IV INSIGHTS – Infusion Center Blog

Take the Confusion Out of Infusion

Welcome to IV Insights Infusion Center Blog – A collection of posts, features, and Infusion Center News from our founders, team, and guest writers from the industry. These posts serve to provide both insights and discussions around how we can all learn to Infuse Better for our Infusion Center profitability and our patients.

If you like our blog, check out our WeInfuse Podcast series where we interview infusion industry leaders who share their tips and tricks for managing a successful and profitable Infusion Center.

Have an idea or suggestion you would like to see discussed in our Infusion Center Blog? Email us through our contact form and lets talk.

Published in INFUSION Magazine | July 31, 2020 | Written by Reece Norris, Sydney McPherson

As COVID-19 has forced all medical operations to implement emergency preparedness procedures, optimal scheduling in the infusion center is essential to providing continual safe and efficient care for patients.

As hospitals focus on treating patients suffering from the novel coronavirus, many infusion center operators have seen an increase in patients seeking to transfer from hospital-based infusion centers (HOPDs) to ambulatory infusion suites within home infusion pharmacies (AISs) or stand-alone provider-based infusion centers (AICs). While key differences exist between an AIS and AIC, we’ll treat them the

Published on redoxengine.com | June 25, 2020 | Written by Monika Allen, Redox

"Integrating WeInfuse and EHR systems will open many doors for infusion centers. We look forward to providing our clients with more solutions utilizing our software to help solve the complexities of the infusion center workflow."Bryan Johnson, Co-founder and CEO of WeInfuse

Executive Summary

Thousands of infusion centers treat hundreds of thousands of patients each year with life-saving medications. Running an infusion center is highly complex and expensive. It requires coordinating the nurses needed to administer these treatments, managing schedules for patients whose lives depend on the medications, and staying on

Published on PR Web | May 18, 2020 | Written by Sydney McPherson

AUSTIN/DALLAS- Infusion software solution company WeInfuse is helping infusion center operators navigate the COVID-19 epidemic through a series of podcast episodes. 

“We want to help our clients and others in the infusion industry navigate the current health crisis anyway we can,” said Reece Norris, COO of WeInfuse. “In addition to guidelines published by NICA (National Infusion Center Association) and the CDC, some of the best resources right now are other infusion center operators on the ground.”

Dr. Vikram Sengupta, Chief Medical Officer of Thrivewell Infusion in New York City, is

Published on PR Web | March 11, 2020 | Written by Sydney McPherson

AUSTIN/DALLAS- Infusion suite software start-up WeInfuse has now integrated with six medical billing and Electronic Health Record (EHR) software systems, including AdvancedMD (AMD), Kareo, Centricity, MediTouch / NextGen Office, WellSky’s Ascend and R2 Health. Multiple other EHR integrations are underway, including CareCloud, eClinicalWorks, and AllScripts.

“WeInfuse is committed to interoperability and ensuring our software remains integration-friendly. We’re grateful to be partnered with Redox – the engine behind our integrations” – Bryan Johnson, CEO of WeInfuse.

Integrations provide WeInfuse client infusion centers with a comprehensive workflow solution. The integration between WeInfuse

Published in Specialty Pharmacy Continuum | October 11, 2019 | Written by David Wild
Las Vegas—Demand for infusion clinics outside of the pricey hospital setting is climbing, with possible approval of dozens of noncancer IV drugs over the coming years and payors struggling to contain costs for these drugs. Although the situation presents an opportunity for entrepreneurial pharmacists, starting a clinic in the wrong way can be disastrous.
“You can build the most beautiful infusion center but if there’s no marketing strategy, for example, patients may not show up,” said Bryan Johnson, a co-founder and the CEO of WeInfuse, an infusion center

Published in D CEO Healthcare | December 13, 2019 | Written by Will Maddox

With increasing medical costs nationwide, businesses are looking to squeeze efficiency out of every aspect of their industry, and infusion centers are a market where the fragmented market has caused inefficiencies. Infusion centers are a $30 billion dollar industry that serve a patient population of 50 million people, many of whom have an autoimmune disease.

Part of the inefficiency comes from infusion centers not being utilized as affectively as they could. Coordinating scheduling, keeping track of medication, and running the back office of an infusion center can be

Published on PR Web | September 6, 2019 | Written by Sydney McPherson

AUSTIN/DALLAS- WeInfuse, the leading end-to-end infusion center software provider, has teamed up with Precision Healthcare. Precision will use WeInfuse as its primary infusion center workflow and documentation platform to enable greater operational efficiency and financial accuracy in its existing and expanding footprint across Tennessee and Arkansas.

