Home Specialities Infusion Therapy
Infusion is where revenue leaks fastest, because each session layers drug units, administration time, and authorizations that must align perfectly or turn into denials.
Authorization: Approvals secured up front so therapies survive payer review.
Administration: Every billable unit of infusion time is captured against the record.
Drugs: High-cost agents coded precisely and appealed quickly when denied.
Infusion is where revenue leaks fastest, because each session layers drug units, administration time, and authorizations that must align perfectly or turn into denials.
Authorization: Approvals secured up front so therapies survive payer review.
Administration: Every billable unit of infusion time is captured against the record.
Drugs: High-cost agents coded precisely and appealed quickly when denied.
Accurate billing. Faster reimbursements. Stronger revenue cycle management for cardiology practices focused on exceptional patient care.
Our mission is to simplify cardiology billing workflows, reduce denials, improve collections, and maximize reimbursements while supporting better heart care.
Cardiology Practices Trust Us
Reduce denials and speed up approvals.
Improve cash flow and reimbursement cycles.
Secure and compliant cardiology billing process.
Infusion therapy billing operates under coding rules and payer policies that general billing services routinely misapply. Our team ensures every claim is accurate, compliant, and supported by the documentation needed to protect your reimbursement across every drug, every administration type, and every payer your center works with.
Infusion benefits, drug coverage, prior authorization requirements, and site-of-service eligibility verified before every scheduled session
Primary, sequential, and concurrent infusion services coded accurately with correct hierarchy, J-codes, and drug units
Drug waste documented and billed correctly where payer policy permits so your practice recovers the full cost of every vial opened
Drug-specific authorizations obtained, tracked, and renewed before expiration to maintain uninterrupted payer-approved infusion treatments
Office-based, hospital outpatient, and home infusion billing requirements applied correctly across every payer and administration setting
Aging infusion accounts identified, prioritized, and worked with transparent financial reporting delivered to your practice on schedule
Our billing process accounts for every drug, every administration type, and every unit so your practice collects on every chair hour it delivers.
Infusion records, drug administration logs, and authorization confirmations are securely submitted through our platform after every session.
Our specialists review drug codes, administration hierarchies, and unit counts against clinical records before any claim is transmitted.
Claims are electronically batched and transmitted to payers within 24 to 48 hours of receiving complete infusion session documentation.
We track every claim through adjudication and contact payers directly when processing delays or drug coverage questions arise.
Denied claims get reviewed with supporting drug administration records and resubmitted through the appropriate appeal channel promptly.
Drug and administration payments get reconciled separately and posted accurately, with regular financial reports delivered to your practice.
The right billing support for every infusion therapy setting.
Independent infusion centers and office-based infusion suites providing IV drug therapy for rheumatology, neurology, gastroenterology, and oncology patients who need accurate drug and administration billing across a high-volume daily schedule.
Independent infusion centers and office-based infusion suites providing IV drug therapy for rheumatology, neurology, gastroenterology, and oncology patients who need accurate drug and administration billing across a high-volume daily schedule.
Practices administering biologics and specialty drugs for autoimmune conditions who need J-code accuracy, step therapy compliance documentation, and prior authorization tracking across extended treatment cycles.
Practices administering biologics and specialty drugs for autoimmune conditions who need J-code accuracy, step therapy compliance documentation, and prior authorization tracking across extended treatment cycles.
Neurology practices providing infusion therapy for multiple sclerosis, myasthenia gravis, and related conditions who need correct administration hierarchy coding and payer-specific drug coverage management.
Neurology practices providing infusion therapy for multiple sclerosis, myasthenia gravis, and related conditions who need correct administration hierarchy coding and payer-specific drug coverage management.
GI practices providing biologic infusions for Crohn's disease and ulcerative colitis who need accurate J-code billing, concurrent administration coding, and commercial payer step therapy compliance managed across recurring patient visits.
GI practices providing biologic infusions for Crohn's disease and ulcerative colitis who need accurate J-code billing, concurrent administration coding, and commercial payer step therapy compliance managed across recurring patient visits.
Infusion therapy reimbursement is influenced by medication billing, administration coding, and authorization requirements. The following breakdown shows how we address the issues that most often impact revenue.
Our infusion billing specialists improve drug administration reimbursement, strengthen coding accuracy, and reduce denials associated with high-value infusion claims.
Healthcare providers across the country rely on OneMed Billing to manage their revenue cycle with accuracy, consistency, and specialty-specific expertise. Here is what some of them have to say.
“Our concurrent infusion coding was consistently wrong because our previous biller did not understand the hierarchy rules. OneMed corrected the sequencing on our claims and we stopped losing reimbursement on multi-drug administration days almost immediately. ”
“NDC numbers were being omitted on a portion of our commercial drug claims and we were getting denials we could not explain. OneMed identified the pattern, built the NDC review into our charge entry process, and those denials stopped. ”
“Prior authorization renewals were being missed mid-cycle and patients were arriving for scheduled infusions without active authorization. OneMed built a monitoring workflow and we have not had an authorization lapse on a scheduled treatment since.”
Yes. We manage J-code drug billing and drug administration CPT coding on the same claim, ensuring both components are submitted correctly per payer requirements.
Yes. We work with most major infusion management and practice management platforms and can integrate with your current workflow without requiring a system change.
We apply AMA hierarchy rules to sequence the primary, concurrent, and sequential administration codes correctly, ensuring each drug's administration is billed at the appropriate code level per payer policy.
Yes. We track authorization status by drug and patient, monitor renewal windows, and initiate renewal requests before coverage lapses to prevent mid-cycle denials on scheduled infusion appointments.
We identify the specific discrepancy, correct the J-code unit count or NDC number, and resubmit the claim with corrected drug documentation within our standard turnaround window.
