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Infectious Disease Billing Service
Infectious disease specialists play a crucial role in diagnosing and treating complex bacterial, viral, fungal, and parasitic infections. However, managing the financial side of an infectious disease practice is just as intricate as the clinical care itself. Coding complexity, evolving payer guidelines, and high patient volumes can make revenue management overwhelming.
We offer expert billing solutions tailored specifically to the needs of infectious disease physicians. From accurate coding and denial prevention to faster reimbursements, our services ensure your practice maintains financial health while you focus on patient outcomes.
Why Infectious Disease Billing Is Unique
Unlike primary care, infectious disease billing involves complex encounters such as extended hospital visits, coordination of long-term antibiotic therapy, outpatient consults, and follow-ups. Each of these scenarios demands accurate code usage and proper documentation to avoid revenue leakage.
Key challenges include:
Prolonged inpatient visits and consultations
Use of time-based E/M codes
Complex modifier use and ICD-10 coding
Coordination with other providers and facilities
Common CPT Codes for Infectious Disease Billing
| CPT Code | Description | Typical Usage |
|---|---|---|
| 99221–99223 | Initial hospital inpatient care | For admitting infectious disease patients |
| 99231–99233 | Subsequent hospital care | Daily rounding on hospitalized patients |
| 99291–99292 | Critical care services | Sepsis, septic shock, ICU visits |
| 99406–99409 | Smoking and tobacco cessation counseling | Preventive care and risk factor management |
| 99401–99404 | Preventive medicine counseling | For HIV counseling and other ID-related care |
| 99499 | Unlisted E/M service | Complex or unusual visits requiring extra time |
Our Comprehensive Billing Services Include
✅ Accurate ICD-10 Coding for Infections
We ensure diagnosis codes match the clinical documentation and procedures performed, reducing claim denials and audit risk.
✅ Hospital and Outpatient Billing Expertise
We manage both inpatient and outpatient claims, supporting your services across various care settings.
✅ Compliance with Changing Guidelines
Stay ahead of CDC and CMS regulations related to infectious diseases (e.g., COVID-19, TB, HIV) with our continuously updated billing workflows.
✅ Real-Time Eligibility and Pre-Authorization
Avoid surprises with insurance by verifying coverage before service delivery and managing authorization requests efficiently.
Challenges and Solutions in Infectious Disease Billing
| Challenge | Our Billing Solution |
|---|---|
| Denials due to incorrect E/M levels | Detailed chart audits and coder education |
| Delayed reimbursements from hospitals | Daily charge entry and claims follow-up |
| Missed claims for follow-up visits | Visit tracking integrated with your EMR |
| Incomplete documentation for infections | Coder-provider collaboration for clarity |
| Changing coding for COVID-related care | Automatic updates and rule-based claim validation |
How We Maximize Your Practice Revenue
💡 Coding Precision
With specialty-trained coders, we translate complex cases into clean, reimbursable claims.
📊 Actionable Reporting
Track your top denials, payer trends, and revenue opportunities with real-time dashboards.
🔁 Denial Prevention & Appeals
We analyze claim rejection patterns and proactively refile with strong documentation support.
💼 Credentialing and Payer Enrollment
Our team handles the full credentialing cycle to ensure you’re reimbursed properly from all payers.
MyMedicalBillingService.com is a trusted medical billing company managing everything from coding to claims and payment follow-ups. We specialize in resolving billing challenges for practices of all sizes and specialties, letting you focus on exceptional patient care while we handle the complexities of your revenue cycle.
