Top 10 Infectious Disease Billing Companies in Arkansas (2026)
A patient started on IV antibiotics after a complicated skin and soft-tissue infection needs a prior authorization before the first infusion, a follow-up visit whose note must justify its level, weekly labs and, often, a telehealth check-in. If any piece is missing or mismatched, the claim is denied and the balance sits in accounts receivable. Infectious disease practices live with this pattern: layered services, long treatment courses and payer rules that change by plan. Arkansas practices handle it across Medicare, Arkansas Medicaid and commercial insurers. This guide compares 10 infectious disease billing companies in Arkansas and nearby remote options, separates documented specialty experience from general RCM capability, and explains what to check before outsourcing.
Disclosure and how we ordered this list Sirius Solutions Global publishes this guide and has placed itself #1 as editorial selections. These placements are not the result of independent testing, and they don’t mean either company has more documented infectious disease experience than the others. Positions 3–10 follow documented infectious disease content, then Arkansas availability. The list is an editorial comparison of public information, not an audited ranking. |
In this guide: Comparison · Profiles · Challenges · Revenue leaks · Health check · How to choose · Outsourcing · FAQ
Medicare conversion factor: 2026 final vs 2027 proposed.
Detailed Company Profiles
1. Sirius Solutions Global
Overview: A medical billing and RCM company combining AI-powered workflows with human verification. Software flags issues; billing professionals review, and AI doesn’t make coding or clinical decisions. Services: medical billing and coding, advanced eligibility verification, claims and denial management, prior authorization, credentialing and re-credentialing, A/R management, medical billing audits, revenue leakage assessments and RCM workflow support. For infectious disease: these support documentation review, multi-service encounters, payer requirements, authorizations and open claims. Strengths: integrated front-to-back workflow, audit capability, human oversight. Verify: how coding is reviewed and who runs your account. We don’t claim an Arkansas office, Arkansas clients or dedicated infectious disease experience. Website: siriussolutionsglobal.com |
2. MedCloudMD
Describes itself as physician-led, offering billing and coding, claims, A/R recovery, denial management, credentialing, eligibility verification and charge capture, with technology-assisted workflows for U.S. practices. Infectious disease isn’t verified. Strengths: broad RCM scope, remote delivery. Verify: Infectious disease clients, reporting and how its technology is supervised. Website: medcloudmd.com
3. Coronis Health
Its infectious disease page describes custom superbills and billing for testing and treatment, plus financial analysis and reporting. Strengths: documented specialty focus. Verify: Who would code your account, and Arkansas payer knowledge. Website: coronishealth.com
4. RCM Matter
Offers infectious disease billing and an Arkansas page naming Little Rock, Fort Smith, Fayetteville, Springdale and Jonesboro. Strengths: specialty page plus Arkansas coverage. Verify: How it handles Arkansas Medicaid claims. Website: rcmmatter.com
5. MedCare MSO
Has an infectious disease page and publishes Arkansas-focused content. Lists physician, laboratory and hospital billing. Strengths: specialty content, lab billing. Verify: Evidence behind revenue and rating claims on its site. Website: medcaremso.com
6. TRCB
Virtual RCM partner nationwide: billing, coding, old A/R recovery, credentialing and denial management. Strengths: A/R cleanup, credentialing. Verify: Documentation for its published performance figures. Website: trcb.com
7. Claimocity
RCM services and software for inpatient providers, listing infectious disease among supported specialties. Strengths: inpatient focus. Verify: Outpatient support, and whether service or software is the offer. Website: claimocity.com
8. Medical Billers and Coders (MBC)
Large billing network with an Arkansas page covering Little Rock, Fort Smith, Fayetteville, Springdale and Jonesboro. Strengths: statewide coverage. Verify: Infectious disease experience; any performance claims. Website: medicalbillersandcoders.com
9. Medwave
Billing, credentialing and payer contracting firm with a Little Rock page covering Central Arkansas. Strengths: credentialing and contracting. Verify: Whether infectious disease clients are among its practices. Website: medwave.io
10. Precision Practice Management
RCM, coding and credentialing for Little Rock practices, with A/R and denial management. Strengths: coding audits, credentialing. Verify: Whether infectious disease is a supported specialty. Website: precisionpractice.com
Why Infectious Disease Medical Billing Requires Specialized RCM Knowledge
Area | What to know |
E/M coding | Levels rest on medical decision making or time, so notes must show the work, such as drug therapy needing toxicity monitoring. |
Prolonged services | CPT 99417 and 99418 and Medicare’s G2212 apply only when code-specific time rules and documentation are met; payers differ. |
Infusion and antimicrobials | Where provided, CPT 96360–96379 administration needs documented times and route; drugs are billed with HCPCS J-codes and units. |
Labs and diagnostics | Know what’s separately billable or bundled; send-out tests are billed by the performing lab. |
Inpatient consults | Hospital and office workflows use different codes, and some payers don’t recognize consult codes. |
Prior authorization | Drugs and infusion therapy often need approval before treatment. |
Payer rules | Medicare, Medicaid and commercial policies differ. Confirm current official guidance before billing. |
Where infectious disease revenue can slip.
