Why Outsource Your Oncology Billing and Coding?
Maximize Your Revenue Cycle
All your claims get submitted promptly and you’ll always be properly reimbursed for services rendered.
Lower Your Overhead
Avoid pricey in-house billing software and overtime costs – let us improve your cash flow and optimize your revenue cycle management.
Less Administrative Burden
We’ll handle complex claim follow-ups and eligibility checks so your staff can dedicate more time to cancer patients and treatment planning.
Access Oncology Billing Expertise
Partner with a medical billing company that understands radiation oncology billing and chemotherapy coding.
Scale Without Headaches
Our oncology medical billing services grow with your practice – no costly software upgrades or extra hires needed to manage your billing process.
Gain Financial Clarity
Monitor key metrics like days in A/R and first-pass acceptance rates in real time. This lets you make informed decisions before small coding errors impact your practice.
Tailored Oncology Billing Solutions for Your Practice
We appreciate that oncology practices – everything from solo radiation oncologists to large multi-physician cancer centers – face plenty of reimbursement challenges. This can be complex pre-authorization for novel cancer treatment regimens, or something as quickly manageable as bundled radiation therapy billing and varied payer rules.
Whatever issue your practice is dealing with, our team will make a custom billing process for your practice that works with your workflow. This would impact:
– Private oncology clinics
– Hospital-based cancer centers
– Multidisciplinary oncology departments
Let our oncology billing experts handle your back office so you can dedicate your energy to patient outcomes.
Insights to Optimize Your Oncology Practice
We have expert analytics at PMN that can provide you with data on various types of financial metrics for your oncology services. This includes things like average reimbursement per chemotherapy infusion or radiation oncology session.
Currently struggling to spot when your practice’s cash flow is in a bit of trouble? Monitoring authorization turnaround times and days in A/R by payer will help you spot this before it becomes an issue. This also means you’ll have better data when negotiating fee schedules or adjusting treatment protocols.
Speak With Our Oncology Billing Experts!
Leave it to our team to find revenue streams that your practice could be overlooking in your oncology billing process. Reinvest that back into staff training or expanding cancer patient support programs.
Why Oncology Specialists Partner With Us
Quality Oncology Coding and Audits
We’ll perform regular audits on your practice so you’ll always be applying the correct ICD-10, CPT, and HCPCS codes. This gets rid of coding errors and gets you proper reimbursement for the oncology services rendered.
Performance Benchmarking for Oncology
Compare your oncology practice’s productivity and reimbursement averages against national key performance indicators, so you know how you stack up in cancer treatment billing.
Support Throughout Your Revenue Cycle
From initial charge capture for each oncology service to electronic claim submission, our team will maximize your reimbursements for your medical billing company.
Staying Compliant With Oncology Billing and Coding
Stay compliant with HIPAA and the No Surprises Act, as well as any broader oncology billing guidelines. Our compliance checks cover payer-specific rules for everything from chemotherapy and immunotherapy to radiation therapy services.
Faster Credentialing Services
Ensure seamless insurance coverage for your cancer patients by speeding up the credentialing and enrollment for your oncologists and radiation therapists with government programs and commercial payers.
Effortless Patient Billing Experience
Our flexible payment options and electronic eligibility verification keep your patients informed of their financial obligations, which helps improve patient satisfaction.
Frequently Asked Questions
The best medical billing companies for oncology practices and cancer centers are certified in everything from chemotherapy infusion hierarchy coding to J-code drug and radiation billing. They should also specialize in prior authorization management for higher-cost cancer treatments. At PMN, our certified oncology billing specialists offer full revenue cycle management for solo radiation oncologists and large multi-physician cancer centers, with denial rates under 0.02%.
Certified oncology billing companies specialize in a variety of oncology treatment areas, including J-code drug and biosimilar billing, and drug wastage and chemotherapy infusion coding (96413-96417). The best companies conduct oncology audits to ensure you’re always applying the correct ICD-10, CPT, and HCPCS codes. They also provide financial metrics, like the average reimbursement per chemotherapy infusion or radiation oncology session, authorization turnaround times, and days in A/R by payer to support your revenue cycle.
Outsourcing oncology billing typically costs chemotherapy infusion centers 6-10% of collections due to their complex, high-value drug claims. However, top medical billing and coding services like PMN offer rates starting at just 3% for qualifying practices, with no setup fees. This includes free workflow training, payer contract reviews, and superbill optimization.
Hire an oncology billing service for your clinic, center, or department by looking for companies with years of expertise in a range of medical, radiation, and surgical billing environments. Prioritize speciality-certified coders who guarantee HIPAA and No Surprises Act compliance, and ask for specific denial rate data on infusion and J-code claims.
