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Billing Infusion Medications

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 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 […] Read more

The Confusion of Infusion Billing

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 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 […] Read more

Holiday Infusion Medication Shipping Delays

Holiday Infusion Medication Shipping Delays

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 […] Read more

Infusion Center Trends & Takeaways from the 2016 Magellan Rx Report

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 sstand-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 are the […] Read more

TempAlert Product Review

TempAlert Product Review

A few weeks ago we wrote about the importance of monitoring temperatures for infusion medications. I hate to propose problems without solutions so in this post we will be telling you about our experience with one of the best solutions we found to the temperature monitoring problem. In this post, we will review the TempAlert wireless monitoring system. I ran across the TempAlert system about 6 months ago while doing some research for our IV Insights Blog post on managing and monitoring medication inventories. I spoke to a representative at TempAlert who was kind enough to send us a demo […] Read more

“Specialty Pharmacy Only” in your Infusion Center

“Specialty Pharmacy Only” in your Infusion Center

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 […] Read more

Specialty Pharmacy is your friend…sometimes

Specialty Pharmacy is your friend…sometimes

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 […] Read more

To Buy&Bill or not to Buy&Bill…it’s a profit question

To Buy&Bill or not to Buy&Bill…it’s a profit question

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 […] Read more