCM solutions to health care providers over a decade. They are experts when it comes to providing end to end RCM solutions that is tailored according to your requirements. They have extensive expertise when it comes to harnessing the best industry practices within your infusion billing and coding process to significantly increase your revenue.
They are leading in the game for over 14 years now and are reputed for overseeing claims across thirty specialties which includes radiology and cardiology too.
They also boast themselves in being one of the most cost effective solutions and can reduce the operational costs by 80%. They are also known for having 97% success rate when it comes to all prior authorization services.
They are more than happy to provide reference from every state. They provide a cutting edge and effective approach when it comes to managing AR, prior authorizations, claims adjudication, and other matters. So why wait? Choose SunKnowledge Inc today for your infusion billing and enjoy getting timely and proper payments.