NDC Billing for Infusion and Injectable Medications
The NDC billing process is now required by many large commercial payers and state Medicaid plans. More commercial payers will be mandating NDC billing moving forward in order to more accurately identify and reimburse providers for the exact product used for a patient’s treatment. Having the specific NDC of the medication allows payers to avoid some of the guesswork involved for reimbursing using the HCPCS and billing Unit process that we all know and love.
Billing Infusion Medications
Next to quantum theory, I would put infusion and infusion billing in a close second place for complexity. I recently published an article around billing for infusion procedures in an attempt to simplify some of the confusion. If you missed my first installment The Confusion of Infusion Billing, it’s worth going back and taking a […]
The Confusion of Infusion Billing
I have been in and around medical billing for over 15 years in various practices and ambulatory healthcare services, and I would never tell anyone that medical billing is a simple or logical process. However, with some practical study and a little experience, anyone can eventually learn the nuances of full-revenue cycle medical billing for […]
99% is Not Good Enough for In-Office Infusions & Injections
Are you confident that your infusion biller is 99% accurate in capturing the high-dollar medications documented by your infusion nurse? Are your infusion nurses 99% accurate in their treatment documentation? Is your inventory management 99% accurate? The problem is, 99% could be costing you up to 30-40% of your infusion profit every month. If you […]
Infusion Center Trends & Takeaways from the 2016 Magellan Rx Report
At WeInfuse, we think the annual Magellan Trend Reports are manna from heaven. This year’s report is no different, and it’s full of gold nuggets that prove the physician / provider-based Infusion Center is the optimal site of care providing patients quality, convenient and cost-effective care. Whether you operate a stand-aloneInfusion Center or provide infusions as […]
Is Your Infusion Center Leaking Cash?
In the past few months, I have asked practices and practice managers all over the country to do a simple test to see if their in-office Infusion Centers are leaking money. I ask them to secretly remove a single vial of expensive medication from their inventory and then see how long it takes someone on […]