Infusion Medical Billing
Infusion Medical Billing has some of the most unique and specific billing challenges across any medical field. Not only are many of the regulations and guidelines specific to infusion billing, meaning that most general billing teams won’t be familiar with them, but these guidelines are also ever-changing and vary among different insurance providers, meaning your team has to be comprised of infusion billing experts if you want to expect high returns. Our team is here to provide you with this top-level care to make sure all of your procedures are coded and billed properly, from chemotherapeutic medicine administration to routine hydration service.
Increase your revenue by 7.5% and decrease your time in A/R with medical billing services tailored to infusion providers like you. Our first-in-class medical billing services can help hospitals and clinics of any size nationwide serve patients more profitably, so you can focus on your work and leave the rest to us.
Stay on top of infusion hierarchies
Infusion billing has a unique system of procedure hierarchies that determine the exact nature of the procedure at hand, and also open up more possibilities for billing mistakes. Infusion hierarchies are unique to infusion billing, and general billing teams will have to learn how to deal with these hierarchies from scratch. We can guarantee that your claims will be properly coded with respect to infusion hierarchies, so your claims can go out worry free.
Stay on top of infusion hierarchies
Infusion billing has a unique system of procedure hierarchies that determine the exact nature of the procedure at hand, and also open up more possibilities for billing mistakes. Infusion hierarchies are unique to infusion billing, and general billing teams will have to learn how to deal with these hierarchies from scratch. We can guarantee that your claims will be properly coded with respect to infusion hierarchies, so your claims can go out worry free.
Understanding Time Rules
Time codes are another feature unique to infusion billing. The naming conventions for time rules are, unfortunately, quite unintuitive, and many billing teams will be liable to making interpretive mistakes based on what they see on the paperwork. This is another area where you can be sure of our expertise: as infusion billing experts, we have a thorough knowledge of time rules, hierarchies, initial versus secondary procedures, as well as additional codes and modifiers specific to the field of infusion.
High Level, Low Level, or Hydration?
Unfortunately, the answer to this question can be vague, and some procedures which fall into one category distinctly can fall into another after Medicare CMS guidance updates. This classification, aside from including gray areas in the Medicare CMS guidelines, also varies between insurance providers, and is a common source of denied or delayed payment. Our expertise guarantees that once our partnership begins, this classification won’t have to be a source of headaches anymore.
High Level, Low Level, or Hydration?
Unfortunately, the answer to this question can be vague, and some procedures which fall into one category distinctly can fall into another after Medicare CMS guidance updates. This classification, aside from including gray areas in the Medicare CMS guidelines, also varies between insurance providers, and is a common source of denied or delayed payment. Our expertise guarantees that once our partnership begins, this classification won’t have to be a source of headaches anymore.
We understand infusion billing better
Quest’s specialty infusion medical billing services are increasing revenue & decreasing clearinghouse rejections for our clients. On average our clients are reporting an:
Increase First-Pass Claim Resolutions Rates to 90% & Above: Quest’s medical billing solution is reducing data entry errors & clearinghouse rejections below the national average. By consistently analyzing and optimizing claims procedures, Quest National Services is ensuring our infusion practices are getting paid First Pass rates, and getting paid faster.
Increase Net Collection Rates To 95%-99%: Leveraging an efficient submission process and following up on outstanding amounts from patients and carriers means that Quest National Services is ensuring that rightly due claims do not go uncollected.
Increase Reimbursements by 10% – 20%: With an increase in FPA & decrease in overdue and outstanding revenue, infusion practices are seeing a 10-20% increase in cash flow almost immediately. Reduce your stress by outsourcing to Quest.
Infusion Medical Billing is a complex field, with unique procedural classifications and a wide variance of billing regulations between insurance providers. From complex biologic infusions to hydration IVs, we know that your job is even more complex, and our goal is to free your team to focus on serving your patients. From blood transfusions to intravenous rehydration, we’ve got your claims covered.
Our practice is equipped with state of the art billing software which can work with nearly any hospital or clinic’s Electronic Medical Record systems. Submitting your claims to the proper payer will be a quick and efficient process tailor made to translate to consistent, robust revenue for your practice. We’ll help you stop worrying about claims pick-up, office clutter, and slow payment.
Our partnership with you involves educating ourselves on any contracts that your practice has signed. This includes claims address, denial appeal process, claims reimbursement rates, capitation rates, and any additional details specific to your practice that can lead to increased revenue. We are experts in infusion claims appeal and will put in the effort to appeal any claim that is not processed according to your contracts.
We consider ourselves an extension of every practice we serve, and you can rely on us for consistent, professional and timely claims processing. We also provide you with routine reports for your review and are available to discuss your business at your convenience so that we can move forward together.
Serve Patients More Profitably
At QuestNS, we understand that the goal of your practice is to provide top-notch care for patients that are suffering from difficult and complex conditions. We align ourselves with this goal, and strive to clear away the mundane tasks in order to allow the medical experts to focus on the medical aspects of the practice. Our experts also work hard to ensure the highest degree of return from services performed so that practices can continue to function at optimal levels and offer patients the very best infusional services.
Keep Your Software
We believe you should be able to continue working with software that is transparent and that you are familiar with. Our medical billing services allow you to use your existing software so that there is no downtime, no training, and no additional costs. This allows you to serve your patients more profitably.
We work with over 15 practice management softwares, like those listed above. Don’t see yours? Give us a call to see if we work with your software.
Step 1:
Call us or submit a form
An expert practice consultant is waiting to serve you
Step 2:
Review proposal in one phone call
Analyze your practice’s needs and review services that may increase profitability
Step 3:
Finalize your contract
We can start serving you in as little as 5 days
