Infusion Denial Prevention & Education
Find out why an infusion claim was denied and what your team can change before the next one goes out.
Use Denied Claims to Improve How You Bill for Infusion Care
A denied claim can point to a missed step before treatment, a gap in the infusion record, or a breakdown in follow up after submission. Even an older claim with no remaining path to payment, understanding where it went off track can help your team avoid the same issue on future claims.
When Mixon identifies a preventable issue during a claim review, we can prepare an optional findings report. It explains what we found and gives your team specific steps to consider when verifying coverage, documenting treatment, submitting claims, or following up with payers.
Where We Look for Preventable Infusion Denials
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Prior Authorization & Coverage
We look for discrepancies between the authorization, the treatment provided, and what was billed. If the issue involves approved dates, the medication, or the site of care, we explain what your team can verify before the next infusion.
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Clinical Documentation
We review the denial and available records to identify what information the payer needed. That may involve the treatment order, the provider’s notes, or the infusion administration record. We explain what your team can capture during the visit or confirm before submitting the claim.
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Claim Submission & Payer Requirements
We look at how the claim was submitted and what the payer requested. If the denial points to a submission error or a missing attachment, we identify a check your billing team can add before sending similar claims.
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Filing Deadlines & Follow Up
We review where a claim stalled and whether a missed deadline or unanswered request limited the options. Our findings can help your team decide when to follow up, who should respond, and when to escalate an unresolved claim.
Optional Denial Prevention Findings Report
$200 per claim
If we identify a preventable issue, you can request a written report explaining what contributed to the denial and what your team can do differently on future claims. The report is available with your approval in advance and is billed separately from contingency based claim recovery.
EXPERIENCE SPECIALIZED DENIAL RECOVERY
Your First Qualifying Claim Is on Us
Let us work one qualifying denied infusion claim at no charge. To qualify, submit the claim to Mixon within 90 days of the date of service. If we recover payment, your practice keeps the full amount. There’s no obligation to continue.
1 Free
Qualifying claim worked at no charge
5%-15% Contingency Fee
On recovered payments, based on claim age and value
CONTINGENCY FEES START AT 5%
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NO RECOVERY. NO FEE.
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WE RECOVER. YOU PROFIT
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CONTINGENCY FEES START AT 5% ✦ NO RECOVERY. NO FEE. ✦ WE RECOVER. YOU PROFIT ✦
We Don’t Make Money Unless You Do
Mixon Revenue Solutions works alongside your billing team to investigate unpaid infusion claims, handle complex appeals, and pursue reimbursement that might otherwise be written off.
Our contingency fee is based on the claim’s age and value and applies only to the amount we recover. The rate is 5% for claims up to three months old, increases gradually for older claims, and reaches 15% maximum for claims one year or older. If we recover nothing, you owe no recovery fee.