Introduction
Speciality billing is changing, and these changes can lead to more denials if you’re not prepared. This guide helps you understand what’s new and how it impacts specialty practices. We’ll show you how to avoid common mistakes and get paid faster. From updated codes to new documentation rules, you’ll learn exactly what you can do to improve your billing process and protect your revenue.
Key Takeaways
- Billing rules are changing, and clinics must update their systems to avoid financial losses.
- More claims are being denied because of new rules, so accurate billing is important.
- Specialty clinics face more challenges with complex codes and extra paperwork.
- Radiopharmaceuticals costing more than $655 will be paid separately, so track these costs.
- New technology like ePA will be required, so clinics need to get ready for it.
- Keeping up with the unique coding, documentation, and payer rules for your specialty is key to avoiding denials.