
Managing infusion billing and coding services in fact is a great deal. You not only need to look after multiple aspects like specific billing requirements, covering the right CPT codes /HCPCS description, chemotherapy administration, infusion start/stop time, hydration infusions drug administration, IV push start/stop time but also various other limitations and exclusions in the medical records. Also it is important to know that drug administration codes are services that reference time and are “time based” codes.
So for a seamless infusion billing, a proper hierarchy should be maintained to support the bill and maximum amount of revenue. For example – Chemotherapy drugs come first, followed by therapeutic drugs, and then hydration drugs—the quantity of each is directly determined by the duration of the infusion and having SunKnowledge by your side can be great help for ensuring a seamless billing transaction and better ROI for your infusion billing services.
For seamless and compliant infusion billing, maintaining a proper hierarchy is essential to ensure accurate reimbursement and maximize revenue. In the infusion hierarchy, chemotherapy services are always billed first, followed by therapeutic infusions, and finally hydration services. The billable units for each category depend on the total duration of the infusion, making precise documentation critical. With SunKnowledge as your trusted RCM partner, you gain the advantage of expert coding, meticulous hierarchy management, and end-to-end billing support—ensuring cleaner claims, faster payments, and a stronger ROI for your infusion billing operations.
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In the intricate domain of medical billing and coding, infusion coding, claims and AR stands out as a challenging area. With limited experience and knowledge in the healthcare industry, infusion professionals often face the following challenges-