● Infectious Disease Revenue Cycle Specialists

Infectious Disease Billing Services for Complex Treatment Claims

Claim Click Solutions manages infusion coding and prior authorizations for infectious disease practices, keeping reimbursement accurate for demanding treatment protocols.

Trusted by urgent care centers and multi-site groups.

96.8%

Clean claim rate

● The Real Cost of Generic Billing

Infectious disease billing breaks in ways general billers never catch

Every one of these is a claim your practice has probably already lost money on this month.

Infusion & injection coding errors

CPT 96365-96368 hierarchy rules and E/M bundling are easy to get wrong — and every mistake either underpays or triggers an automatic denial.

Slow prior authorizations

High-cost antimicrobials, HIV and Hepatitis C regimens, and biologics require payer-specific prior auth — delays stall treatment and stall payment.

Missed inpatient consult billing

Hospital-based ID consults get lost between your office billing system and the facility's — encounters go uncaptured entirely.

Isolation & documentation gaps

Medical necessity for extended IV antibiotic therapy and isolation-related services depends on documentation that's easy to under-record.

PrEP, PEP & travel medicine confusion

Preventive HIV therapy and travel vaccination visits are billed under rules generalist coders rarely apply consistently.

Denials on medical necessity

Payers push back hard on extended antimicrobial therapy without airtight documentation — and generalist billers rarely appeal effectively.

● How We Fix It

A billing team built around infectious disease complexity, not against it

We don't hand your claims to generalists. Every coder on your account is trained specifically on infusion administration rules, specialty-drug prior auth, and inpatient ID consult billing.

✓

ID-certified infusion coders

Specialists who know CPT 96365-96368 hierarchy logic, E/M bundling rules, and same-visit ancillary billing cold.

✓

Proactive prior authorization

Specialty-drug and biologic prior auths tracked and submitted before treatment dates, not chased after denial.

✓

Inpatient consult capture

Hospital-based ID consult visits are reconciled alongside your office claims so nothing falls through the gap.

✓

Medical necessity appeals

Denied infusion and extended-therapy claims are corrected, documented, and resubmitted — repeatedly, until paid.

● Full-Service RCM

Every stage of infectious disease revenue cycle management

From eligibility and prior auth to appealed denials, we run the parts of your revenue cycle that pull attention away from patient care.

Insurance Verification & Prior Auth

Real-time eligibility checks and proactive prior authorization for specialty antimicrobials and biologics, confirmed before treatment.

Infusion & Injection Coding

Every infusion, injection, and same-visit ancillary service coded correctly — CPT 96365-96368, HCPCS drug codes, ICD-10, by ID specialists.

Claim Submission

Clean claims scrubbed against payer-specific edits before they ever leave the building — fewer rejections, faster payment.

Payment Posting

ERA/EOB reconciliation posted daily so your AR reports always reflect what's actually been collected.

Denial Management

Every denial is diagnosed, corrected, and appealed with the medical-necessity documentation payers require.

AR Management & Patient Billing

Aging claims worked back to payment, plus clear, timely patient statements that improve self-pay collections.

● Built For Infectious Disease Specifically

We speak fluent infusion codes for every case type you treat

No learning curve, no generic templates — just billers who already know the codes your practice uses every single week.

HIV & PREVENTIVE CARE

HIV/AIDS Care, PrEP & PEP

Accurate coding for antiretroviral management, PrEP and PEP visits, and lab-heavy monitoring schedules.

LIVER & VIRAL DISEASE

Hepatitis & Liver Infections

Hepatitis B and C treatment regimens coded correctly, with specialty-drug prior auth managed proactively.

INPATIENT & ACUTE CARE

Sepsis & Inpatient ID Consults

Hospital-based consult visits and extended IV antimicrobial therapy billed with airtight medical-necessity documentation.

PREVENTIVE & TRAVEL

Travel Medicine & Vaccinations

Travel consult visits and vaccine administration billed correctly and on time, so preventive-care revenue never slips through the cracks.

● Why Practices Switch to Us

What actually changes when Claim Click Solutions takes over

01

Specialty-trained coders

Not general billers learning infusion coding on your dime.

02

Same-week onboarding

Live claim tracking active within days, not months.

03

Proactive prior-auth desk

Specialty-drug approvals chased before treatment, not after denial.

04

No long-term lock-in

Month-to-month terms — we earn your business every cycle.

● The Bottom Line

What specialized infectious disease billing does for your practice

No learning curve, no generic templates — just billers who already know the codes your center uses every single shift.

+ 0 %

Average revenue lift

Recovered through corrected infusion coding and worked denials in the first 6 months.

- 0 %

Fewer claim denials

Achieved through pre-submission scrubbing built for infusion and prior-auth-specific edits.

0 Days

Faster reimbursement

Average time from claim submission to posted payment across our client base.

● Case Study

How a multi-site infectious disease group recovered $612K in stalled infusion claims

A regional infectious disease group came to us with a 31% denial rate on infusion claims driven by CPT hierarchy errors and unresolved prior authorizations. We rebuilt their coding process, cleared the AR backlog, and stood up real-time prior-auth tracking across all sites.

AR recovered

$ 0 k

Denial rate

%→9%

New avg. payment time

0 Days

● Common Questions

Infectious disease billing FAQ

What makes infectious disease billing different from general medical billing?

Infectious disease claims mix E/M visits, infusion and injection administration codes, prior authorizations for high-cost specialty drugs, and inpatient consult billing — all governed by strict medical-necessity and bundling rules that generalist billers routinely miss.

Do you handle infusion and injection coding for antimicrobial therapy?

Yes. Every infusion encounter is coded correctly against CPT 96365-96368 hierarchy rules, with appropriate modifiers so administration and drug charges aren't bundled away or denied.

Can you manage prior authorizations for HIV, Hepatitis C, and other specialty medications?

Yes. We track payer-specific prior authorization requirements for specialty antimicrobials and biologics and resubmit documentation proactively so treatment isn't delayed or denied.

Do you bill inpatient infectious disease consults?

Yes. We capture and code hospital-based ID consult visits alongside your office claims so no encounter falls through the gap between inpatient and outpatient billing systems.

Are you compliant with public health and isolation-precaution documentation requirements?

Yes. Our workflows account for CMS, HIPAA, and public-health reporting documentation standards that support medical necessity for extended treatment and isolation-related services.

● Free Billing Audit

See exactly what your current billing process is missing

We'll review a sample of your recent infectious disease claims and show you where revenue is being left on the table — no cost, no obligation.