Infectious Diseases Billing Services

Precision Billing for an Infectious Diseases Billing Specialty


Infectious​‍​‌‍​‍‌​‍​‌‍​‍‌ diseases practices are generally characterized by complicated situations, lengthy treatments, and expensive medications. It requires a very detailed and precise billing system to write prolonged inpatient consultations (CPT 99223), complex antibiotic and antifungal infusion therapies (J0129, J1453, J1745), and HIV management (CPT 99497, 99498 for counseling). Small inaccuracies in coding can lead to a large loss of money, especially when the use of expensive medications is involved.

Billing Care Solutions (BCS) is an expert in infectious disease billing and provides services that are specifically designed to address these kinds of challenges. Our competent staff ensures that J-codes, infusion times, and consultation codes are used correctly; they also take care of claim submissions, benefit verifications, and denial management. BCS allows your practice to be devoted to the provision of indispensable patient care while being assured that your billing operations are efficient and in accordance with the payers' ​‍​‌‍​‍‌​‍​‌‍​‍‌requirements.

Our Expertise in Infectious Diseases Billing

  • In-depth Knowledge: Our team has extensive experience in the intricacies of infectious disease billing and coding.
  • Streamlined Processes: We optimize claims submissions to minimize denials and enhance cash flow.
  • Compliance Assurance: We keep abreast of regulatory changes to ensure your practice remains compliant.
  • Customized Solutions: Our approach is tailored to meet the specific needs of your practice.
  • Holistic Support: From documentation to audits, we offer comprehensive billing support.

Maximize Revenue and Accuracy for Your Infectious Diseases Practice

Performance Stats
Days in AR

< 25

Days in AR

Revenue Increase

40%

Revenue Increase

Denial & Rejection

< 5%

Denial & Rejection

Clean Claims Rate

99%

Clean Claims Rate

Client Retention

100%

Client Retention

What You Need to Know About Infectious Diseases Billing Services

Our infectious diseases specialists' service offerings are aimed at handling the entire revenue cycle in a very efficient manner, which is free from mistakes, and thus, your doctors can concentrate on the treatment of patients without being disturbed by the finances. We set up everything from billing workflows to ongoing claim submissions, benefits verification, and denial resolution, and we take care of the different challenges that the infectious disease sector presents. With our method, we are sure that the correct codes are used for office visits, infusions, injections, and hospital consultations, even though full compliance with payer regulations is being maintained. Your practice will be able to increase its income, reduce delays, and keep a financially sustainable and efficient operation going if you partner with us as we combine proactive credentialing, customized EHR/EMR integration, and strategic oversight of reimbursements.

Explore More Specialties

Zero Cost Practice Analysis

We examine billing workflows, uncover revenue leaks, and provide actionable recommendations free.

Practice and Provider Credentialing

Full provider credentialing with payers ensures smooth onboarding and efficient billing processes.

Benefits Verification and Authorizations

We verify insurance benefits and secure pre-authorizations to prevent claim payment delays.

Infectious Disease Billing and Coding

Accurate coding of visits, infusions, and consultations maximizes reimbursements and ensures compliance.

Claim Submission and Denial Management

We submit clean claims, monitor payments, and manage denials to maintain steady revenue.

Custom EHR and EMR Software

Implement customized EHR and EMR systems, improving documentation, workflow, and billing accuracy.

Infectious Disease Billing

Why Choose Our Infectious Diseases Billing Solutions

Do not let complex billing hinder your mission. Get a free, no-obligation practice analysis today.

Behavioral Health Billing Illustration

Tackle Infectious Diseases Reimbursement Hurdles with Billing Care Solutions

We specialize in coding for complex infections, managing prolonged therapy billing, and securing authorizations for high-cost antimicrobial and antiviral treatments.

Billing ChallengeBCS Solutions
Ensuring accurate use of CPT codes for proprietary and panel tests.We maintain an updated database of test codes, ensuring the correct CPT or PLA code is used for every assay.
Navigating National Coverage Determinations (NCDs) for lab tests.We confirm that all tests billed to Medicare adhere to specific NCDs and Local Coverage Determinations (LCDs).
Properly handling billing for specimen draws from outside facilities.We apply the correct coding and modifiers for specimen collection when the lab is separate from the ordering provider.
Avoiding denials due to missing or incorrect ABN forms.We have processes to manage Advance Beneficiary Notices (ABNs) for tests Medicare may not cover.
Managing the billing complexities for molecular and genetic testing.Our specialists are trained in the unique coding and compliance requirements for advanced diagnostic laboratory tests.

Serving All States: Infectious Diseases
Billing Support

Given the lengthy treatments, expensive drugs, and complex insurance requirements, managing billing for infectious disease treatments can be challenging. In order to free up your practice to concentrate on providing outstanding patient care, our staff specializes in managing every facet of your billing process, from claim submission and reimbursement tracking to compliance oversight. We assist your practice in maintaining a steady revenue stream while guaranteeing seamless financial operations by streamlining administrative duties and reducing delays.

