Home infusion therapy software built around the billable administration day
Home infusion therapy is the administration of intravenous or subcutaneous drugs in a patient's home rather than a hospital or clinic. In Medicare it is a distinct benefit category, created by section 5012 of the 21st Century Cures Act in 2016, amended in 2018, and permanent from January 1, 2021. It pays for professional services on each infusion drug administration calendar day, across 3 payment categories, while the drug and pump are covered under the Part B equipment benefit. Neurobird tracks both sides.
Neurobird Home Infusion Therapy in short
- Track each infusion drug administration calendar day with the skilled visit that makes it billable
- Keep the plan of care, pump settings and line type together so any nurse can pick up the patient
- Separate professional services from the drug and equipment benefit rather than reconciling them later
- 2021 The permanent Medicare home infusion therapy services benefit began on January 1, 2021, after a temporary transitional benefit ran during 2019 and 2020. CMS, home infusion therapy
- 5012 Section 5012 of the 21st Century Cures Act, enacted in 2016, created the benefit category, and section 50401 of the Bipartisan Budget Act of 2018 amended it. CMS, home infusion therapy benefit FAQ
- Pricing runs 220 to 900 US dollars per month across 3 tiers. Early access is free.
What home infusion providers actually deal with
Why it stays broken
The benefit is split down the middle: professional services under the home infusion therapy benefit, drug and pump under Part B equipment. Most providers run 2 or 3 systems that never agree on a start date, so the administration day gets proven by hand every month.
Payment amounts are built on 5 hours of infusion in a physician office setting, and the first visit pays differently.
A unit of single payment is a bundled payment and is made for items and services furnished by a qualified home infusion therapy supplier per payment category for each infusion drug administration calendar day.
Neurobird Home Infusion Therapy Revenue Recovery Platform
Make the patient and the administration day the record. Referral, plan of care, visit and billing evidence attach to it, so the two halves of the benefit stop drifting apart.
- 1Track each infusion drug administration calendar day with the skilled visit that makes it billable
- 2Keep the plan of care, pump settings and line type together so any nurse can pick up the patient
- 3Separate professional services from the drug and equipment benefit rather than reconciling them later
- 4Hold the accreditation and enrolment evidence a qualified home infusion therapy supplier has to maintain
What changes with Neurobird Home Infusion Therapy?
The same work, read left to right: how it runs today, and how it runs once the record is in one place.
| Today | With Neurobird Home Infusion Therapy |
|---|---|
| The Medicare benefit pays for professional services on an infusion drug administration calendar day, and proving that day happened depends on a nursing note nobody has structured | Track each infusion drug administration calendar day with the skilled visit that makes it billable |
| Referral, benefit check, pharmacy compounding and nursing scheduling all run in different systems that do not agree on the start date | Keep the plan of care, pump settings and line type together so any nurse can pick up the patient |
| The drug and pump are billed under a different Medicare benefit than the professional services, and reconciling the two is a monthly argument | Separate professional services from the drug and equipment benefit rather than reconciling them later |
Who is this for?
Same benefit, three different providers.
You run one branch
You are pharmacy, nursing and billing in the same building. You need one record where the start date does not change between systems.
Infusion sits inside a hospital
Referrals come from inside and billing runs through a separate benefit. You need the professional services side tracked properly rather than folded into hospital billing.
You run many branches
Accreditation and enrolment are per location and per supplier. You need one register of what is current and what is expiring.
How does Neurobird Home Infusion Therapy work?
Take the referral once
Therapy, drug, payer, line type and start date are captured in one place, so pharmacy and nursing are not working from different versions.
Schedule against the day
Each skilled visit records the infusion drug administration calendar day it supports, which is the unit Medicare actually pays on.
Hold the supplier evidence
Accreditation and enrolment records for a qualified home infusion therapy supplier under 42 CFR 424.68 sit with the operation, not in a folder somewhere.
The patient, day by day
A working preview. Tick an item to advance the episode.
| Line item | Amount | |
|---|---|---|
| Pump programming, ambulatory | $1,840 | |
| Infusion drug administration day | $620 | |
| Central line dressing change | $3,275 | |
| Payer authorization, 30 days | $455 |
Click recover to add a missed line to the invoice.
