Chronic Care. Constant Support.
Rheumatology Billing & Revenue Cycle Management
Rheumatology billing is anything but routine. We manage the codes, compliance, and complexity so you don’t have to.
RCM Solutions for
Rheumatology Practices
Rheumatology practices manage complex billing challenges involving chronic condition treatments, infusion therapies, and diagnostic testing. Navigating prior authorizations and insurance requirements can often slow down revenue cycles, but our expert billing team handles these hurdles efficiently, reducing administrative strain.
Health Prime’s expertise in rheumatology billing delivers accurate coding, swift claims processing, and enhanced reimbursement outcomes—empowering your practice to thrive financially while delivering exceptional patient care.
The Tools You Need, Tailored for You
We embed intelligent automation, rule-based tools, and specialty-focused innovation into our technology platform to manage rheumatology’s biggest revenue cycle challenges, including high-cost biologics and complex infusion coding so you can capture more revenue with less complexity. Our proprietary technology:
- Automates charge capture and documentation for infusions, joint injections, and disease-modifying therapies
- Applies intelligent-driven coding logic for time-based visits, drug units, and modifier accuracy
- Tracks prior authorizations and payer-specific rules for specialty medications
- Integrates seamlessly with EMRs to minimize manual data entry and reduce errors
Technology that powers RCM performance
Data-driven analytics and business intelligence
Health Prime’s dynamic analytics platform gives rheumatology practices clear visibility into the financial and operational metrics that matter most—from infusion reimbursement and biologic usage to prior authorization delays and denial trends.
Our customizable dashboards are built to support high-cost, high-complexity care environments so you can:
- Monitor reimbursement trends for infusions, injections, and high-cost biologics
- Track denials related to prior authorizations, diagnosis linkage, and medical necessity
- Analyze payer performance and identify patterns in underpayments
Results You Can Expect
Timely Claims, Less Rework
Prevent delays and denials on complex infusion and biologic treatments.
Better Financial Control
Improve cash flow with optimized billing for chronic and recurring care.
Positive Patient Billing Experience
Help patients understand their care costs across ongoing treatment cycles.
What Sets Us Apart for Rheumatology Practices
Rheumatology-Specific Coding
We understand time-based infusions, biologics, and extended visit documentation.
Chronic Care Billing Expertise
Support for CCM, TCM, and care planning services that enhance revenue.
Transparent Financial Insights
Track chronic care billing trends and payer performance with ease.
Integrated Tech Support
We work with your EMR to simplify charge capture and reduce manual entry.
stats
It's all in the numbers
Success rate of claims accepted on the first pass
Increase in reimbursement year-over-year
Increase in overall practice productivity
Success rate of claims accepted on the first pass
Increase in reimbursement year-over-year
Increase in overall practice productivity
hear from our clients
Want More?
Explore in-depth articles, updates, and expert insights on revenue cycle management.
Take The Next Step
Let’s simplify billing for complex, chronic rheumatology care.
Reach out to start the conversation.
Take The Next Step
Let’s simplify billing for complex, chronic rheumatology care.
Reach out to start the conversation.