Specialty
Specialty Infusion Medical Billing & RCM
High-cost biologic and infusion therapies with end-to-end buy-and-bill and prior-auth workflows.
What we bill
Procedures & services we specialize in
Buy-and-bill drug billing
Infusion administration coding
Prior-authorization & appeals
Patient assistance program coordination
Common revenue challenges
- Complex modifier rules and frequent payer policy changes
- High-touch pre-authorization burden
- Underpayments hidden in fee schedules
- Documentation gaps driving denials
Billing complexity
- Specialty-specific CPT and HCPCS coding
- Bundled procedures and global periods
- Multiple-procedure reductions and modifier sequencing
- Payer-specific billing rules
Coding expertise
- Certified specialty coders
- ICD-10-CM specificity tuned to your workflow
- Audit-ready documentation review
- Quarterly coding updates
Insurance handling
- Eligibility and benefits verification
- Prior-auth tracking and follow-up
- Denial workflow with root-cause analytics
- Patient responsibility communication
Revenue optimization
- Underpayment recovery program
- Fee-schedule benchmarking
- Payer contract review
- KPI dashboard with monthly cadence
FAQ
Ready to optimize your specialty infusion revenue cycle?
30-minute consultation. No obligation.
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