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Specialty Billing

Infectious Disease Billing Services

Infectious Disease Billing & Coding Services

Get a Free Billing Audit 346-307-9057

Specialty Focus

Infectious Disease Billing That Captures What You've Earned

Infectious disease practices manage high-complexity patients with HIV, hepatitis, TB, and emerging pathogens — and bill for a unique mix of office visits, infusion therapy, immunisations, and remote patient monitoring. Capturing full reimbursement requires billers who understand this specialty's distinct coding landscape.

Our infectious disease billing team handles complex E&M coding, IV infusion and injection billing, immunisation administration, and telehealth compliance. We stay current on Long COVID billing codes, HIV drug billing, and evolving payer policies for emerging infectious conditions.

97%
First-Pass Clean Claim Rate
24h
Average Claim Submission
40%
Average A/R Reduction
What We Handle

Key Billing Areas for Infectious Disease Practices

Every billing area below is managed by a specialist trained in your specialty's CPT, ICD-10, and payer requirements.

High-complexity E&M coding
IV infusion & injection billing
Immunisation administration coding
HIV treatment & drug billing
Telehealth & remote monitoring billing
Long COVID billing codes
Prior auth for specialty medications
Denial management & appeals
Electronic remittance posting
Monthly performance reporting
Why Partner With Us

Built for Infectious Disease Billing Complexity

Specialty-Trained Coders

Our billers are trained in your specialty's CPT codes, ICD-10 diagnoses, and payer-specific rules — not generalists working across 50 specialties.

97%+ Clean Claim Rate

We scrub and submit clean claims the first time, reducing rework, accelerating payment, and improving your net collection rate.

24-Hour Denial Recovery

Every denied claim is reviewed within 24 hours, root cause identified, corrected, and re-submitted before payer appeal deadlines close.

Full HIPAA Compliance

Encrypted data handling, a signed Business Associate Agreement, and annual compliance audits — your patients' information is always protected.

Maximize Your Infectious Disease Revenue

Get a free billing audit and find out exactly how much revenue your practice could be recovering. No contracts, no obligation — just results.

HIPAA Compliant  •  No Long-Term Contracts  •  Results in 30 Days

Common Questions

Infectious Disease Billing — FAQ

Answers to the questions Infectious Disease practices ask us most before partnering with Prime Medical Billing.

Yes. HIV/AIDS billing requires precise ICD-10 coding that distinguishes HIV disease (B20) from asymptomatic HIV status (Z21), and links all associated conditions correctly. We ensure the principal diagnosis accurately reflects the clinical picture, which directly impacts payer reimbursement and risk adjustment for value-based contracts.
Infusion therapy billing (96365–96379) requires documentation of the drug administered, route, time, and medical necessity. We coordinate billing between the infusion facility and the supervising infectious disease physician, apply drug codes (J-codes) correctly, and manage prior authorization for high-cost antimicrobials.
Infectious disease patients often present with multiple active infections, complex antibiotic regimens, and high-risk conditions. These encounters typically support 99215 or 99205 under MDM-based coding. We document the number of diagnoses managed, data complexity (cultures, consults, imaging reviewed), and risk level to justify the highest supported code.
We maintain current billing guidance for COVID-19 testing (U0001, U0002, 87635), treatment, and telehealth services. We track payer-specific policies for COVID vaccines and therapeutics and ensure correct billing for monoclonal antibody administration, antiviral treatments, and related office visits.