Oncology Medical Billing Company | Oncology Billing Services
Oncology focuses on diagnosing and treating cancer through advanced methods like chemotherapy, radiation therapy, targeted therapy, and immunotherapy. These treatments demand accurate documentation for services such as infusion therapy, genetic profiling, and high-cost drugs like monoclonal antibodies.
Our oncology billing services ensure precise coding, compliance with HIPAA and payer-specific rules, and efficient claims processing for procedures like tumor marker testing and diagnostic imaging. We help practices reduce denials, manage pre-authorizations, and streamline revenue cycles, allowing providers to prioritize patient care.
Tailored Oncology Billing Solutions
Efficient, compliant, and accurate billing for oncology practices.
Chemotherapy Billing
Accurate billing for chemotherapy administration using precise CPT and ICD codes for infusions and associated treatments.
Radiation Therapy Billing
Efficient processing of claims for radiation therapy, including planning, delivery, and follow-up care, while ensuring regulatory compliance.
Genetic Testing & Immunotherapy
Comprehensive billing for advanced diagnostic tests and cutting-edge treatments like immunotherapy and targeted therapies.
Oncology Drug Reimbursement
Handling reimbursement for high-cost oncology drugs, including biologics, chemotherapy agents, and oral oncolytics.
Pre-Authorization Support
Managing the complexities of pre-authorization for oncology services and therapies, reducing delays and denials.
Claims Denial Management
Expert management of denied claims, including appeals and resubmissions, to ensure timely reimbursement.
Benefits of Outsourcing Oncology Billing Services
Expertise in Oncology Billing
As an oncology medical billing company, we bring specialized knowledge of cancer care treatments and billing, ensuring that all services are correctly coded and reimbursed for optimal financial performance.
Tailored Oncology Billing Solutions
We offer custom billing services designed to meet the unique needs of your practice, including treatment-specific billing, insurance management, and pre-authorizations.
Improved Revenue Cycle Management
Our billing services streamline the entire revenue cycle, improving billing efficiency, reducing administrative costs, and ensuring timely payments.
Dedicated Support for Oncology Practices
Our team is dedicated to your practice’s success. We provide ongoing support, helping you navigate complex billing processes and addressing any issues promptly to maintain a steady cash flow.
Key CPT Codes in Oncology Billing
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous infusion, up to 1 hour. |
| 77261-77263 | Radiation therapy planning. |
| 88342 | Immunohistochemistry (IHC) staining for tumor analysis. |
| 36415 | Collection of venous blood by venipuncture for diagnostics. |
| 96367 | Additional sequential infusion of drugs or biologics. |
Oncology Billing Challenges and Solutions
Accurate Coding for Oncology Procedures
Oncology involves complex procedures that require precise coding to avoid claim denials. Our expert coders are trained in specific codes to ensure proper documentation and prompt reimbursement.
Managing High-Cost Oncology Drugs
Oncology drugs can be expensive, and incorrect billing may lead to significant financial losses. We specialize in accurately billing for oncology medications, ensuring that all drugs are properly coded and reimbursed.
Handling Complex Insurance Verification
Cancer treatments often require coverage verification from multiple insurance plans with varying requirements. We ensure thorough insurance verification, reducing delays and ensuring the necessary authorizations are in place for uninterrupted treatment.
Dealing with Claim Denials in Oncology Billing
Practices frequently face claim denials due to the complexity of cancer care services. We proactively manage denials, identifying the causes and taking steps to resolve them quickly, ensuring that your practice receives timely payments.
Billing for Palliative and Hospice Care Services
Palliative and hospice care services are critical aspects of oncology treatment. We manage the billing process for these specialized services, ensuring accurate coding and documentation for reimbursement.
Staying Compliant with Oncology Regulations
The billing landscape is continually evolving with changing payer policies and regulations. We stay updated on all regulatory changes to keep your practice compliant, reducing the risk of costly errors and non-compliance.
