Rheumatology
Rheumatology billing is complex due to the chronic nature of care, biologic infusions, time-based services, and frequent prior authorizations. Our specialized Rheumatology billing services are built to manage these intricacies with accuracy and efficiency ensuring providers are reimbursed fully for treating autoimmune and musculoskeletal conditions such as rheumatoid arthritis, lupus, and osteoarthritis.
We focus on navigating payer requirements, correct use of modifiers, and proper coding for both office visits and in-office procedures, so you can focus on patient care without revenue interruptions.
Expertise in Infusion & Injectable Coding
We handle high-cost medication billing, including biologics and DMARDs, with precision.
Chronic Care & Time-Based Billing
Accurate billing for long-term management of chronic conditions and prolonged visits.
Prior Authorization & Medical Necessity Support
Fast, reliable approvals for labs, imaging, and specialty drugs.
Full-Service Revenue Cycle Support
From eligibility and coding to denials and patient statements, we cover it all.
Our Rheumatology Services include:
- Infusion & Injectable Billing: Expert coding for medications like Remicade, Actemra, Orencia, and methotrexate.
- Chronic Disease Management: Accurate billing for complex follow-ups, time-based consults, and care plans.
- Diagnostic & Imaging Billing: Support for lab services, X-rays, musculoskeletal ultrasounds, and bone scans.
- Authorization Management: Ensuring payer compliance and approval for biologics, MRIs, and other critical services.
- Claims Follow-Up & Appeals: Proactive management of denials, underpayments, and rejections.
Reliable Billing for Rheumatology Practices
Rheumatology practices often juggle high-cost treatments, frequent visits, and strict payer policies. We help you stay compliant while minimizing revenue loss through accurate coding, efficient authorizations, and ongoing claims management. Our billing team is trained specifically in the nuances of rheumatology and understands what it takes to optimize revenue for chronic care providers.
Whether you’re managing a single-provider clinic or a multi-specialty group, we offer end-to-end billing solutions that streamline your operations and improve financial performance.