Hiring an Infusion Billing Company: Learn How to Navigate Complex Coding Updates

Infusion billing involves complex coding. And new updates to CPT and ICD-10 codes are making it even harder. Staying updated is the key to avoiding errors. This is especially true if you don't have an infusion billing company. These changes affect how infusion services are coded. Knowing them can make a big difference. You must understand why these updates are so important.

How do the recent updates matter to the infusion billing company?

The AMA and WHO update CPT and ICD-10 codes every year. If you ignore these changes, you will face coding errors. Your claims may get denied, and payments will be delayed. Staying informed is very important. It helps you bill correctly and keeps your process smooth.

Now, it is time to know about the latest coding changes that your billing team needs to follow.

The key changes in CPT and ICD-10 coding processes for infusion billing:

• The new updates cover multi-drug infusion techniques for conditions like rheumatoid arthritis. These updates help with accurate reporting and better payments. For example, there is a new code for giving biologics and steroids in one session. It replaces old, generic codes for more clarity and faster payment.

• Hydration therapy codes are now easier to use. There are fewer choices for saline infusions or electrolyte replacement. For example, code 96360 covers the initial hydration infusion. It is important to check code descriptions carefully. Using old codes can lead to claim denials. Always stay updated to avoid mistakes.

• Modifiers help explain special billing details. New modifiers are now needed for extra services like catheter flushing or IV-line maintenance. These modifiers make billing clearer. They help insurers understand the services better and speed up payments.

• You need to use new ICD-10 codes for health conditions like Crohn's disease and multiple sclerosis as it will help you to define more about the patient's conditions. They help insurers understand the treatment better. This leads to faster claim approvals.

• Long COVID is still an important topic. There are new ICD-10 codes for its symptoms and treatments. If you give infusion therapy for fatigue or brain fog, use these new codes. Also, update your templates for correct reporting.

• Oncology codes are now more detailed. They show the cancer type and stage clearly. This helps with better pay and supports personalized care. For example, there is now a specific code for stage 2 breast cancer. Using the right code speeds up approvals and improves accuracy.

• Don't forget that now you need to use updated CPT codes for treating your patients with pain management therapies. One of the frequently used codes that you need to know is 96365 as you need to assign it for treating pain-relieving medications like Opioids and nerve blocks.

The good news is, that you can easily keep up with the updates by following these tips:

• Train your staff regularly so that they can always stay abreast of all the coding updates

• Update your billing system to ensure the utmost accuracy

• Keep your documentation detailed so that you can avoid claim denials

• Make sure that every claim goes through a proper scrubbing process

Infusion coding updates can feel overwhelming, but you can manage them. Stay updated with the latest CPT and ICD-10 changes. This will help you process claims smoothly and avoid delays. If it feels like too much, outsource your RCM to an infusion billing company. They can simplify the process and help your practice succeed. Partner with a professional billing expert to keep your billing on track.