Why Outsource Your Hematology Medical Billing Services?
Fewer Staff Responsibilities
Your front office and clinical teams should be busy managing critically ill patients. Free them from the heavy administrative burden of fighting with insurance companies.
Access Specialist Knowledge
From multi-drug chemotherapy regimens to bone marrow biopsies and CAR-T therapy, we ensure accurate coding.
Manage High-Cost Drug Reimbursement
Managing billion-dollar drug inventories is risky. We ensure every unit is billed correctly, which protects your practice from devastating financial losses on high-cost pharmaceuticals.
Improve Your Cash Flow
Our claims submission process gets you paid correctly the first time, which stabilizes your cash flow.
Lower Your Operational Costs
Hiring and training an expert in-house biller is expensive and difficult. Eliminate those costs and gain a team of experts for a fraction of the price with us.
Financial Clarity
We provide simple, clear reports that show you exactly where your money is coming from and how to address financial weak spots.
Revenue Cycle Management for Hematology Practices
Treating blood disorders is a long-term journey and not just a single visit. A patient’s care plan can involve dozens of infusions and advanced therapies over many months or years. This creates a highly complex billing environment where a single mistake can have a ripple effect.
Our revenue cycle management is built around this, so we manage the entire patient financial journey. This includes insurance verification before the first infusion and tracking every single service to ensure nothing is missed.
Analytics That Drive Smart Decisions
Our analytics platform is designed to give you clear insights into the financial health of your hematology practice.
We transform complex billing data into straightforward information that lets you negotiate better payer contracts and make better investments with more confidence.
Partner with PMN Today!
We provide the focused partnership and expertise you need to thrift. Let’s start a conversation about improving your revenue and reducing your stress.
Why Hematology Specialists Partner With Us
Painless Provider Enrollment
We work directly with Medicare and commercial payers to get your new physicians and nurse practitioners approved and ready to see patients without delay.
Complete Revenue Cycle Ownership
We handle everything from the initial eligibility check to appealing underpayments and pursuing secondary payers.
Built-In Compliance and Audit Protection
Payer rules for hematology change constantly. We’re experts on compliance and keep our systems and your billing process up-to-date with the latest regulations to protect you from audits.
A Better Patient Financial Experience
Patients undergoing treatment are under enough stress. We provide them with simple statements and online payment options to improve collections and patient satisfaction.
Targeted Hematology Coding Reviews
We perform regular internal audits focused on the most complex areas of hematology coding, such as infusion time and drug units, to stay accurate and prevent future claim denials.
A Central Hub for Performance Tracking
Track your most important metrics in one place and get the control you need to run a profitable medical practice.
Frequently Asked Questions
The best medical billing company for hematology and hematology-oncology practices understand infusion hierarchy rules, J-code drug billing and the prior authorization requirements that come with high-cost specialty oncology drugs. PMN provides certified hematology billing specialists with a denial rate under 0.02% and full revenue cycle management for hematology-oncology practices.
It costs between 6% and 10% of collections to outsource hematology billing and infusion revenue cycle management, mainly because of the high value of drug claims and the complexity of J-code billing. PMN offers rates starting at 3%, with prior authorization management and drug wastage coding included rather than billed separately.
To hire a hematology billing service, verify if they have direct experience with infusion CPT codes and J-code drug billing – not just oncology billing in general. Ask for denial rate data on infusion claims specifically, and check how they handle prior authorization workflows. PMN offers certified hematology coders and free payer contract negotiations.
Yes, hematology billing companies handle chemotherapy infusion coding. Accurate chemotherapy infusion coding requires understanding the hierarchy of initial versus sequential infusions, push versus drip distinctions and how multi-drug visits are coded across a single encounter. A billing company without that specific depth will systematically undercode – and underbill – your highest-value claims.
