Infusion Denial Recovery for Specialty Medical Practices
Specialized insurance claim recovery for rheumatology, gastroenterology, immunology, and other practices with in office infusion suites.
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 ✦
Give In Office Infusion Denials the Time They Need
Your billing team handles claims for the whole practice. We help with the infusion denials that need a closer look.
When an infusion claim is denied, your team may need to pull the treating provider’s notes, review the authorization, and compare the infusion record with what was billed. That takes time while new office visit claims, infusion appointments, and routine payer follow up continue.
Mixon Revenue Solutions works alongside your billing team to investigate these denials and pursue reimbursement for infusion care your practice has already provided.
Recover More From Complex In Office Infusion Denials
Resolving a denied infusion claim can mean piecing together information from the exam room, the infusion suite, and the billing office. Mixon reviews the payer’s reason for denial, helps your team gather the relevant records, and prepares and follows up on eligible appeals.
Target the Claims That Require More Than Routine Follow Up
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Medical Necessity Denials
We review the payer’s reason for denial and help identify which records could support an appeal. Depending on the claim, that might include the treating provider’s notes, relevant treatment history, or a letter explaining why the therapy was prescribed.
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Prior Authorization & Coverage Denials
We compare the authorization with the medication billed and the date of the infusion. If the payer cites a discrepancy or coverage restriction, we evaluate the available options for correcting or appealing the claim.
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Documentation-Related Denials
When a payer requests more information, we help your team gather the relevant office notes, treatment order, and infusion administration record to document what was ordered and what was given.
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Complex & Repeatedly Denied Claims
If a claim is still unpaid after a correction or appeal, we review what your team has already submitted and how the payer responded. From there, we determine whether another review is available and what could support it.
Give Your Unpaid Claims the Attention They Deserve
Mixon takes on complex infusion denials while your billing team continues to manage the practice’s day to day claims. When an appeal requires clinical input, we help identify what’s needed from the treating provider or infusion team so they can focus on the specific information the payer is asking for.
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 In Office Infusion Claims
Find Out Which Older Claims Still Have a Path to Payment
Older infusion claims can get buried in the practice’s accounts receivable, especially when they require records from both the treating provider and the infusion suite. We review the claim history, available documentation, and applicable deadlines to see whether a correction, reconsideration, or appeal is still possible.
If payment is no longer an option and we identify a preventable issue, an optional findings report can explain what went wrong and what your team can change for future claims.
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 in office 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
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.