Currently, Precision provides over 2,000 infusion treatments per month to patients in their nine ambulatory infusion centers across two states. Through their new partnership with WeInfuse, Precision expects to see that number increase in the coming months. 

“WeInfuse has been tremendously helpful with providing

Published on PR Web | August 8, 2019 | Written by Sydney McPherson

AUSTIN / DALLAS – Texas-based software start-up WeInfuse is taking the infusion industry by storm and has reached far beyond their Austin and Dallas roots. One of the most recent clients WeInfuse added to their circle is Infusion Center of Pennsylvania (ICPA).

ICPA is an independent, multi-specialty infusion center that provides several hundred infusions a month to patients at their two locations in southeastern Pennsylvania. Providing high quality of care alongside managing the complex workflow of an infusion center led ICPA’s COO, Phil Weber, to implement the WeInfuse software

During a time of change and uncertainty that is often synonymous with the healthcare industry, strategies that cut costs without compromising quality of care are highly sought after by all third-party payers. Site of Care (SOC) Optimization is one of the top proven strategies for reducing the cost of specialty biologic medications. A SOC optimization strategy encourages patients to move from higher-cost settings, like big hospitals and institutions, to lower-cost settings, such as physician’s in-office infusion suites or stand-alone Infusion Centers. Insurance companies and Medicare have been moving forward with SOC optimization policies that are driving patients out of the

At WeInfuse, we think the annual Magellan Trend Reports are our industry’s manna from heaven. This year’s report is no different, and it’s full of gold nuggets that prove the provider-based (e.g. physician, NP, and/or PA) Infusion Center is the optimal site of service providing patients quality, convenient and cost-effective care. Whether you operate a stand-alone Infusion Center or provide infusions as a part of your practice, the entire report is a MUST read.

If you have been following our WeInfuse IV Insights Blog for a while, then you are already familiar with our previous articles about billing for infusion and injectable products in the physician’s in-office infusion suite and in stand-alone Infusion Centers. If you have not already, be sure to review our previous blog entries before moving on. Start with Billing for Infusion Time - "The Confusion of Infusion Billing"  then HCPCS Billing for Medications - "Billing Infusion Medications" as pre-requisites to this guide.

For this article, I will use the term "infusion billing" to generically describe billing for any injectable product – infusion (IV),

Listen to our recently launched WeInfuse Infusion Center Podcast series to hear interviews from infusion suite and Infusion Center industry experts. Learn how some of the leading infusion practices and companies are innovating and thriving in today's' complex healthcare environment. Hear sound advice, tips, and tricks from experienced industry executives and practice managers who are working to provide patient access to this critical medication delivery model.

The WeInfuse Podcast also features interviews with key representatives who are providing solutions to the infusion market including distributors, product vendors, manufacturers and other technology offerings.

You can listen to the WeInfuse Podcast FREE on our Podbean channel,

For the practice-based infusion suites and stand-alone Infusion Centers, keeping patients compliant with their treatment schedules results in better clinical outcomes and improves the financial health of their business models. While treatment compliance is important with traditional oral medications or therapeutic injectables, it is paramount with specialty injectables and IVIG therapies.

Specialty medications, including biologics and IVIG, carry a substantially higher cost than traditional therapeutic injectables. These medications mostly treat patients with Chronic Autoimmune Diseases who require frequent, interval-based treatments. The combination of high cost and chronic repeated interval scheduling raises the stakes for practices who manage these medications in the

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 quick glance to understand where I am coming from.

If you have mastered infusion administration billing, then you are ready to move on to billing for the infusion and injection medications themselves. While not a walk in the park, I find that billing for the medication

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 most medical services.

Having said that, infusion billing continues to frustrate me even after many years of study and experience. I have personally overseen $100+ million of infusion and specialty injection claims, and still I have to be very careful to slow down when explaining the

As a common guy and macho father of 2 young boys, I tend to have an "instructions optional" attitude about putting together new kid toys and the boxed furniture my beautiful bride brings home from IKEA. One of the few times I actually did read the instructions, I ended up with extra parts in my hand and had to watch in horror as my hastily assembled TV stand came crashing down with the new 50" HD set on top. Fortunately for our clients and their patients, I have quite the opposite approach when it comes to infusion orders and our

Based on overwhelming feedback on our original Blog Post - Considerations for Opening an In-Office Infusion Center, we decided to reboot the original article and re-post it here with some minor edits. We are continuing to help new and existing Infusion Centers open and improve across the country. If you have ever considered opening or expanding your own in-office Infusion Center or Infusion Suite, take a moment to read below. 

