Specialty

Oncology Medical Billing & RCM

Chemotherapy administration, drug management, and complex treatment regimens demand specialty-trained coders and strict compliance discipline.

250+
Oncology providers supported
<30
Days in A/R
99%
Clearinghouse pass-through
What we bill

Procedures & services we specialize in

Chemotherapy administration & infusion coding
Specialty drug J-code management
Complex multi-regimen treatment billing
Prior-authorization for biologics
Radiation oncology billing
340B program compliance

Common revenue challenges

  • Complex modifier rules and frequent payer policy changes
  • High-touch pre-authorization burden
  • Underpayments hidden in fee schedules
  • Documentation gaps driving denials

Billing complexity

  • Specialty-specific CPT and HCPCS coding
  • Bundled procedures and global periods
  • Multiple-procedure reductions and modifier sequencing
  • Payer-specific billing rules

Coding expertise

  • Certified specialty coders
  • ICD-10-CM specificity tuned to your workflow
  • Audit-ready documentation review
  • Quarterly coding updates

Insurance handling

  • Eligibility and benefits verification
  • Prior-auth tracking and follow-up
  • Denial workflow with root-cause analytics
  • Patient responsibility communication

Revenue optimization

  • Underpayment recovery program
  • Fee-schedule benchmarking
  • Payer contract review
  • KPI dashboard with monthly cadence
Case Study

42% revenue growth for a multi-site oncology group

+42% net revenue

FAQ

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