The Real-World Pressures Facing Rheumatology Practices
Rheumatology billing is detailed and demanding. Infusions, joint injections, and in-house lab services require strict documentation and prior authorization. Coding missteps and claim denials are common and costly. Meanwhile, rising overhead – especially for biologic drugs – outpaces stagnant or declining reimbursements.
Independent practices face growing pressure from corporate consolidation, rising staffing costs, and reduced negotiating leverage with payers. Without scale or strategic financial insight, staying independent – and profitable -can feel like an uphill battle.