If you are a physician-based practice and have been thinking about opening an in-office Infusion Center (aka Infusion Suite) for your patients, we wrote this post especially for you. Creating an

Its the most wonderful time of the year!   ...unless you are in charge of ordering infusion medication and medical supplies for your patients. 🙂

This is a courtesy reminder to all of our blog readers that normal expectations for medication and medical supply deliveries should be moderated to include delays caused by increased holiday shipping. For those offices who like to run their "just-in-time" inventory at one-day to same-day availability, we would advise them to consider increasing their days on hand of inventory an extra day or two in consideration of these expected delays.

Black Friday, Amazon, the start of winter weather

You may find it surprising that there is a $100+ billion dollar healthcare delivery model that you have never heard of. That’s right, “Billion” with a “B”. Unless you or someone you know has a rare chronic disease, you likely have never heard of this amazing (and expensive) group of specialty biologic medications delivered primarily by intravenous infusion or injection through non-oncology Infusion Centers and Infusion Suites.

Even if you have never heard the term: “autoimmune disease” (AD for short), you likely are familiar with Multiple Sclerosis, Crohn’s Disease, Lupus, Rheumatoid Arthritis, and Psoriasis. It’s less likely you have heard of

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 think that sounds dramatic, give me a few more minutes and I will prove it to you. I’ll also give you the tools to review this in your own practice.

Most offices would be proud of 99% accuracy, as they should be. In-office infusion management is no

Published in Becker's Hospital Review | August 18, 2017 | Written by Bryan Johnson and Judy Back, RN 

If you’re a neurologist, you can’t ignore the question: should I open an Infusion Center? And, if you have an Infusion Center, you’re asking yourself: Am I running my Infusion Center optimally and according to best practices?

With Tysabri already on the shelf, the launch of Lemtrada in late 2014, the recent launch of Ocrevus and the robust pipeline of specialty neuro infusion medications such as Radicava for ALS and the various Alzheimer’s medications, you can’t ignore how infusion is shaping the neuro space. Indeed, these specialty

The recipe for making a great nurse has always been knowledge combined with continued experience and a desire to never stop learning. For the modern infusion nurse, the ingredients for this recipe calls for a triple portion of knowledge and a heavy measure of flexibility. Infusion nursing has become a very specialized field in the past decade as infusion patients and their new treatments are now more complex than ever before. In the past, infusion nurses found themselves in the field of infusion nursing mainly because they developed skill in placing an IV line. Today, the modern infusion nurse must

Flushing and locking vascular access devices (VADs) are 2 common procedures performed on patients receiving treatment in infusion centers. Flushing is the act of moving fluids, medications, blood, and blood components out of the VAD to ensure treatment delivery and assess for patency. Locking, on the other hand, is the installation of a solution into a VAD to maintain patency during periods of nonuse. While the actual procedure is not complicated and is viewed as easy to do, performing the correct steps and the rationale for doing so may be overlooked.

Because of its invasive nature, infusion therapy is risky. VADs

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 a part of your practice, the entire report is a MUST read.

How can you use this years report?

Use it when advocating for your Infusion Center and the delivery channel at large
Use it to negotiate with your payers for better rates since Infusion Centers

As nurses, we want it to be correct! It must be clear, concise, comprehensive and complete. There are many new innovative technologies that have evolved over the years to improve both the accuracy and ease of prescribing medications. Electronic scripts, E-Prescribing, EMR's and pharmacy automation systems have greatly improved a medical provider's ability to prescribe medications rapidly and accurately to whoever needs the information to fulfill the script. Having these technologies makes our life easier and helps reduce errors, BUT……

Unfortunately, electronic systems to prescribe in-office administered medications, especially biologic and specialty medications that are given intravenously

I have visited many practices and Infusion Centers that have gone to great lengths to protect their facilities from would be intruders - installing special locks, key fobs, and various alarm and surveillance equipment. While it is important to physically secure items in your facilities, theft of property is not what should keep most of you up at night. In any single day, many of you carry somewhere between $50,000 and $500,000 of medications in your infusion medication inventories. The biggest likely threat to this expensive inventory is not theft, but destruction caused by nature or negligence.

You might find it

The startup emerged from stealth mode earlier this year and already counts a couple of clinics around the country as clients. With financial backing from prominent names in the Austin tech scene, WeInfuse's founders say their software can make life-saving therapies available to all sizes of medical clinics.

Read the ABJ article here: Austin Business Journal
(must be a subscriber to view the entire article)

AUSTIN, Texas, March 8, 2017, /PRNewswire/ -- For persons living with multiple sclerosis, Crohn's Disease, rheumatoid arthritis or Lupus, easy access to their life-changing medications and treatments is critical to their quality of life. To help specialty physicians and independent Infusion Centers provide the best care to these patients, entrepreneurs and infusion center owners Reece Norris and Bryan Johnson developed WeInfuse, the first web-based software that improves the operations and administration of specialty and biologic pharmaceuticals needed by millions of patients each year.

