Emilio Abara

Infusion billing failures concentrate in CPT hierarchy and prior auth, not generic coding lapses.

Coding errors in infusion claims cost more than denials because underpayments go undetected.

Most denials originate upstream in administrative and clinical workflows, not at claims submission.

A broken revenue cycle costs hospitals billions—and most errors happen before billing even begins.

Errors made at intake surface as denials months later, when fixing them costs far more.

Payers automate denials faster than providers can respond, widening revenue leakage.

Revenue cycle is everything from scheduling through final payment, not just billing and collections.