MBS for Physicians
Oncology
Billing Services
Optimize Your Practice Revenue & Billing Efficiency
Getting Started
Our oncology billing services focus on the complex procedures involved in cancer care. We offer custom solutions to streamline billing, ensuring accurate reimbursement and compliance for oncology practices, hospitals, and cancer centers.
As oncology treatments like targeted therapies and immunotherapies advance, we handle the billing and coding challenges, so oncologists can concentrate on providing excellent patient care.
Medical Billing At A Glance
Explore the key performance metrics that reflect our dedication to accurate coding, reduced denials, and maximized reimbursements for healthcare providers.
Claims Processing Metrics
First Pass Resolution Rate
Percentage of claims paid successfully on first submission.
Average Days to Payment
Average number of days it takes for claims to be paid, typically within 21 days.
Financial Metrics
Net Collection Rate
Percentage of total charges collected successfully.
Denial Resolution Velocity
Average number of days taken to fix and resolve a denied claim, typically within 30 days.
Operational Metrics
Average Monthly Claims
Volume of claims submitted.
Staff Productivity Rate
Claims processed per biller per day.
Oncology Billing Services
Driving Claim Accuracy and Compliance for Enhanced Revenue Outcomes
Oncology billing and coding is highly specialized due to the complex and long-duration treatment procedures involved in cancer care. As patients undergo various tests, pre- and post-procedural visits, and multiple stages of treatment, ensuring proper documentation and payment tracking at every stage is critical for timely reimbursements.
Oncology billing requires navigating through intricate processes, making it essential for healthcare providers to rely on administrative support to manage the reimbursement cycle effectively.
- Tracking copayments, deductibles, and fee schedules.
- Regular code audit checks to ensure the use of appropriate codes.
- Generating custom reports to analyze cash flow and manage accounts receivable.
Our oncology billers and coders specialize in both medical and radiation oncology billing. By incorporating expert knowledge throughout the process, they provide comprehensive services to ensure optimal reimbursement.
- Track copayments, deductibles, and fee schedules.
- Conduct regular code audits to ensure accurate coding.
- Generate understandable patient statements, reducing confusion and facilitating smoother payments.
Oncology billing is especially complex due to the diverse and long-term treatments cancer patients undergo. Continuous authorizations and follow-ups with the physician, especially for procedures like chemotherapy and radiation therapy, require meticulous billing and coding to ensure reimbursement at every stage.
- Rigorous tracking of payments is required at each stage of clinical service.
- Providers rely on administrative support for efficient reimbursement processing.
- Accurate documentation and payment follow-up are essential to minimize claim rejections.
Our oncology billing specialists are certified, tech-savvy, and experienced in handling all aspects of oncology billing and coding, ensuring error-free, denial-free billing practices across the nation.
- Certified by the American Association of Professional Coders (AAPC) and trained on the latest coding standards.
- EHR Software: NextGen Healthcare, Epic, Cerner, AthenaOne, NueMD, TherapyNotes, DrChrono, eClinicalWorks, Allscripts, Athenahealth, Practice Fusion, and TherapyNotes.
- Skilled in applying standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding as per CMS guidelines to ensure compliance and accuracy.
- Proven track record of processing medical bills with leading commercial carriers such as United Health, WellPoint, Aetna, Humana, HCSC, and Blue Cross Group.
- Expertise in negotiating with Medicare and state-specific Medicaid policies, ensuring optimized reimbursement for oncology practices.
Oncology billing encompasses a wide range of services, from systemic treatments like chemotherapy to diagnostic imaging, ensuring a comprehensive approach to cancer treatment management. Our experts handle coding for various cancer types and treatment methods to ensure accurate reimbursement.
● Billing and coding for chemotherapy, hormone therapy, and radiotherapy.
● Coding services for cancers of the female reproductive system, blood, and lymphatic system.
● Billing for radiation services, including ultrasound, CT, PET, MRI, and nuclear medicine.
● Coding for surgical services, histopathology services, and biopsy procedures for cancer diagnosis.
By outsourcing their oncology billing, physicians benefit from an efficient and proactive billing management cycle. This results in improved revenue cycle operations, increased collection rates, and more opportunities for research and development in the field of oncology.
● Simplified revenue cycle management.
● Increased collection rates and faster payments.
● Enhanced patient influx and more referrals.
● More opportunities for research and development by physicians.
Our billing experts have a proven track record of working with numerous top commercial carriers and government programs, ensuring that healthcare providers are compensated appropriately and in a timely manner.
● Success with carriers like United Health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, and more.
● Proficient in negotiating with Medicare and state-specific Medicaid policies.
● Strict adherence to payer-specific guidelines for optimal reimbursement.