Home Specialities Specialty Infusion
Specialty infusion combines high-cost drugs with complex administration. Billing must capture authorizations, units, and time with complete accuracy or face expensive denials.
Authorization: Approvals locked in before therapy begins.
Administration: Every billable unit of infusion time is captured against the record.
Drugs: High-value agents are coded precisely and appealed before the loss becomes permanent.
Specialty infusion combines high-cost drugs with complex administration. Billing must capture authorizations, units, and time with complete accuracy or face expensive denials.
Authorization: Approvals locked in before therapy begins.
Administration: Every billable unit of infusion time is captured against the record.
Drugs: High-value agents are coded precisely and appealed before the loss becomes permanent.
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 billing operates under a completely different framework than standard office visit or procedure billing. Our team ensures every claim is accurate, compliant, and supported by the documentation needed to protect your reimbursement.
Coverage, infusion benefits, authorizations, site-of-care policies, and documentation requirements verified before therapy scheduling or initiation
CPT codes, add-ons, infusion times, HCPCS drugs, NDC reporting, and site-of-care designations managed accurately
Infusion records, physician orders, administration logs, authorizations, and time documentation reviewed for compliance before submission
Site-of-care policies and infusion authorizations tracked while claims, requests, and updates receive direct follow-up
Infusion claims tracked through payer portals with rejections and authorization expirations flagged for immediate follow-up
Denied claims corrected and resubmitted with documentation addressing infusion times, drug coding, and policy violations
We follow a structured, end-to-end workflow to ensure your infusion billing is accurate, consistent, and set up for faster reimbursement.
Infusion records, physician orders, drug administration logs, and prior authorization approvals come in from your practice or infusion center through your existing workflow. Nothing in your operational process needs to change.
CPT codes, add-on codes, HCPCS drug codes, infusion times, and supporting documentation are reviewed for compliance before the claim is built. Issues are resolved before submission, not after denial.
Claims are submitted electronically to Medicare, Medicaid, and commercial payers based on their individual infusion coverage policies, site-of-care requirements, and fee schedules.
We identify why infusion claims are denied and act quickly to correct, appeal, and resubmit them with the documentation needed to support payment.
Denials are worked within 72 hours. Prior authorization expiration dates and infusion series continuation are monitored continuously. Aging accounts are followed up systematically.
Payments are posted and reconciled. Monthly reporting gives you a clear summary of collections, denial trends, top denying drug codes, and outstanding balances.
The right billing support for every infusion setup.
Infusion centers requiring accurate CPT and HCPCS billing, drug code compliance, and consistent payer follow-up for specialty infusion claims.
Infusion centers requiring accurate CPT and HCPCS billing, drug code compliance, and consistent payer follow-up for specialty infusion claims.
Practices administering infusion therapies in-office requiring expertise in add-on code application, time documentation review, and payer-specific site-of-care compliance.
Practices administering infusion therapies in-office requiring expertise in add-on code application, time documentation review, and payer-specific site-of-care compliance.
Providers delivering home infusion services requiring accurate HCPCS billing, drug administration documentation review, and coordination across Medicare, Medicaid, and commercial payers.
Providers delivering home infusion services requiring accurate HCPCS billing, drug administration documentation review, and coordination across Medicare, Medicaid, and commercial payers.
Hospital-based infusion programs requiring compliant outpatient billing and consistent reimbursement management across payer types and drug categories.
Hospital-based infusion programs requiring compliant outpatient billing and consistent reimbursement management across payer types and drug categories.
General billing services do not have the specialty knowledge infusion billing requires. The result is add-on codes applied incorrectly, infusion time documentation reviewed inconsistently, and prior authorization status not tracked until a claim is denied.
Our infusion billing specialists improve documentation accuracy, strengthen CPT and HCPCS compliance, and help accelerate reimbursement for specialty drug administration 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.
“Add-on code errors were quietly reducing our reimbursement on every multi-drug infusion visit. OneMed reviewed our coding process, corrected the approach, and our per-encounter collections improved noticeably within the first billing month. ”
“We were losing prior authorization approvals for high-cost biologics because no one was tracking expiration dates. OneMed put a monitoring process in place and those high-value denials dropped off quickly. ”
“Home infusion billing was creating consistent reimbursement delays because our HCPCS drug codes were not aligned with payer requirements. Since OneMed took over, claims go out correctly and our collections have steadied.”
Yes. We handle Medicare, Medicare Advantage, Medicaid, and commercial payer claims for infusion centers, physician offices, and home infusion providers across the US.
We work with most major infusion therapy and practice management platforms. Our team adapts to your existing workflow without requiring system changes.
Absolutely. You receive regular reporting and have full access to your billing data at all times.
We review infusion records, time documentation, and drug administration logs to ensure accurate CPT code selection, add-on code application, and HCPCS drug code assignment.
We identify the gap, coordinate with your team to resolve it, and resubmit the claim with the corrected authorization documentation.
