# 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.

- URL: https://neurobird.com/homeinfusion/
- Product: Neurobird Home Infusion Therapy Revenue Recovery Platform
- Niche: home infusion therapy
- Buyer: home infusion providers
- Status: in development, open for early access
- Updated: 2026-08-21

## What Neurobird Home Infusion Therapy does

- 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
- Hold the accreditation and enrolment evidence a qualified home infusion therapy supplier has to maintain

## How it works

1. **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.
2. **Schedule against the day** Each skilled visit records the infusion drug administration calendar day it supports, which is the unit Medicare actually pays on.
3. **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.

## From the source material

> 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.

Source: CMS, home infusion therapy benefit FAQ, https://www.cms.gov/files/document/home-infusion-therapy-services-benefit-beginning-2021-frequently-asked-questions.pdf

## Industry context

- **2021** The permanent Medicare home infusion therapy services benefit began on January 1, 2021, after a temporary transitional benefit ran during 2019 and 2020. (source: CMS, home infusion therapy, https://www.cms.gov/medicare/payment/fee-for-service-providers/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. (source: CMS, home infusion therapy benefit FAQ, https://www.cms.gov/files/document/home-infusion-therapy-services-benefit-beginning-2021-frequently-asked-questions.pdf)
- **3** Home 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. (source: CMS, home infusion therapy billing and rates, https://www.cms.gov/medicare/payment/fee-for-service-providers/home-infusion-therapy/billing-and-rates)
- **424.68** A qualified home infusion therapy supplier must be accredited and enrolled under 42 CFR 424.68, separately from any other Medicare enrolment it holds. (source: eCFR, 42 CFR 424.68, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-424/subpart-P/section-424.68)
- **486** Conditions for participation for home infusion therapy suppliers sit at 42 CFR Part 486 subpart D, covering plan of care, care coordination and quality reporting. (source: eCFR, 42 CFR Part 486 subpart D, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-486/subpart-D)

## Pricing

- Single branch: $220 per branch, per month
- Regional provider: $480 per branch, per month
- National provider: $900 per branch, per month

## Questions

### 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.

## Sources

- [CMS, home infusion therapy services](https://www.cms.gov/medicare/payment/fee-for-service-providers/home-infusion-therapy)
- [CMS, home infusion billing and rates](https://www.cms.gov/medicare/payment/fee-for-service-providers/home-infusion-therapy/billing-and-rates)
- [42 CFR 424.68, supplier enrolment](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-424/subpart-P/section-424.68)
- [42 CFR Part 486 subpart D](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-486/subpart-D)

## Contact

- office@neurobird.com
- https://neurobird.com/