B.
Billing simplified for every healthcare provider
C.
Compliance ensured across all claims
S.
Solutions that optimize revenue and operations
Why Specialized Infusion Billing Expertise Matters
Infusion billing is not just another medical billing. It features expensive drugs, exact administration times, and very strict payer documentation. Errors may result in denials of your claims or revenue loss. At Billing Care Solutions, we have a team of billing experts focusing on infusion who are your go-to people for resolving issues of accuracy, compliance, and getting the best possible reimbursement - the result being that your practice will generate more cash with less administrative work.
Our Infusion Billing Services: End-to-End Solutions
We are your partner in full-cycle infusion billing support, from verification of pre-treatment to reporting. Our offerings are inclusive of prior authorizations, accurate coding, claim submission, payment reconciliation, and real-time analytics - that can be achieved with any type of infusion.
Our Key Infusion Billing Services
Eligibility Verification & Order Intake
We confirm patient insurance benefits and infusion orders before treatment begins.
Prior Authorization Handling
We navigate payer requirements and secure authorizations for infusion therapies.
Accurate Coding & Documentation
Our coders apply proper CPT/HCPCS codes and document start/stop times correctly.
Charge Capture & Claims Submission
We ensure all administered drugs and services are billed cleanly and correctly.
Denial Management & Appeals
We quickly identify denials, appeal them, and resubmit to maximize reimbursement.
Payment Posting & Reconciliation
We match payments to claims, reconcile remittances, and clear A/R.
Analytics & Performance Reporting
We provide real-time dashboards and customized reports on your infusion revenue metrics.
We Serve To
- ➜ Solo Physicians
- ➜ Medical Groups
- ➜ Small Practices
- ➜ Hospitals
- ➜ Pharmacies
- ➜ Laboratories
- ➜ Medical Clinics
- ➜ Home Care Agencies
Infusion HCPCS and J-Codes Guide
Explore the must-have HCPCS and J-Codes that are used in infusion therapy for biologics, immunoglobulins, and oncology drugs. Learn how to use the right codes to get the correct billing done and have the money come back easily.
| Code | Medication / Item | Administration Route | Notes |
|---|---|---|---|
| J0130 | Injection, infliximab | IV | Biologic therapy |
| J1459 | Injection, immune globulin | IV | Often used in immunodeficiency |
| J9312 | Injection, rituximab | IV | Oncology and autoimmune conditions |
| J1745 | Injection, infliximab biosimilar | IV | Similar billing rules to original drug |
Certified EMR & EHR Software with BCS Medical Billing Services.
Our Promise
99%
Accurate Infusion Claim Submission Rate
<1%
Claim Rejection Rate
24-72
PHours Average Claim Processing Time
100%
Secure Handling of Patient and Practice Data
98%
Client Satisfaction & Retention
100%
Compliance with Billing Regulations
Why Choose Billing Care Solutions for Infusion Billing
With us, you get higher claim acceptance, fewer denials, transparent revenue insights, and expert infusion billing support.
| Metric | In-House Billing | With Billing Care Solutions |
|---|---|---|
| Clean Claim Rate | Often low due to coding/administrative errors | Significantly higher with infusion-specialist coders and QA |
| Denial Rate | Typically elevated from documentation or authorization issues | Proactively minimized via a dedicated denial team |
| Prior Authorization Turnaround | Manual and slow | Streamlined by experienced staff |
| Documentation Accuracy | Risk of misreporting infusion times/drug usage | Strict protocols for documentation fidelity |
| Financial Visibility | Fragmented or delayed reports | Real-time dashboards and custom analytics |
Accurate Infusion Billing Experts to Support Your Practice
Simplify your infusion claim process with our specialized Infusion Billing services. We ensure precise coding, submit claims efficiently, and reduce delays so your practice receives timely reimbursements and maintains smooth financial operations.
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
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.”
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!”
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 ! ”
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!”
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.”
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!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
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.”
Infusion Billing FAQ's
Most of the revenue loss is attributable to situations where drug units are missed, the hierarchy sequencing is wrong, hydration therapy is not billed, and infusion durations are poorly documented. Most of the spikes in A/R can be attributed to inconsistent charge capture.
The turnaround time is shortened to a great extent if you standardize payer-specific checklists, automate renewal reminders, and have a team of dedicated authorization personnel who track expiring PAs; thus, the time for treatment is less delayed.
The absence of start/stop times, incomplete medical necessity notes, and a lack of drug lot/expiration details are the main triggers that raise red flags during payer audits.
We implement accurate CPT hierarchy rules, ensure the right usage of sequential vs. concurrent coding, and, most importantly, we audit every single step of the recorded infusion timeline to verify that we have captured all the billable services.
Indeed, we are very diligent in following payer-specific J-code rules, we make sure that the units-of-service conversions are correct, we apply the wastage modifiers in the proper way, and, most importantly, we keep the documentation that is required for the specialty biologic approvals.
We identify denials according to their root causes, implement corrective workflows, change coding/authorization procedures, and develop payer-specific intelligence that avoids repeat errors.
We record administered vs. discarded amounts in detail, verify calculations, and add the necessary modifier notes to facilitate the correct reimbursement that is free of any compliance risks.
The main performance indicators include clean claim rate, drug-unit accuracy, authorization turnaround, denial frequency by category, infusion-related A/R days, and reimbursement per infusion.
We integrate provider documentation templates with payer rules, inform the staff about the accuracy of the infusion time, and make sure that every clinical note is in line with the codes submitted, thus greatly lowering the number of denials.
We reduce the transition impact to a minimum by a phased onboarding plan: workflow audit → data migration → documentation alignment → parallel billing → full go-live. Your staff is provided with clear training and support during the whole process.
Let Us Handle Your Billing Services!
Denial Resolution- Risk-Free Trial
- Real-Time Insurance Validation
- Affordable Pricing
- Improved Cash Flow
- Timely AR Follow-Up
- Billing Specialists
- Challenging Denials Auditing
- Credentialing Services
- Healthcare Data Analysis
- Billing Strategy Consultation
- Helpdesk Assistance
- Revenue Cycle Management
- Insurance Eligibility Verification
- Patient Payment Solutions
- Skilled Medical Billing Experts
15+
Years of Experience
500+
Providers
25+
Softwares
50+
Specialties