Medical Billing · Nationwide
Infectious Disease & OPAT Medical Billing Services
High-complexity cognitive consultations, Outpatient Parenteral Antimicrobial Therapy (OPAT) management, home IV infusion coordination, and remote physiological monitoring.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to infectious disease specialists, OPAT clinics, and travel medicine practices across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical infectious disease & opat CPT range we work: 99205, 99215, 99223, 99233, 96365–96379, 99453–99458, G0498.
Why infectious disease & opat billing leaks revenue
Inpatient consultation split billing: Downcoding of high-acuity initial inpatient consults (99223/99255) by Medicare Advantage plans questioning medical necessity
OPAT home infusion denials: Medicare Part B vs Part D vs DME unbundling rejections for prolonged intravenous antibiotic administration (G0498)
Prolonged cognitive service under-reimbursement: Failing to capture add-on codes (G2212) for 60+ minute complex multi-microbial evaluations
Microbiology and culture diagnostic testing denials due to lack of distinct ICD-10 infection site and pathogen linkage
How Aethera fixes it
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Free tools for your billing team
Use these any time — no login required.
Infectious Disease & OPAT billing FAQ
How do you capture proper reimbursement for prolonged complex infectious disease visits?
We substantiate extended cognitive decision-making using CMS time-based billing thresholds and add-on code G2212, documenting comprehensive pathogen workups and multi-drug regimen monitoring.
How do you manage OPAT home IV antibiotic claims?
We bill OPAT encounters with explicit drug administration codes (96365/96366 or G0498) and synchronize home infusion pharmacy NDC tracking with nursing oversight visits.