How the Medicare home infusion benefit actually works
Useful if you are enrolling as a supplier or scoping billing. Each source links out.
The permanent Medicare home infusion therapy services benefit began on January 1, 2021, after a temporary transitional benefit ran during 2019 and 2020.
CMS, home infusion therapySection 5012 of the 21st Century Cures Act, enacted in 2016, created the benefit category, and section 50401 of the Bipartisan Budget Act of 2018 amended it.
CMS, home infusion therapy benefit FAQHome infusion drugs fall into 3 payment categories, and the single payment amount for each is based on 5 hours of infusion in a physician office setting.
CMS, home infusion therapy billing and ratesA qualified home infusion therapy supplier must be accredited and enrolled under 42 CFR 424.68, separately from any other Medicare enrolment it holds.
eCFR, 42 CFR 424.68Conditions for participation for home infusion therapy suppliers sit at 42 CFR Part 486 subpart D, covering plan of care, care coordination and quality reporting.
eCFR, 42 CFR Part 486 subpart DHome infusion therapy software questions, answered
Key terms
- What is home infusion therapy?
- Home infusion therapy is the administration of intravenous or subcutaneous drugs in a patient's home rather than a hospital or clinic: antibiotics, parenteral nutrition, immune globulin, inotropes, chemotherapy and pain management. It involves a drug, an infusion pump and supplies, and professional services including nursing, patient training and monitoring.
Is home infusion a Medicare benefit?
Yes. Medicare home infusion therapy services are a distinct benefit category, created by section 5012 of the 21st Century Cures Act in 2016, amended by the Bipartisan Budget Act of 2018, and permanent from January 1, 2021. It pays for the professional services, training, education and monitoring furnished by a qualified home infusion therapy supplier.
How does Medicare pay for home infusion?
Payment is made per infusion drug administration calendar day, meaning a day on which a skilled professional is physically in the home furnishing services. Amounts sit in 3 payment categories tied to the drug, are based on 5 hours of infusion in a physician office setting, and a higher amount applies to the initial visit.
Who can bill the home infusion benefit?
Only a qualified home infusion therapy supplier that is accredited and enrolled with Medicare under the supplier requirements at 42 CFR 424.68 and the conditions at 42 CFR Part 486 subpart D. The infusion drug, the pump and the supplies are covered separately under the Part B durable medical equipment benefit.
Does this replace our pharmacy or EMR system?
No. Compounding stays in the pharmacy system and clinical documentation can stay in your EMR. This holds the operational spine: referral, plan of care, scheduled visits, administration days and the evidence that supports each one.
Why we are building this
Home infusion is a benefit split down the middle. The drug and the pump are covered under Part B equipment, and the professional services are covered under a separate home infusion therapy benefit category that has only been permanent since January 1, 2021.
Most providers run those halves in different systems, so the infusion drug administration calendar day, which is the unit Medicare actually pays on, gets proven by hand at the end of every month.
We would rather build this with providers than guess. Tell us how your operation actually tracks visits and administration days, and where we have got it wrong.
Where the requirement comes from
The CMS pages and federal rules that define the benefit.
- CMS, home infusion therapy services The benefit overview: what is covered, who can furnish it and how it is paid.
- CMS, home infusion billing and rates Payment categories, single payment amounts and the infusion drug administration calendar day.
- 42 CFR 424.68, supplier enrolment Enrolment and accreditation requirements for a qualified home infusion therapy supplier.
- 42 CFR Part 486 subpart D Conditions for participation covering plan of care, care coordination and quality standards.
How much does Neurobird Home Infusion Therapy cost?
Priced per branch because staffing, licensure and accreditation are per location. Patients, visits and users are unlimited on every tier.
- Referral intake
- Plan of care
- Nursing visit scheduling
- Administration day log
- Email support
- Everything in Single branch
- Payment category mapping
- Professional services and DME separation
- Authorization tracking
- Named contact
- Everything in Regional provider
- Multi branch roll up
- Supplier accreditation register
- Quality reporting export
- Onboarding included
Get free early access
If you provide home infusion, tell us how administration days and nursing visits are tracked today.
Straight answer on where this is: In development. Early access gets the working preview, a say in what ships first, and early access pricing. It does not get you a login today.
Prefer email? Write to office@neurobird.com and a person will reply. No autoresponder.