WeInfuse helps doctors, nurses, and administrators by coordinating patient scheduling and insurance pre-authorization as well as inventory and

If you work in a physician-based practice and have been thinking about opening an in-office infusion center for your patients we wrote this post especially for you. Deciding to open an Infusion Center is not the same as deciding to offer vaccines, sonograms, or many other ancillary services. Infusion requires careful consideration and commitment, so we have created a quick primer on the requirements, costs, and commitments you must be willing to make in order to be successful in opening your Infusion Center doors.

What defines the term Infusion Center? If the practice has some minimum space and/or personnel dedicated

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 their staff to notice the missing vial.

The test is a dead simple way of checking one of the most fundamental systems every Infusion Center must have which is inventory reconciliation. If your Infusion Center is not reconciling purchased inventory against billed patient claims and against

When was the last time you did the math on the dollars worth of infusion medication inventory in your practice? If you're like most providers, you likely have 10’s to 100’s of thousands of dollars of temperature controlled inventory occupying the very small and fragile square footage of your infusion center refrigerator. In this post, we are discussing some of the practical steps that providers can take to minimize loss and properly monitor temperature controlled medications in their offices.

At one point in the not so distant past, I was responsible for a daily inventory of over $1.2 million dollars

In previous posts, we have discussed the merits of both Buy&Bill and Specialty Pharmacy inventory strategies for your office Infusion Center.  If you missed our previous writings, you should take a moment to read our previous posts for some context To Buy&Bill or not to Buy&Bill and Specialty Pharmacy is your friend. If you are brand new to infusion or have been providing infusions in your office for many years, the strategies you choose to manage your inventory will have a profound impact both on your office team and your bottom line.

In a previous post, we highlighted the opportunities in the

I have a “like” (never love) and “hate” relationship with Specialty Pharmacies. Likewise, there are infusion providers that wouldn’t accept a Specialty Pharmacy shipment under any condition and others who wouldn’t Buy&Bill a medication if it cost more than $20 a vial.

Our last post provided a brief overview of both Buy&Bill and Specialty Pharmacy (“SpecRx”) strategies for the in-office or stand-alone Infusion Center provider. In that writing, we mostly focused on why and when you should consider a Buy&Bill inventory strategy to leverage your practice profitability. If you missed it, take a moment to read our previous post To

Rapid changes in commercial medication reimbursements, the uncertainty of Medicare payment policies, and an influx of new biologic and specialty medications have many providers re-thinking their medication inventory strategies in an effort to balance or avoid risk while continuing to provide their patients access to infusible and injectable medications in their office-based Infusion Centers. This series of posts will look at the differences in these inventory strategies and address the merits of each in an effort to help providers better understand and think about which combination of strategies best fits the needs of their practice and patients.

Infusion Center providers

With all the amazing technological advances in healthcare, many medications still require the one-on-one human touch of a skilled nurse to deliver them intravenously to patients. I have been blessed to spend my entire career among these healthcare heroes as they improve patient lives one infusion at a time. Having owned and operated a multi-site provider based Infusion Center company, I experienced firsthand the vital role Infusion nurses and Infusion Centers play in patients’ lives. I believe in the Infusion Center as it provides the healthcare system with a win-win-win solution: the patient wins, the provider wins and the payer

Originally published in the Washington Times / Opinion / Commentary Page

Washington bean counters don’t set the prices of houses or vehicles. Buyers and sellers settle on mutually agreeable prices. That’s why there isn’t a nationwide shortage of duplexes or jeeps.

Evidently, our unelected officials at the Centers for Medicare and Medicaid Services slept through Economics 101. They’re about to set Medicare drug reimbursements so low that hundreds of local clinics — the “sellers” of medical services — will have little choice but to refuse to treat their patients or risk going out of business altogether. Patients with Crohn’s disease, rheumatoid arthritis,

Originally Published in the Austin American Statesman

More than 1.5 million Americans are living with rheumatoid arthritis.

A diagnosis is life-altering, as RA causes chronic swelling and pain and increases the risk of heart attack, stroke, and depression. After learning they have the disease, many patients head to their local Infusion Center for treatment, as many of the best medicines for RA are delivered intravenously.

But if Medicare officials in Washington proceed with a new plan to cut Medicare funding, many of these centers will close or be forced to turn away patients who need these advanced treatments. This proposal, which impacts Medicare