Specialized billing solutions for cancer centers and oncology practices to optimize revenue, reduce denials, and streamline billing for complex cancer treatments and procedures.
Code | Description |
---|---|
96413 | Chemotherapy administration, intravenous infusion; up to 1 hour |
96417 | Chemotherapy administration, intravenous infusion; each additional sequential infusion, up to 1 hour |
77427 | Radiation treatment management, 5 treatments |
77385 | Intensity modulated radiation treatment delivery (IMRT) |
77295 | 3-dimensional radiotherapy plan, including dose-volume histograms |
G0021 | Oncology clinical trial, initial evaluation |
Our comprehensive approach ensures maximum revenue and minimal administrative burden for your oncology practice.
We verify oncology-specific insurance benefits and coverage for urological procedures, tests, and devices before services are rendered, including:
Our oncology coding specialists ensure accurate code assignment for all urological services:
We achieve a 98% clean claim rate for oncology services through our thorough process:
Our specialized approach to urological claim denials includes:
Our oncology-specific reporting and analytics help optimize your practice:
Get answers to common questions about our oncology medical billing services, coding challenges, and revenue optimization strategies.
Common oncology claim denials include medical necessity issues for diagnostic tests, incorrect bundling of services, missing documentation for urological devices, improper use of modifiers, and lack of prior authorization for certain procedures. Our specialized denial management team addresses these issues proactively to minimize denials.
Our approach to complex urological surgery billing involves comprehensive documentation review, verification of procedure details, proper coding of the primary and secondary procedures, and ensuring all required elements for reimbursement are captured. We also manage concurrent procedures and maintain accurate surgical tracking.
Our dedicated oncology coding specialists participate in ongoing education, specialty-specific training, and oncology coding certifications. We monitor updates from the American Urological Association, attend oncology coding webinars, and maintain relationships with oncology specialty organizations to stay ahead of changes.
For urodynamic studies, we implement a specialized review process that includes verification of the specific tests performed, proper sequencing of codes, and ensuring proper documentation of medical necessity. Our team understands the complex rules around urodynamic study coding, including proper use of modifiers and correct component coding.
Contact us today for a free consultation and learn how our specialized oncology billing services can benefit your practice.
I can help with oncology billing questions, insurance information, or scheduling assistance.