Practice Mate provides advanced oncology medical billing services you need to increase revenue, reduce denials, and focus mainly on patient care. Our revenue cycle management (RCM) solutions are designed for oncology practices in the US to enhance their cash flow and reduce administrative burdens.
Oncology billing & coding is more complex than typical medical care because it involves various treatment plans and interventions like chemotherapy, immunotherapy, as well as radiation therapy billing and surgery.
Oncology providers are bound by insurance companies to obtain prior authorizations before offering cancer treatment to their patients.
Oncology procedures, drug reimbursement & buy-and-bill require precise chemotherapy infusion coding ICD-10 CPT HCPCS.
Oncology care clinics must adhere to oncology billing compliance USA for better transparency, cost-efficiency, and cash flow optimization. A trusted partner for oncology billing ensures accurate billing for healthcare providers.
Radiation oncology billing and coding challenges for oncology healthcare providers are as follows:
Our medical billing oncology services include industry-leading oncology coding specialists, ensuring precision in assigning the latest, accurate coding for cancer treatment and smooth billing workflows.
We offer professional oncology prior authorization services enabling healthcare practices to check insurance coverage, expiration, copays, and deductibles for exceptional patient care and timely submissions.
The oncology revenue cycle management services we offer guarantee accurate insurance claims and timely submissions for maximum reimbursement. We strengthen your financial bottom line without revenue loss.
Practicemate’s oncology claim denial reduction strategies help minimize payment delays due to claim rejections and denials. Our dedicated claims management team files prompt appeals to recover reimbursement.
Besides streamlining your oncology billing process, we also improve oncology buy-and-bill reimbursement for healthcare providers. We help cancer centers in lowering revenue loss on high-cost drugs.
Our hematology oncology RCM solutions help generate error-free charge entry/charge capture, payment posting, and endorsing patient satisfaction with comprehensive insurance eligibility checks with HIPAA compliance.
Best oncology billing services for healthcare providers and medical practitioners, ensuring accuracy, timeliness, and scalability with nationwide coverage (U.S.-based).
Oncology medical billing services for oncology care centers offering tumor removal surgery to cancer patients with coding accuracy for faster claims processing.
Oncology billing specialists for radiology, diagnostic, and chemotherapy procedures, ensuring high-cost drug billing for minimizing accounts receivable by implementing best practices.
Our oncology billing services offer the best claims management for Onco-gynae practices, reducing administrative burden for OB/GYN healthcare providers.
Pediatric oncology billing services with years of experience in accurate coding, improving reimbursement rates, and 100% compliance with coding guidelines.
Dedicated account managers offering advanced RCM services to diagnostic labs and your medical practice for billing patients for blood tests, x-rays, etc.
Our oncology billing services are fully compliant with federal, state, and local healthcare laws and regulations:
✅ AAPC, AHIMA-certified coders, and billing operations
✅ HIPAA compliance, billing ensuring patient data security
✅ Accurate ICD-10, HCPCS, and CPT codes usage
✅ Fewer Accounts Receivable Days
✅ Timely Payment Posting
✅ Full Compliance with CPT Codes
✅ 50% Reduction in Claim Denials
✅ Seamless Oncology EHR Billing Integration
✅ Patient-centric Approach
✅ Financial Reporting & Analytics
✅ 95% Improvement in Revenue Collection
✅ Reduced Denials with Quarterly Code Updates
✅ Transparent Communication
✅ Dedicated Account Managers for Different Practices
✅ 99% First-Pass Rate with industry’s best practices
FaqsThe oncology billing process is more complex due to the disease treatment options and multi-disciplinary interventions requiring handling infusion codes, high-cost drugs, treatment cycles, and strict documentation for medical necessity for oncology procedures.
Our practice to manage chemotherapy and immunotherapy billing includes using accurate J-codes for validation of high-cost medications, e.g., infusion duration, and submitting claims to different payers on their specified format and time for receiving reimbursement on time. Finally, we send patient statements for transparent communication between the provider and patients.
All oncology procedures and interventions are subject to prior authorization from their specific health insurers, like Medicaid, Medicare, and all other commercial payers. Our oncology medical billing services help you obtain advanced authorization for chemotherapy, immunotherapy, biologics, tumor surgical removal, radiation therapy, etc. By taking prior authorization, we help you reduce claim denials and provide treatment without fear of not getting paid.
Common oncology coding errors include missing phone number of the patient, typos in the patient’s first or last name or both, incorrect J-code, infusion start times, missing modifier, lack of medical necessity, use of invalid code for high-cost oncology drugs, etc. These errors contribute to higher-than-normal claim denials.
Our best practices include free billing audits for optimized management services. Our oncology billing professionals review your billing process and identify gaps leading to revenue leakages and offer tailored solutions, addressing your challenges appropriately and, finally, proposing concrete solutions leading to revenue maximization.
