Billing for infusion centers is not general billing with a different code set. Administration hierarchy — initial, sequential, concurrent — plus drug units by NDC, all driven by documented start and stop times.
Buy-and-bill exposure means a denial costs the acquisition price of the drug, not just the administration fee.
At a glance
What drives the coding
Administration hierarchy — initial, sequential, concurrent — plus drug units by NDC, all driven by documented start and stop times.
What drives the payer behavior
Buy-and-bill exposure means a denial costs the acquisition price of the drug, not just the administration fee.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where infusion centers claims actually fail
- Start and stop times not documented
- Administration hierarchy applied incorrectly
- Drug wastage not billed with the required modifier
How we work it
We code from what your record documents and query you when it does not support a code, which in infusion centers is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at your current infusion centers denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Infusion Centers — Frequently Asked Questions
Do you have coders who know infusion centers?
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Yes. All coding is performed by certified coders, and specialty assignment is deliberate — administration hierarchy — initial, sequential, concurrent — plus drug units by NDC, all driven by documented start and stop times.
Do you guarantee we will collect more?
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No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
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