# Infusion center billing software that checks the claim against the documented time

> Infusion center billing is the conversion of an infusion visit into administration and drug charges. Administration is time based, with an initial hour code and add on codes for each additional hour, and the drug is billed separately by units and wastage. Federal payment rules sit in 42 CFR Part 414 and coverage in 42 CFR Part 410, with hospital based infusion paid under the outpatient prospective payment system. Neurobird checks every charge against the documented start and stop times before the claim leaves.

- URL: https://neurobird.com/infusioncenter/
- Product: Neurobird Infusion Center Revenue Recovery Platform
- Niche: infusion center
- Buyer: infusion centers and ambulatory infusion suites
- Status: in development, open for early access
- Updated: 2026-08-21

## What Neurobird Infusion Center does

- Tie infusion administration codes to documented start and stop times, not to estimates
- Track drug units and wastage against the vial actually used
- Watch authorization windows and unit limits before the patient is scheduled
- Reconcile chair time, nursing time and billed time so the schedule and the claim agree

## How it works

1. **Read the documented time** Infusion start and stop times drive the administration codes. Where a stop time is missing, that is flagged the same day rather than surfacing as a denial in 6 weeks.
2. **Reconcile units and wastage** Drug units billed are checked against the vial size administered and the wastage documented, so rounding habits stop being an audit finding.
3. **Watch the authorization** Approved units and expiry dates are held against the patient and checked when the next visit is scheduled, not after it happens.

## From the source material

> An injection is typically a quick, single-dose administration, while an infusion is a slow, methodical drip that may last from minutes to several hours.

Source: scienceinsights.org, https://scienceinsights.org/what-is-an-infusion-treatment-and-how-does-it-work/

## Industry context

- **42 CFR 414** Payment rules for Part B medical and other health services, the federal basis for how administration and drug charges are paid. (source: eCFR, 42 CFR Part 414, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-414)
- **42 CFR 410** Supplementary medical insurance benefits, which set what is covered in an outpatient setting before any question of payment amount arises. (source: eCFR, 42 CFR Part 410, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-410)
- **OPPS** Hospital based outpatient infusion is paid under the outpatient prospective payment system, updated annually, which is why the same service pays differently by site. (source: CMS, Hospital Outpatient Prospective Payment System, https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient)
- **Annual update** The physician fee schedule is republished each year with revised values, so a charge policy written 3 years ago is already out of date. (source: CMS, Physician Fee Schedule, https://www.cms.gov/medicare/payment/fee-schedules/physician)
- **Public rules** Coverage determinations, manuals and transmittals are published openly by the payer of record, which is what an appeal is argued against. (source: Centers for Medicare and Medicaid Services, https://www.cms.gov/)

## Pricing

- Single suite: $250 per suite, per month
- Multi site: $520 per suite, per month
- Network: $900 per suite, per month

## Questions

### What is infusion center billing?

Infusion center billing is the conversion of an infusion visit into administration and drug charges. Administration is time based, with an initial hour code and add on codes for each additional hour, and the drug itself is billed separately by units. Both depend entirely on what the clinical record documents.

### Why is documented time so important?

Because the administration codes are defined by infusion duration. Reporting an additional hour generally requires documented time beyond the initial hour, and the start and stop times in the record are the only evidence. A note without a stop time cannot support the second code.

### Where do the payment rules come from?

Federal payment for Part B services sits in 42 CFR Part 414, benefit coverage in 42 CFR Part 410, and hospital based outpatient infusion is paid under the outpatient prospective payment system. Commercial payers usually follow the same code definitions with their own policies on top.

### How do prior authorizations get missed?

Because they are tracked per patient in a spreadsheet while the schedule is tracked per chair in a different system. An authorization with 12 approved units and an expiry date does not announce itself when visit 13 is booked.

### Does this replace our EHR?

No. It reads the documented infusion times and orders, checks them against authorization and coding rules, and hands a clean charge to whatever you bill with.

## Sources

- [42 CFR Part 414, payment for Part B services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-414)
- [42 CFR Part 410, supplementary medical insurance benefits](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-410)
- [CMS, hospital outpatient prospective payment system](https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient)
- [CMS, physician fee schedule](https://www.cms.gov/medicare/payment/fee-schedules/physician)

## Contact

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