2026 Medicare snapshot The 2026 conversion factor is $33.4009 for non-qualifying APM clinicians and $33.5675 for qualifying participants (summary). CMS proposed $32.8409 and $33.1693 for 2027 (AMA); confirm final figures. Arkansas Part B claims go to Novitas Solutions (JH). See CMS, the Arkansas Department of Human Services for Medicaid programs, and the Arkansas Insurance Department for state-regulated plans. |
Where Could Infectious Disease Practices Be Losing Revenue?
Revenue leakage area | Common problem | Recommended RCM response |
Eligibility | Inactive or incorrect coverage | Advanced eligibility verification |
Coding | Incomplete or inaccurate coding | Coding review |
Documentation | Missing medical necessity support | Documentation review |
Claims | Incorrect claim information | Claim scrubbing |
Authorization | Missing required authorization | Authorization workflows |
Denials | Unresolved claim denials | Denial management |
A/R | Aging unpaid balances | Structured A/R follow-up |
Underpayments | Reimbursement discrepancies | Payment and contract review |
Each gap is a place a claim can stall. Reviewing them shows where; it doesn’t guarantee recovered revenue.
How Efficient Is Your Infectious Disease Billing Process?
Tick | Check each Yes (clear all to reset) |
☐ | Are insurance eligibility checks completed before appointments? |
☐ | Are coding and documentation reviewed? |
☐ | Are claims checked before submission? |
☐ | Are payer-specific requirements monitored? |
☐ | Are authorization requirements verified? |
☐ | Are denials tracked by reason? |
☐ | Is aging A/R reviewed consistently? |
☐ | Are underpayments investigated? |
☐ | Are billing performance reports reviewed regularly? |
☐ | Are recurring claim errors addressed at their source? |
Yes answers: ____ of 10
Yes answers | Result |
0–3 | Several workflow areas may need review. |
4–7 | Your practice may benefit from targeted RCM improvements. |
8–10 | Continue monitoring performance and identifying opportunities. |
Educational self-check, not a financial guarantee or formal audit.
10 Things to Evaluate Before Choosing an Infectious Disease Billing Company
Evaluation criteria | What to ask |
Specialty knowledge | Do they understand infectious disease billing workflows? |
Coding accuracy | How are CPT, ICD-10-CM and HCPCS codes reviewed? |
Documentation | How do they identify documentation gaps? |
Eligibility | Can they verify coverage before services? |
Claims | What pre-submission checks are performed? |
Denials | How are root causes identified and corrected? |
A/R management | How often are unpaid claims followed up? |
Technology | What reporting and automation tools are available? |
Compliance | How are HIPAA and billing requirements addressed? |
Transparency | What reports, fees and contract terms are provided? |
Benefits of Outsourcing Infectious Disease Billing
Outsourcing can reduce administrative workload, organize claims workflows, improve visibility into open claims, add structured denial follow-up and eligibility checks, bring consistent A/R monitoring, give access to coding specialists and produce clearer RCM reports. It doesn’t guarantee higher collections or fewer denials, and you remain responsible for compliance, so audit your vendor.
Frequently Asked Questions
▸ What does an infectious disease billing company do?
It turns visits, labs and treatments into claims, then handles coding review, submission, denials, A/R and reporting, often with credentialing.
▸ Why is it different from general billing?
Documentation, medical necessity, lab and infusion rules, authorizations and long-term care add specialty-specific detail.
▸ How much do billing services cost?
Models include percent of collections, flat fee or per claim. We don’t quote prices; request written terms.
▸ What CPT codes are relevant?
Often office and hospital E/M codes, prolonged-service codes when criteria are met, and infusion codes (96360–96379) where provided. Verify with a certified coder.
▸ How can practices reduce denials?
Verify coverage and authorizations early, align notes with codes, scrub claims and track denial causes.
▸ What causes billing errors?
Thin documentation, nonspecific diagnosis coding, eligibility gaps, wrong place of service and missed authorizations.
▸ Do practices benefit from outsourcing?
Some do, depending on volume, staffing and cost. Compare scope, reporting and terms.
▸ What should a company provide?
Eligibility checks, coding review, claim scrubbing, denial and A/R management, credentialing and clear reporting.
▸ How does prior authorization affect billing?
Missing or expired authorization is a common denial cause for drugs and infusion therapy.
▸ How do I choose in Arkansas?
Compare documented specialty experience, Medicare and Arkansas Medicaid knowledge, HIPAA safeguards, reporting and references.
▸ Can a company handle infectious disease coding?
Some can. Ask for infectious disease coders, references and sample reports.
▸ Does Sirius provide RCM services?
Yes: billing, coding, eligibility, claims and denial management, prior authorization, credentialing, A/R, audits and reporting. We are multi-specialty.
Disclaimer This article is general information, not legal, financial, coding, billing or medical advice. Payer rules, CPT® codes (© AMA) and fee schedules change, so confirm with CMS, Arkansas agencies, your payers and qualified counsel or certified coders. Company details come from public sources as of November 2026 and are unaudited. Sirius Solutions Global is listed, ordered itself first and has a financial interest. No result is guaranteed. To request a correction, contact us through our website. |
