At Sunshine Billing, we’re revolutionizing revenue cycle management for infusion centers by applying over 25 years of specialized expertise in medical billing and coding. We serve as your dedicated back office, enabling you to focus on what matters most – providing exceptional patient care.
Why Sunshine Billing?
Proven Excellence with Expert Team
Our success is built on our outstanding team of certified professionals who bring unique qualifications that set us apart:
Certified coders with extensive infusion experience
Experienced credentialing specialists
Dedicated follow-up specialists
Professional practice managers
Healthcare industry experts
Deep Expertise in Specialty and Infusion Billing
For over 25 years, we’ve been at the forefront of infusion billing, medical practice billing and specialty billing. We are experts at managing complex billing scenarios for practices and facilities across the nation. Our specialized knowledge covers:
Complex infusion billing protocols and drug coding
Comprehensive medical coding expertise
Complex prior authorization management
Detailed documentation requirements
Precise coding for optimal reimbursement
Insurance-specific billing requirements
Regulatory compliance assurance
Patient assistance program management
Proven Track Record
Our service-oriented approach and commitment to excellence delivers remarkable results for our clients. We have consistently helped practices increase revenue by 10 to 45 percent while reducing expenses. Our success is built on:
Increasing clean claim rates
Reducing denial rates
Accelerating payment cycles
Maximizing legitimate reimbursement
Maintaining rigorous compliance standards
Comprehensive Revenue Cycle Solutions
End-to-End Revenue Cycle Management
We handle every aspect of your revenue cycle, eliminating the need for your staff to perform data entry, insurance and patient collections, or claims correction:
Prior authorizations
Medical billing and coding
A/R follow-up and management
Claims submission and tracking
Denial management and appeals
Payment posting and reconciliation
Patient billing and collections
Advanced Technology Integration
We provide fully-furnished practice management software integrated with EHR/EMR:
Real-time claim status monitoring
Automated charge capture
Integrated prior authorization tracking
Custom reporting and analytics
Compliance monitoring tools
Electronic remittance processing
The Sunshine Billing Advantage
Specialized Focus on Medical Specialties and Infusion Services
We understand the unique challenges facing specialty medical practices and infusion facilities, including:
Ambulatory infusion centers
Rheumatology practices and infusion suites
Neurology practices and infusion centers
Urology practices
Gastroenterology practices
Specialty infusion facilities
Revenue Optimization Strategies
Our comprehensive approach ensures maximum legitimate revenue capture:
Detailed charge capture review
Infusion drug billing optimization
Drug waste billing management
Specialty-specific coding optimization
Multiple procedure and treatment billing expertise
Carrier-specific billing requirements
Appeals process management
Underpayment identification and recovery
Quality and Service
Commitment to Excellence
We maintain the highest standards of:
Data security
Process integrity
Financial controls
Operational excellence
Compliance management
Dedicated Support Team
Your success is supported by our experienced team:
Certified coders
Billing specialists
Credentialing services
Follow-up experts
Practice managers
Our Process
Initial Practice Analysis
We begin every partnership with a comprehensive analysis to:
Identify current billing inefficiencies
Pinpoint revenue leakage areas
Assess compliance risks
Evaluate technology needs
Develop customized solutions
Implementation and Integration
Our proven implementation process ensures a smooth transition:
Detailed workflow analysis
Staff training and education
Technology integration
Process optimization
Performance benchmarking
Why Partner with Sunshine Billing?
Experience That Matters
Our 25+ years of experience gives us unparalleled expertise in:
Specialty practice and infusion billing protocols
Complex drug billing and coding requirements
Multiple drug combination billing
Insurance-specific requirements
Inventory management considerations
Regulatory compliance
Revenue optimization strategies
Focus on Your Success
We measure our success by your results:
Increased revenue capture
Reduced operational expenses
Faster payment cycles
Improved cash flow
Enhanced operational efficiency
Get Started Today
Don’t let complex billing processes hold your practice back. Partner with Sunshine Billing to transform your revenue cycle management and focus on what you do best – providing exceptional patient care.
Request a Practice Analysis
Take the first step toward optimizing your practice’s financial performance. Contact us today to discover how Sunshine Billing can help your specialty practice thrive as your dedicated back office solution.
