Oncology Billing Services
for Complex Cancer Care
iSolve RCM is a professional oncology billing company that supports oncology practices by handling every aspect of oncology billing with precision. Our billing professionals handle claims processing, coding, and reimbursements carefully, helping healthcare providers support their revenue cycle.
- Medical Credentialing
- Medical Billing Audits
- Denial Management
- Accounts Receivable Management
Simplifying Oncology Medical Billing for Better Outcomes
Some of the most complex medical claims are managed by medical oncology billing services. Every little thing matters, from radiation therapy to chemotherapy drugs. Healthcare providers can reduce claim denials, increase collections, and maintain compliance by outsourcing oncology medical billing services. Healthcare providers benefit from consistent reimbursements, better revenue cycles, and fewer patient billing problems during already demanding therapeutic journeys with skilled billers and coders handling claims processing.
Denial Management
Coding or mistakes in documentation frequently become the root cause of denied oncology claims. In an attempt to assist healthcare practices, recover missed reimbursements, and prevent repeated denials, our denial management team reviews payer input, fixes errors, and swiftly resubmits claims.
Professional Oncology Billing with Complete RCM Support
At iSolve RCM, our revenue cycle management services are intended to deal with the specific challenges each and every oncology practice experiences.
Accounts Receivable Management
Unpaid claims have an opportunity to disrupt cash flow. By continuously monitoring accounts receivable, adhering to payer standards, and skillfully handling delays, we guarantee oncology clinics obtain prompt reimbursement without stressing internal staff.
Medical Coding
Proper oncology medical billing depends on precise coding. Our certified medical coders apply correct CPT, ICD-10, and HCPCS codes for chemotherapy, infusions, and radiation services to reduce denials and underpayments.
Medical Billing Audits
Medical billing audits uncover hidden risks. We review oncology claims, documentation, and payment trends to guarantee compliance, identify revenue leaks, and support sustainable billing precision.
Medical Credentialing
Credentialing delays can stop reimbursements completely. We manage payer enrollments effectively, guaranteeing oncology providers are properly credentialed and paid without unnecessary interruptions.
Oncology Billing Outcomes That Improve Patient Experience
Our oncology medical billing services help healthcare providers improve financial performance while maintaining compassionate patient experiences.
Start Improving Your Oncology Claims with Us
Denied or delayed oncology claims can significantly impact the revenue of your practice. At iSolve RCM, we specialize in medical billing for oncology, helping healthcare providers recover missed reimbursements and simplify their revenue cycle.
Start Improving Your Oncology Claims with Us
Radiology Billing Services
Radiology billing supports oncology by handling claims for diagnostic imaging treatments which include MRIs, CT scans, and X-rays. Our radiologists focus on making precise diagnoses through imaging, while our billing professionals provide appropriate coding and fast reimbursements.
Gastroenterology Billing Services
Claims for digestive tract surgeries that are frequently employed in the diagnosis and treatment of gastrointestinal cancers are managed by our billing team. We make certain that claims are filed properly while our gastroenterologists focus on diagnosing and treating GI cancers.
Our Professional Oncology Billing and Coding
Chemotherapy Administration Coding
- For both initial and subsequent chemotherapy infusions, we strictly adhere to CPT 96413–96417, guaranteeing that time units and administration methods are properly documented.
- In order to avoid underbilling or claim denials, HCPCS J-codes are properly assigned to chemotherapy drugs, reflecting dosage, route, and payer requirements.
Radiation Therapy Coding
- CPT 77261–77499 codes are used correctly for radiation treatment planning, simulation, and delivery based on clinical documentation.
- Our billing professionals confirm medical necessity, physician intent, and treatment frequency align with payer guidelines to support clean claims.
Evaluation and Management Services
- CPT 99202–99215 codes are selected based on visit complexity, treatment decision-making, and patient condition during oncology encounters.
- We guarantee E/M services are properly linked to cancer diagnoses and not bundled incorrectly with procedures or treatment services.
