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Effective Claim Management for Infectious Disease Practices

Proactive claims management to minimize infectious disease practice claim denials and maximize reimbursements.

Effective Claim Management for Infectious Disease Practices​

Proactive claims management to minimize infectious disease practice claim denials and maximize reimbursements.

Increase Financial Health of Your Infectious Disease Practice with Us

Infectious disease practices often face a multitude of challenges that can hinder their financial health and operational efficiency. From intricate coding requirements for complex diagnoses to the ever-changing landscape of insurance regulations, staying ahead can feel like an uphill battle.

Moreover, the administrative burden of managing billing processes can detract from valuable time that could be dedicated to patient care. However, there’s light at the end of the tunnel. Transcure offers specialized solutions tailored to the unique needs of infectious disease practices. With our expertise in medical billing and coding services, we alleviate the burden of navigating these challenges alone. 

By partnering with us, infectious disease practitioners can regain peace of mind, knowing that their revenue cycle management is in capable hands.

Our infectious disease billing solutions ensure seamless financial operations while you focus on delivering quality care to your patients.

Understanding Infectious Disease Billing and Coding Challenges

Navigating the world of infectious disease billing and coding can feel like a medical mystery itself. From unique coding requirements to ever-changing regulations, infectious disease practices face distinct challenges that demand specialized expertise.


Coding Complexity

Infectious diseases encompass a wide range of conditions, each requiring accurate coding for billing purposes. From bacterial and viral infections to complex parasitic diseases, precise coding is essential for proper reimbursement. However, the intricate nature of infectious diseases often leads to coding errors, resulting in claim denials and delayed payments.


Evolving Regulations

The healthcare industry is constantly evolving, with regulations and compliance standards frequently changing. Keeping up with these changes while ensuring accurate billing practices can be overwhelming for infectious disease practitioners. Failure to adhere to updated regulations can lead to compliance issues and potential legal ramifications.


Reimbursement Challenges

Infectious disease doctors face reimbursement challenges due to various factors, including declining reimbursement rates and increased scrutiny from payers. Maximizing reimbursements while maintaining compliance requires expertise in navigating payer policies and negotiating fair reimbursement rates.


Documentation Requirements

Accurate documentation is paramount in infectious disease billing and coding to support medical necessity and justify services provided. However, documenting the intricate details of infectious disease cases can be time-consuming and prone to errors, leading to billing discrepancies and claim denials.

Our Success in Numbers
200 M+ Value of claims processed
Value of Claims Processed
$ 1 M+
24 Accounts Receivable Days
Accounts Receivable Days
48 Hours Turn Around Time (TAT) icon
Turn Around Time (TAT)
1 Hours
Customer Retention
Customer Retention
1 %
Number of Claims Processed
1 M
Clean Claims Rate
First Pass Clean Claims Rate
1 %
Revenue Improvement icon
Revenue Improvement
5%- 5 %
Reduction in A/R icon
Reduction in A/R
1 %

Importance of Accurate Infectious Disease Billing and Coding

Infectious disease practices encounter distinct challenges in revenue cycle management (RCM) due to the intricate nature of treating conditions like HIV/AIDS, tuberculosis, and hepatitis. Maintaining a steady revenue stream is crucial. Here’s why effective RCM is paramount for infectious disease practices and others:

Efficient Claim Submission

Our end-to-end RCM for infectious disease ensures timely and accurate claim submission, reducing the risk of denials or delays. Our premium medical billing services can navigate coding intricacies, resulting in 99% accurate claim submissions through RPA.

Prompt Payment Collection

Tracking and following up on outstanding payments is vital. Medical coding and billing services offer end-to-end RCM, leading to quick payments from insurance within 26 days and complimentary AR recovery within 24 days.

Stay Updated with Regulations

Compliance with evolving healthcare regulations is essential. Infectious disease doctors can rely on medical coding services to stay current with coding guidelines and billing requirements, minimizing the risk of audits.

Improved Cash Flow

Outsourcing RCM to experts in infectious diseases billing solutions ensures consistent cash flow. With diligent AR follow-ups, practices experience a 20% increase in revenue through super-fast collections and complimentary credentialing of all providers with desired payors.


Comprehensive Coverage of CPT Codes for Infectious Disease Billing

At Transcure, we ensure comprehensive coverage of CPT codes essential for accurate billing in infectious disease practices. Understanding the specificity required in coding for such diverse conditions, we meticulously handle a range of CPT codes tailored to this field.

For infectious disease billing and coding, our expertise encompasses a spectrum of CPT codes, including those for diagnostic tests, procedures, and treatments. Here are examples of CPT codes we cover for infectious disease procedures:

87186: Culture, bacterial; quantitative colony count, urine

87501: Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, DNA, amplified probe technique

87801: Infectious agent detection by nucleic acid (DNA or RNA)

87807: Infectious agent antigen detection by immunoassay with direct optical (e.g., visual color change) observation; Adenovirus

87902: Infectious agent antigen detection by immunoassay with direct optical observation; Influenza virus

87903: Infectious agent antigen detection by immunoassay with direct optical observation; Respiratory syncytial virus


We are adept at using these EHRs

The experts at Transcure are well-versed with the features
and workflows of your EHR system.

Assisting Healthcare Organizations to Flourish

Satisfied Providers are our Testaments


Jackie Judd

Practice Manager
Wilson Creek Internal Medicine

Quotation mark

As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.

Amber Vaughan

Amber Vaughan

Office Manager
Idaho Kidney & Hypertension Institute

Quotation mark

We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.

Ashlee Rose

Ashlee Rose

Practice Manager
Harding Memorial Healthcare

Quotation mark

We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.

Transform your Infectious Disease with Our Proven RCM Services

Infectious disease practices face a myriad of challenges, from complex coding requirements to evolving insurance regulations. Partner with Transcure for specialized infectious disease billing and coding services tailored to your practice’s needs.

Our experienced team of 1100 plus highly qualified billers and coders ensures accurate coding, efficient claim submission, and prompt payment collection. With end-to-end Revenue Cycle Management (RCM) services, including medical billing and coding, we alleviate administrative burdens, allowing you to focus on patient care. Contact us today for accurate billing services.

Let Transcure Become your Steadfast Ally in Optimizing Revenue Services.