Maximize Collections for Complex Rheumatologic Care
From biologic infusions and joint aspirations to chronic care management—our billing team understands the intricacies of rheumatology coding, time-based services, and documentation compliance.
Precision Revenue Cycle Support for Rheumatology
Rheumatology billing isn't just about E/M codes. It includes drug infusion billing, J-code management, detailed time-based documentation, and prior authorization for biologics—all areas where precision directly affects your bottom line.
Our team supports solo rheumatologists, infusion centers, and multi-specialty practices by reducing coding errors, accelerating claim approvals, and staying aligned with ever-changing payer rules for chronic care and drug administration billing.
Our Distinct Strengths
- Accurate billing for J-codes like J1602, J0717, J0129, and J0881
- Time-based coding for biologic infusions & injections
- ICD-10 pairing support for RA, lupus, vasculitis, and Sjögren’s syndrome
- Authorization tracking for Remicade®, Orencia®, Cimzia®, and Actemra®
- EHR integration with ModMed, eClinicalWorks, and Allscripts
Our Mission
To simplify billing for rheumatology practices—boosting revenue while ensuring complete compliance in every infusion, exam, and chronic care cycle.
Why Rheumatology Clinics Choose RCM firms
Rheumatology billing goes beyond basic codes. Infusion therapy timing, J-code accuracy, biologic drug cycles, and strict payer rules make this one of the most regulated specialties. Our team simplifies that complexity.
Infusion Drug Billing
We manage complex J-codes and units, making sure drugs like Remicade® or Orencia® are billed accurately with linked diagnosis codes.
Time-Based CPT Capture
For infusions, follow-ups, and CCM, we ensure proper capture of prolonged and cumulative time-based services.
Autoimmune ICD Mapping
ICD-10 accuracy for RA, gout, SLE, and inflammatory conditions to reduce rejections and ensure clinical correlation.
Seamless EHR Sync
We work with your EHR or PM system—no disruption to your practice flow, just faster payments and accurate charge capture.
Custom-Tailored Pricing for Rheumatology Practices
We understand that biologic infusion centers, general rheumatologists, and hybrid clinics operate differently. That’s why we offer billing plans based on your visit types, drug mix, and patient volume—with no long-term lock-in.
Independent Rheumatologists
Best for low-volume providers offering consults, joint injections, and chronic care visits.
Biologic Infusion Clinics
Designed for high-volume facilities offering complex drug infusions, authorizations, and ongoing management.
Included Services
- J-code based drug charge audits
- Pre-cert & prior auth coordination for biologics
- Documentation reviews for medical necessity
- Support for combination visits & shared services
Don’t see your setup? We’ll create a custom quote for hybrid and multi-specialty configurations.
Our Billing Process for Rheumatology Practices
We’ve streamlined billing for time-sensitive treatments and complex drug cycles—ensuring your clinic stays focused on care, not paperwork.
1
Patient & Drug Review
We validate insurance eligibility, verify authorization needs, and ensure accurate NDC and HCPCS pairings for all infused medications.
2
Coding & Documentation
Proper CPT/ICD alignment for infusions, consults, and procedures—plus guidance on documenting time, dose, and route.
3
Claim Processing
We submit and track claims daily, handle rejections proactively, and push clean claims faster to ensure consistent cash flow.
Insights & Reporting
We deliver custom dashboards for drug cost vs. revenue, denial categories, time-based billing trends, and infusion productivity.
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Accuracy Rate in J-Code Drug Billing & NDC Mapping
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Average Time to Reimbursement for Clean Rheumatology Claims
0%+
Collection Boost for Clinics Offering Biologic Infusions
End-to-End Billing for Rheumatology Practices
From joint injections to infusion treatments, we handle every aspect of rheumatology billing. Our team ensures accurate drug coding, time-based CPT capture, and real-time payer compliance—so you can focus on managing chronic disease, not denials.
E/M & Complex Follow-Up Billing
We capture accurate coding for consults, multi-system follow-ups, time-based visits, and modifier applications (e.g., -25 for same-day injections).
Infusion & Injection Billing
Our team handles biologics and injectables including drug units, NDC linking, start/stop time validation, and pre-authorization tracking.
Joint Injection & Imaging Support
We apply CPTs for guided joint injections and ensure proper pairing with ICD-10 for OA, RA, and gout—with documentation support.
Chronic Care Management (CCM)
We capture CCM codes based on time thresholds and coordination notes, ensuring Medicare compliance for long-term autoimmune care.
Drug Authorization & Enrollment
We manage payer enrollments and pharmacy benefits setup for specialty drugs—ensuring timely coverage for biologics and DMARDs.
RCM Oversight & Denial Management
We audit common denial triggers like incorrect drug units, unsupported time capture, or invalid ICD pairing—and fix them proactively.
Frequently Asked Questions
Learn how we support rheumatologists with biologic drug billing, infusion coding, time-based visit capture, and denial reduction strategies.
Speak with a Rheumatology Billing Specialist
Whether you run a biologic infusion clinic or a solo arthritis practice, our team can help you optimize billing for long-term care, reduce claim errors, and improve collections. Let’s discuss your challenges.
Chicago, IL 60601, USA