Prolonged services unbilled
Long visits billed without prolonged service codes. We review time documentation and add them where supported.
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Infectious Disease medical billing services
Infectious disease practices bill long, complex consultations, inpatient care, infusion therapy and ongoing management of chronic infections. Time-based coding, prolonged services and outpatient parenteral antibiotic therapy all carry rules that generalist billers miss.
What makes infectious disease billing different
General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether infectious disease claims pay the first time.
- ID visits are frequently long; time-based E/M leveling and prolonged service codes (99417, G2212) are often supported and rarely billed.
- Inpatient consultations use the current hospital care code family, and the admitting versus consulting roles must be clear.
- Outpatient parenteral antimicrobial therapy (OPAT) involves drug, administration and supply codes across home infusion and office settings.
- HIV, hepatitis and other chronic infection management supports chronic care management and specific drug and lab billing.
Denials we see most in infectious disease
Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.
Consultation role confusion
Inpatient visits denied as duplicates of the admitting physician. We clarify roles and code accordingly.
OPAT billing gaps
Infusion therapy components billed incompletely. We capture drug, administration and supplies per setting.
How Core MB bills for infectious disease
A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new infectious disease providers runs in the same system, tracked live in your client portal.
- Time-based leveling and prolonged service capture.
- Inpatient billing coordinated with hospitalist and surgical teams.
- OPAT and infusion billing across office and home settings.
Everything in the service
The full revenue cycle as standard for infectious disease practices, priced on what we collect for you. Take all of it, or start with one piece such as AR recovery or credentialing.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
- Provider credentialing and payer enrollment
Infectious Disease billing questions
How should long infectious disease visits be billed?
By total time when it exceeds the thresholds, with prolonged service codes added where supported. ID visits often qualify and the codes are routinely missed.
Do you bill inpatient consultations?
Yes, under the current hospital care code family, coordinating with the admitting team so claims are not denied as duplicates.
Can you handle OPAT billing?
Yes, across drug, administration and supply codes in office and home infusion settings.
How do we get started with Core MB for infectious disease billing?
Send us your specialty, provider count and monthly claim volume through the quote form and we will come back with a written proposal. Transitions run alongside your current billing so nothing is dropped, and credentialing for new infectious disease providers can start at the same time.
Find out what your infectious disease billing is leaving on the table
Send us a snapshot of your current billing and we will come back with a quote and a realistic view of recoverable revenue.