The following references are now available as a NHIA member-only benefit and will redirect to our Community.
Cash posting is the process of accounting for your various forms of payment, to their equally important remittance, and reconciling a patient’s account. NHIA outlines the steps each home infusion pharmacy should go through as it relates to tracking cash receipts and posting cash.
Payments and denials for infusion pharmacies are more unique than other medical billing situations due to the volume of claims that require billing 1 payor for denial before billing a secondary payor and because there is not 1 consistent coding standard for billing for home infusion across all payors.
Please contact marianne.buehler@nhia.org if you have any questions or comments about the NHIA Reimbursement Training Center.
This document outlines the steps each home infusion pharmacy should go through as it relates to tracking cash receipts and posting cash. Payments and denials for infusion pharmacies are more unique than other medical billing due to the volume of claims that require billing for denial and also that there is not one consistent coding standard for billing for home infusion, so often you are playing a guessing game in trying to determine the correct methodology to use. In the interim, you may be paid more than you allowed.
There are several ways that payments can be made to a home infusion pharmacy. Below is a summary of the types of deposits often used:
Each claim will either be paid in full, partially paid (meaning that there was a deductible or copay that applied; or one or more line items was not processed/paid); or the claim was denied for a variety of reasons. Regardless of which system you use to management your business, each of these transactions must be posted to the patient’s account. The more detailed you are in your posting process; the more value you will get in reporting or even in AR resolution. This includes associating a code/description to each transaction. Below is a summary of the types of transactions that will be posted to the patients’ accounts.
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