Drug and Biologic Billing
- Oncology drugs, biologics, and supportive medications used during radiation therapy are all precisely assigned by HCPCS J9000–J9999 codes.
- Units, wastage, and dosage calculations are validated to meet payer requirements and increase appropriate reimbursements.
Diagnostic and Pathology Coding
- ICD-10 C00–D49 diagnosis codes are applied to precisely indicate cancer type, stage, and treatment status.
- Supporting CPT codes for lab services, imaging, and pathology are reviewed to guarantee they match payer coverage standards and documentation requirements.
Infusion and Injection Services
- CPT 96360–96379 codes are used for hydration, injections, and non-chemotherapy infusions with proper time tracking.
- Our oncology billing team confirms services are billed separately when allowed and not incorrectly bundled, reducing lost revenue.
Oncology Billing Challenges and How We Fix Them
| Challenges | Solution |
|---|---|
| Intricate chemotherapy and infusion coding | Every procedure will be sure to be properly categorized based on the latest CPT and HCPCS standards by our oncology billing specialists. We decrease claim denials by reviewing documents and payer requirements. |
| Claim denials | We enable practices in recovering revenue more quickly by monitoring denial trends, understanding the roots of the problem, and implementing preventative measures in place to eradicate frequent errors. |
| Slow payer reimbursements | Our staff constantly reviews claims, follows up with payers, and prioritizes pending problems in order to guarantee timely payments and an uninterrupted cash flow. |
| Lack of documentation | We reduce the risk of compliance while protecting revenue through observing gaps in documentation and offering providers with best practices through comprehensive audits. |
| Credentialing and provider enrollment delays | We carefully handle each step of the credentialing process, making sure that healthcare providers are promptly authorized by payers so that billing can go without interruptions. |
Better Cash Flow Starts with Clean Claims and Fewer Denials.
Payments are made faster and the number of denials are decreased when claims are properly submitted the first time. Our simplified billing process maintains steady increase in revenue and stable cash flow.
- Chicago
- Loss Angeles
- Alabama
- California
- Indiana
- New York
Smooth System Integration for Proper Oncology Billing
Our oncology medical billing services integrate smoothly with your existing EMR and EHR systems, guaranteeing uninterrupted data flow, correct claims processing, and consistent revenue cycle performance.
Why Oncology Practices Choose iSolve RCM
With our years of knowledge in cancer billing, we at iSolve RCM offer proper claims, faster reimbursements, and lower denials.
Regulatory Compliance
Practices protect themselves from audits and penalties by strict adherence to payer rules and healthcare regulations.
Faster Payments
Timely claim submission and active follow ups result in faster reimbursements and consistent cash flow.
System Integration
Our billing services work smoothly with existing EMR and EHR platforms to guarantee smooth data exchange and proper claims processing.
Patient Clarity
Clear and understandable billing communication helps minimize confusion and supports a better patient experience.
Dedicated Support
Practices receive consistent assistance from billing specialists who understand oncology workflows and payer requirements.
Frequently Asked Questions
What is oncology billing?
Oncology billing is the intricate procedure of collecting, tracking, and inspecting insurance claims for complex cancer treatments involving chemotherapy, radiotherapy, and infusion therapy.
- Complex Coding and Documentation
- Frequent Payer Rule Changes
- Denials and Appeals Management
- Balancing Care and Compliance and more.
How do global and split billing differ in oncology?
The professional and technical parts of a service, such as radiation therapy, are put together into a single claim by global billing. Split billing differentiates each of these components by submitting one claim for the professional services of a healthcare provider and yet another for the facility or technical services.
What are the benefits of outsourcing oncology billing?
- Proper coding.
- Improve cash flow.
- Faster reimbursements.
- Fewer claim denials.
- Maintain compliance.
- Increased revenue and more.
Do you offer medical coding and billing services?
Absolutely! At iSolve RCM, we offer exceptional medical coding and billing services.