Platform & MSO Finance
RCM Performance Metrics for Multi-Site Infusion Platforms
Payer policy shifts now pose bigger revenue risks than staffing for infusion platforms.
Jerome Castellano
· 9 min read
Payer policy shifts now pose bigger revenue risks than staffing for infusion platforms.
Revenue per infusion exposes billing breakdowns that volume metrics mask.
Prior authorization denials in buy-and-bill infusion create unrecoverable financial losses.
How to avoid the five most expensive J-code mistakes that tank biologic claims.
Biosimilar competition is collapsing reimbursement faster than practices can adjust.
One denial on a five-figure drug claim can erase an entire month's margin for small infusion groups.
Misclassifying vials costs practices through denials with no recovery path.
Denial and underpayment require different strategies to protect biologic revenue.