Infusion billing is a very complex affair. You need to check each and every code before creating an accurate billing process. But the issue is healthcare staff perform almost all the healthcare operations, starting from administrative tasks to patient care. So, what can you do to make sure no claim denial occurs? You need to outsource to infusion billing services who know all the ins and outs of the claim submission process. So, how do they streamline the claim submission process? Let’s get to the answer.

The dedicated experts of the outsourced services stay updated with all the latest changes in the CPT, ICD and HCPCS codes. Apart from that, these experts also know how to submit accurate prior authorization requests to reduce claim denials. Furthermore, these experts are highly cost-effective as they don’t need any training or any separate office space. Moreover, these experts also know how to use the right technology to quicken the reimbursement process. Want to find out in detail how these outsourced experts help with creating an accurate billing process?

How the Infusion Billing Services Create Accurate Billing Process?

It has been observed that there are several advantages of outsourcing. But doesn’t it become costly is what most of the provider think about. The advantages are described below:

Staying Updated with New Regulations

The healthcare industry is constantly changing. It is because new diseases are coming each week. Apart from that, there are the latest changes coming in the CPT, ICD and HCPCS codes which are also difficult to follow for the healthcare providers. Here, the outsourced infusion billing services come into the picture. These companies train their staff in the new staff regulations. Apart from that, these staff also know all the latest coding changes to streamline the claim submission process.

Streamlining the Prior Authorization Process

Prior authorization is a very time-consuming affair. It is because you first need to verify patient eligibility. Then you need to collect important patient documents and finally, you need to submit prior authorization request to streamline the claim submission process. But though the healthcare staff knows how to make sure the prior authorization process gets streamlined, they don’t have the time to do all these things. That’s where the outsourced companies come into the picture. These companies know all the ins and outs of the prior authorization process to make sure no claim gets denied.

They are Highly Cost-effective

The in-house teams come with a large amount of costs compared to the outsourced experts. It is because you need to train them and also buy expensive office space for them. Apart from that, you also need to make themselves updated with the new regulations. So, what can you do to make sure none of this issue occurs? Use the help of the outsourced infusion billing services in this case. These outsourced services constantly train their staff to stay updated with the latest regulations. Apart from that, the outsourced companies provide their staff with the necessary office space, which also reduces the cost. So, this is also one of the main reasons to hire the outsourced staff.

They Know How to Use the Right Technology

Do you know that more than 60% of providers don’t have the time to use the right technology to streamline the claim submission process? It’s because they don’t get the time to improve patient care. So, in this case, you can get the help of outsourced infusion billing services who know how to work with the right technology. These outsourced experts know how to work with the clinic’s EHR system to store data. Apart from that, they also know how to do electronic prior authorization to submit claims in electrical form. Hence, these are one of the major reasons to hire the outsourced service.

How Can You Stop Leaving Money on the Table?

Before hiring any outsourced expert, check if they help with the documentation related to specific drugs, navigating complex guidelines of coding. Also ensure if these outsourced experts help with the billing process of intravenous, epidural, subcutaneous and intramuscular infusion.

Make sure if the outsourced companies provide timely charge sheet delivery with the client-specified turnaround time. These coders have ICD-10 certifications which showcase their proficiency. Moreover, these coders have 99.9% accuracy rate, and they properly adhere to 100% HIPAA compliance. Also, if these companies provide pre and post billing service that includes eligibility verification, prior authorization, medical coding, re-authorization, delivery scheduling, claim creation and submission, payment posting, AR and denial management. These companies also help with other specialties such as DME, orthotics and prosthetics, urgent care, gastroenterology, cardiology, infusion and many more specialties. So, if you want to streamline your billing process, you may consider outsourcing to infusion billing services.