Much infectious disease work starts as a hospital consult, continues through outpatient IV antibiotics, and settles into long-term clinic care for HIV or hepatitis. Medicare stopped paying consultation codes in 2010, and HIV prevention now has its own preventive benefit. Each setting changes how the claim is built.
Book a demoID physicians often bill across a hospital, an infusion setting, and a clinic in the same month.
Medicare does not recognize consultation codes, so inpatient consults bill as initial hospital care or subsequent visit codes that match the documentation. Some commercial payers may still take consult codes, so the right code depends on the payer.
Patients discharged on IV antibiotics may get infusions at home, at an infusion center, or in your office. Who bills the drug, the nursing, and the physician oversight depends on that setting.
Since September 30, 2024, Medicare covers HIV PrEP as a preventive service, including up to eight counseling visits and eight HIV screening tests every 12 months, with Part B cost sharing waived. Ongoing HIV and hepatitis care follows normal visit rules.
ID claims draw on hospital notes, infusion records, and clinic visits, often for the same patient.
Your physicians document consults, antibiotic plans, and follow-up visits, and approve codes before claims go out.
After a fit check, Taiga would draft codes from hospital and clinic notes, choose payer-appropriate visit codes, check eligibility, and work each denial and appeal.
Home infusion pharmacies and infusion centers bill their own drugs and nursing. Agree which physician services stay with your practice and who coordinates with those teams.
Bring de-identified consult notes and a few denied claims. You can book without sharing any patient details.
List hospitals, infusion sites, and clinics, and how notes from each reach billing.
Explain how your team codes inpatient consults for Medicare versus commercial plans today.
Describe PrEP counseling, testing, injectable PrEP, and long-term HIV care volume.
Useful for an ID group that bills its own professional claims across hospital and clinic work and wants consult coding to match each payer. There is no EHR switch involved.
Home infusion pharmacies, infusion centers, and labs bill their own services. This page covers the physician practice's claims.
Taiga does not list infectious disease among its named specialties. Describe your hospital and clinic work on a call to learn whether it fits.
No. Medicare stopped recognizing consultation codes in 2010, so consults are billed with visit codes for the setting, such as initial hospital care.
FDA-approved PrEP drugs, administration of injectable PrEP, up to eight counseling visits and eight HIV screening tests every 12 months, and one hepatitis B screening, with Part B cost sharing waived.
It depends on where the infusion happens. A home infusion pharmacy or infusion center bills its own services, while your practice bills the physician care it provides.
Bring your hospital census, infusion follow-ups, and clinic volume. Taiga will tell you which work it can take on.
System guides show possible billing handoffs, not proven specialty compatibility.