Denial Recovery for Outpatient & Freestanding Infusion Centers
Specialized insurance claim recovery for outpatient infusion providers and freestanding ambulatory infusion centers.
CONTINGENCY FEES START AT 5%
✦
NO RECOVERY. NO FEE.
✦
WE RECOVER. YOU PROFIT
✦
CONTINGENCY FEES START AT 5% ✦ NO RECOVERY. NO FEE. ✦ WE RECOVER. YOU PROFIT ✦
High Cost Infusion Claims Deserve a Closer Look
Your team keeps infusion appointments moving. We give difficult denials the time they need.
By the time a patient completes an infusion, your center has already coordinated the appointment, prepared the medication, and delivered care. If the claim is denied, resolving it may mean going back through the authorization, treatment order, and administration record to see where the payer’s requirements and the claim diverged.
That work takes time, especially when your billing team is also verifying coverage for upcoming visits and submitting new claims. Mixon Revenue Solutions works alongside your team to investigate unpaid claims and pursue reimbursement for care your center has already provided.
Recover More From Complex Outpatient Infusion Denials
Some denials take more than a corrected claim or another call to the payer. The appeal may need additional treatment records, a letter of medical necessity from the ordering provider, or a clear explanation of how the documented care meets the payer’s requirements. Mixon helps your team identify what’s needed, prepare the appeal, and follow up on eligible claims.
Target the Claims That Require More Than Routine Follow Up
-
Medical Necessity Denials
We review the payer’s reason for denial and identify the clinical records or information from the ordering provider that could support an appeal.
-
Prior Authorization & Coverage Denials
When a denial points to an authorization or coverage issue, we compare the authorization details with the dates of service and the treatment billed, then evaluate the available options for correction or appeal.
-
Documentation Related Denials
When the payer needs more information about an infusion visit, we help your team identify and gather the relevant treatment orders, infusion notes, or medication administration records.
-
Complex & Repeatedly Denied Claims
We review the claim history, prior submissions, and payer responses to determine whether further action is available and what additional information could support it.
Give Your Unpaid Claims the Attention They Deserve
Mixon Revenue Solutions helps outpatient and freestanding infusion centers work through denied claims that require more time and follow up. We coordinate with your existing billing team to investigate denials, assemble supporting records, and pursue appeals so your team can keep up with current claims.
Support Your Billing Team with Experts Who Tackle Complex Denials and Increase Revenue
Your team maintains its established billing operations. We provide additional expertise and support where it's needed most.
Today's claims need your attention. Yesterday's unpaid revenue deserves ours.
Dedicated Attention to Complex Denials
Give high value infusion claims the focused attention they deserve.
Stronger Insurance Appeals
Pursue eligible appeals supported by documentation and payer research.
Aged A/R Recovery
Revisit unresolved claims before more recovery opportunities are lost.
Support for Your Billing Team
Reduce the time your internal team spends managing particularly difficult claims.
Prevent Future Denials
Identify recurring issues and opportunities to strengthen future billing processes.
Revisit Aging Accounts Receivable for Infusion Visits
Find Out Which Older Claims Still Have a Path to Payment
An unpaid claim from a completed infusion visit can sit for months while your team handles current billing and follows up on newer denials. As the claim ages, appeal deadlines, prior payer decisions, and missing records can narrow the options.
Mixon reviews older outpatient infusion claims to determine which ones are still eligible for action and what it would take to pursue them. If a claim reveals a preventable issue, we can also help your team understand what to address on future visits through an optional findings report.
Areas We Evaluate
Separate from contingency-based recovery services.
Recover Today's Revenue, Help Prevent Tomorrow's Denials
Every denied claim offers an opportunity to learn. When a claim reveals a preventable billing or documentation issue, understanding the cause can help your team avoid repeating it. Mixon's optional denial-prevention findings reports turn those insights into practical recommendations that can strengthen your billing processes and reduce avoidable revenue loss.
EXPERIENCE SEPCIALIZED DENIAL RECOVERY
Your First Qualifying Claim Is on Us
Let us work one qualifying denied outpatient infusion claim at no charge. To qualify, the claim must be submitted to Mixon within 90 days of the date of service. If we recover payment, you keep the full amount. There’s no obligation to continue.
1 Free
Qualifying claim worked at no charge
15%
Contingency on subsequent eligible recoveries
5% Contingency. No Recovery, No Recovery Fee.
For ongoing claim recovery, Mixon earns 15% of the amount we recover. If we recover nothing, you owe no recovery fee. Optional denial prevention findings reports are a separate service, billed at $200 per claim with your approval in advance.
We don't make money unless you do.