Why Do Healthcare Professionals Choose BCS Medical Billing Services?

rapid -response-time-billing-care-solutions

24/7 Rapid Response Time

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Practice Health Plan

error-free-billing-billing-cares-solutions

Error Free Billing

fast-revenue-restoration-billing-care-solutions

Practice Health Audit

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Constant Revenue Boost

45%
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Claims Submission Success Rate

99%
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Fast Revenue Restoration

20 Days
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Free Consultantion Call

15 Minutes

Essential Infectious Diseases Billing Codes for Accurate Reimbursement

Ensure precise billing and faster reimbursements for infectious disease services with our complete codes for diagnostics, treatments, and patient management.

CategoryCodesDescription
Evaluation & Management (New Patients)99202–99205Initial office visits including history, exam, and medical decision-making for infectious disease evaluation
Evaluation & Management (Established Patients)99212–99215Follow-up visits for ongoing infection management, chronic condition monitoring, and treatment adjustments
Preventive Services99381–99397Vaccinations, screenings, and risk assessment visits for infection prevention
Laboratory Testing87040, 87491, 87591Blood cultures, viral testing, and infectious disease panels
Immunizations & Vaccines90471, 90658Vaccine administration for influenza, hepatitis, and other infectious diseases
Antibiotic Infusions96365, 96366IV antibiotic administration and infusion services
HIV/AIDS Management87389, 86701HIV antibody and viral load testing for monitoring patient status
Tuberculosis Testing86580, 86581Mantoux skin tests and interferon-gamma release assays (IGRAs)
Telehealth Visits99421–99423Remote evaluation and management visits for infectious disease patients
Care Coordination99600Interdisciplinary planning, documentation, and communication to support patient care

Infectious Diseases Billing FAQ's

What codes cover new patient infectious visits? +

Descriptions of new patient encounters are coded with 99202–99205, reflecting the inclusion of history, physical examination, and medical decision-making to ensure the claims are accurate and the payment is done on time.

Which codes are used for established patients? +

700-801-4934(Establishing patient visits 700-801-4934) is going to be recorded by 99212–99215. These visits include the follow-up care, management of chronic infection, and adjustment of the treatment thereby ensuring that the payers are provided with the appropriate documentation for the payment to be made.

What coding is lab work given for infection? +

Medical tests on the infected parts of the body can be done by using codes such as 87040, 87491, or 87591 for blood cultures, nasal swab, and viral panel for identification of pathogens with proper documentation for claims processing and faster payment of the accounts receivable.

What codes are used for IV antibiotic infusion services? +

IV antibiotic infusions are charged to a patient's account by using 96365–96366, which are inclusive of the medication administration, monitoring, and documentation to ensure that the payment is made in a compliant and timely manner.

Which codes are used for TB or HIV testing? +

TB and HIV testing are coded using 86580, 86581, 87389, or 86701 for recording of the skin test as well as the viral load examination with the relevant codes to be used by the insurance company for the payment of services rendered.

How does BCS improve infectious disease billing? +

Billing Care Solutions takes care that the procedures are correctly done in the case of coding, claim submission, and follow-up. They thus reduce the number of denials of claims that result in increasing revenue and enabling the providers to devote more time to patient care.

What BCS services help prevent claim denials? +

Billing Care Solutions checks documentation, uses the most appropriate codes, keeps an eye on payer requirements, and also handles appeals so as not to run into rejected claims and thus to have good reimbursement of the infectious disease practices.

How does BCS handle telehealth claims? +

Billing Care Solutions takes care of telehealth coding, documentation, and submission and thus is always in compliance with the payer rules and gets the infectious disease providers paid for the remote consultation quickly.

Can BCS manage chronic infectious disease billing? +

Certainly, Billing Care Solutions offers support through correct coding, proper documentation, and the coordination of care for infections that are chronic such as HIV, hepatitis, and TB so that healthcare providers make successful claims and get paid on time.

How does BCS support lab testing claims? +

Billing Care SOlutions is the one who does laboratory billing including CPT codes for cultures, panels, and diagnostic tests to ensure accurate claims, fewer denials, and a smooth revenue cycle for the infectious disease providers.

What Our Clients Say

Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.

Client Photo

Jennifer Aaron

Cardiologist, HeartCare Clinic

“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”

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David Lieske

Chief Strategy Officer

“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”

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Linh Tran

Chief Finance Officer, My CHN

“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”

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Ashley Sahakian

Owner, Express Wellness LLC

“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”

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Zahid Mehmood

Manager BD, CRM

“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”

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Melissa Renteria

CEO, Family Health Center

“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”

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Emily Kariuki

Owner, Home Health Agency

“Great service. Professional, friendly, people who get the job done. The best”

Client Photo

Donna Taylor

Manager

“very professional and great customer service. Would highly recommend”

Client Photo

Judy Kariuki

Operations Coordination Manager

“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”