Revenue Cycle Management
End-to-end: intake, eligibility, infusion and biologic billing, coding, claims, and AR — with named ownership and daily monitoring.
Learn more →Rheumatology & Infusion Revenue Operations
Rheumatology & Infusion Billing Services
Revenue operations built for biologics, infusion suites, and prior-auth complexity.
Infusion therapy is the financial engine of your practice. One lapsed prior auth, one miscoded J-code, one undetected underpayment on a commercial plan — and you’ve lost more revenue than an entire day of clinic visits. We protect that engine, and you watch us do it.
SOC 2 CertifiedBuilt for eClinicalWorks100% Client Retention
Daily monitoring
Live dashboards
Measured Impact
40→20–25%
Claim Denial Rate
cut in half · Central Florida rheumatology group
The Problem
Why Rheumatology & Infusion Billing Is Uniquely Hard
Whether the infusion suite sits inside a rheumatology practice or runs as a standalone center, the revenue engine is the same — and so are the failure points:
High-dollar claims, fragile margins.
Services
What We Run for Rheumatology & Infusion
These are the services that apply to rheumatology and infusion centers.
Medical Coding
J-code, units, and biologic accuracy across complex visit types, so high-dollar claims don't get downcoded.
Learn more →Prior Authorization
Biologic and infusion auths secured, tracked, and re-verified before every treatment cycle, so therapy isn't delayed and claims don't deny.
Learn more →Infusion Economics
The Infusion Suite Is a Business — We Run It Like One
Buy-and-bill means you own the drug cost before the payer owes you anything. That only works when you can see the margin on every chair, every drug, every payer:
Per-chair, per-drug, per-payer revenue visibility — which infusions actually make money, and which quietly don’t
Buy-and-bill margin protected: units, NDC, and J-code accuracy on every high-dollar claim
Underpayment detection by drug and by payer, so commercial plans don’t skim the margin
Authorization lifecycle control — expiring auths flagged before the next scheduled infusion, not after the denial
Platform & Products
Powered by Wurklist
The Platform
Wurklist
Our AI-native RCM platform — the Revenue Command Center. People + Process + AI, fully transparent. No black boxes.
Platform Tagline
“Your Front Desk Has More Important Things to Do.”
Inside Wurklist
Real-time eligibility, powered by Wurklist
Navi
Eligibility and biologic coverage verified before the visit — including expiring auths flagged before the next scheduled infusion.
Standalone product
A product
Data Analytics
Deep RCM analytics — revenue visibility, denial and payer-trend insights, and performance dashboards.
Integrations
Built for eClinicalWorks
We work inside the system your front desk already uses. Your team keeps their workflow; we run the revenue behind it.
More systems slot in as we expand — same revenue operation behind each.
Proof
A Multi-Location Rheumatology Practice in Central Florida
High-value biologic claims were breaking down silently, denials were compounding across treatment cycles, and no one had visibility into where the money was going. We replaced the black box with dashboards, rheumatology-specific claim rules, and authorization lifecycle control.
40→20–25%
Claim Denial Rate
cut in half in year one
100%
Client Retention
TBD
Net Collection Rate
Pending sign-off
TBD
Days in AR
Pending sign-off
Unpublished figures stay TBD until they clear sign-off — we don't project.Read the case study →
Outcomes
What Changes When We Run Rheumatology & Infusion Billing
Fewer prior-auth and coverage denials
Accurate J-code, units, and infusion coding
Underpayments surfaced by drug and by payer
Per-chair, per-drug, per-payer revenue visibility
High-dollar claims that clear the first time
No Claim Left Behind.
Get full visibility and control over your infusion revenue.