Maximize your rheumatology practice revenue with specialized billing expertise in biologic infusions, joint injections, and specialty drug management. Our certified coders understand complex J-code billing, prior authorization requirements, and buy-and-bill processes unique to rheumatology practices.
Proven Results
35% Average Revenue Increase
94% First-Pass Claim Rate
52% Reduction in Denials
18 Days Faster Payment Collection
Common Billing Challenges
Biologic Medication Billing
High-cost biologic drugs require complex billing with proper J-codes, waste documentation, and medical necessity justification.
Prior Authorization Complexity
Biologic therapies and specialty medications require extensive prior authorizations with detailed clinical documentation.
Infusion Therapy Time Tracking
Infusion billing requires accurate time documentation, proper hydration coding, and push vs infusion distinction.
Buy and Bill Drug Management
Managing inventory, acquisition costs, and billing for physician-administered drugs requires specialized tracking.
Multiple Procedure Bundling
Joint injections and office procedures often performed together require proper modifiers to prevent bundling.
Specialty Pharmacy Coordination
Coordination between medical benefit and pharmacy benefit for specialty drugs creates billing confusion.
Our Solutions
Rheumatology Billing Specialists
Our team includes certified coders with specialized training in rheumatology procedures, biologic billing, and infusion therapy.
Expert J-code selection for biologic drugs
Proper infusion CPT coding (96365-96368)
Joint injection billing expertise
Specialty drug benefit determination
Prior Authorization Management
Dedicated team handles all prior authorizations for biologic therapies and specialty medications with clinical documentation support.
Streamlined prior authorization process
Clinical documentation preparation
Appeal management for denials
Faster treatment initiation
Biologic Drug Revenue Optimization
Maximize reimbursements through proper drug coding, waste documentation, and buy-and-bill management.
Accurate J-code and NDC billing
Waste and overfill documentation
ASP pricing verification
Drug acquisition cost tracking
Infusion Center Billing Expertise
Comprehensive billing support for infusion centers with time-based coding and facility fee management.
Sequential infusion coding
Concurrent infusion management
Hydration and push billing
Observation and prolonged services
Specialized Services
Biologic Infusion Billing
Expert billing for Remicade, Orencia, Rituxan, and other biologic infusion therapies with proper J-codes.
Biologic drug coding
Waste documentation
Time-based billing
Medical necessity support
Joint Injection Procedures
Specialized billing for therapeutic joint injections with proper CPT codes and modifier application.
Joint injection coding
Aspiration billing
Ultrasound guidance
Multiple procedure modifiers
Infusion Center Management
Complete billing support for infusion centers including drug billing, administration codes, and facility fees.
Infusion administration
Hydration services
Drug acquisition
Concurrent therapy billing
Specialty Drug Authorization
Prior authorization and appeals management for specialty rheumatology medications and biologics.
Prior authorization
Medical policy review
Denial appeals
Specialty pharmacy coordination
Client Testimonial
Billing for biologic infusions and managing prior authorizations was consuming too much
of our staff's time and we were losing revenue on denied claims. Medtransic's rheumatology
billing team has been exceptional. Their expertise in J-code billing, waste documentation,
and prior authorization management has increased our biologic therapy revenue by 38%. They
handle the complexity so we can focus on patient care. I highly recommend them to any
rheumatology practice struggling with infusion billing.