Get In Touch
Send a message to discuss your specific needs and issues, and how we can assist you in solving them.
-
Send a Message
Share your requirements and challenges. -
Expect a Prompt Reply
Receive several solutions tailored to your needs. -
Schedule a Call
Arrange a discussion for further details.
Leadership Team
Dimitar Talevski
Dimitar is a seasoned marketing specialist and the visionary behind CLICKVISION. With over 10 years in digital marketing, he excels in crafting marketing strategies that boost rankings, which in return increase leads, conversions, sales, profits, and ROI.
Filip Dimitrijevski
Key Regulatory Bodies in Oncology Billing
| Regulatory Body | Role in Oncology Billing |
|---|---|
| Centers for Medicare & Medicaid Services (CMS) | Enforces compliance with Medicare rules and LCDs for oncology services. |
| American Medical Association (AMA) | Establishes and updates CPT codes for oncology procedures. |
| National Comprehensive Cancer Network (NCCN) | Provides treatment guidelines often referenced during pre-authorization. |
| Health Insurance Portability and Accountability Act (HIPAA) | Safeguards patient health information in billing processes. |
Related Specialties We Excel In
Urology Billing Services
Oncology and urology often intersect in the treatment of cancers affecting the urinary system, such as prostate or bladder cancer. Our Urology Billing Services ensure accurate claims for diagnostic procedures, surgeries, and treatments related to urological cancers, working alongside oncology services to provide comprehensive care for patients.
Radiology Billing Services
Radiology plays a critical role in oncology, especially in the imaging and diagnosis of tumors. Our Radiology Billing Services cover a range of imaging procedures, such as MRIs, CT scans, and X-rays, used in the detection and monitoring of cancers, complementing oncology care with accurate and timely imaging services.
Pathology Billing Services
Pathology is vital in oncology, providing essential diagnostic insights through biopsies and lab tests. Our Pathology Billing Services manage claims for tissue samples, lab analysis, and diagnostic testing, supporting oncology practices in the accurate diagnosis and treatment of cancer.
Hematology Billing Services
Oncology and hematology often collaborate in the treatment of blood cancers, such as leukemia and lymphoma. Our Hematology Billing Services simplify billing for diagnostic tests, treatments, and ongoing care for hematological malignancies, working together with oncology services to provide integrated care for blood-related cancers.
Help center
Got a question?
Get your answer
Quick answers to questions you may have. Can't find what you're looking for? Get in touch with us.
Yes, we offer customized oncology medical billing solutions tailored to the unique needs of each practice. Whether you specialize in chemotherapy, radiation therapy, surgical procedures, or other services, we adapt our billing processes to align with your practice's specific requirements. Our flexible approach ensures that you receive personalized service and optimal results tailored to your billing needs.
Outsourcing medical billing to us can lead to financial benefits for your practice. Our streamlined workflows and proactive billing strategies result in faster claim submissions, reduced claim denials, and increased revenue capture, ultimately improving the financial performance of oncology practices. Additionally, by outsourcing, you can reduce overhead costs associated with hiring and training billing staff, investing in billing software, and maintaining infrastructure, leading to greater cost savings and enhanced profitability.
To ensure accuracy and reliability in our medical billing outsourcing services, we have an internal quality control team dedicated to double-checking every aspect of the billing process before submission. This quality control process helps us identify and rectify any errors or discrepancies, ensuring that our clients receive accurate and compliant billing services.
We adhere to strict data protection protocols, including encryption, access controls, and regular security audits, to safeguard patient information from unauthorized access or disclosure. Our team is trained on HIPAA regulations and follows best practices to ensure that patient privacy is maintained throughout the billing process. We have security measure policies in place that can be requested for review at any time.
Outsourcing to an oncology medical billing company provides access to specialized expertise in oncology billing, which helps reduce errors, improve claim approval rates, and optimize revenue. It also allows your practice to focus on patient care without the administrative burden of in-house billing.