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Portland, OR United States

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Oncology

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24/7 Support: +1 800-123-1234

Expert Medical Billing Services for Oncology Practices

Maximize reimbursement and reduce claim denials with our specialized billing solutions tailored for oncology practices. We understand the complexity of oncology billing. Oncology practices face unique challenges with high-cost treatments, complex codes for chemotherapy, radiation therapy, and immunotherapy, and ever-changing payer guidelines. Accurately billing for these services requires deep knowledge and expertise to navigate payer-specific rules and ensure proper reimbursement.

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98% First-Pass Pay Rate

With our in-depth knowledge of oncology-specific codes and payer rules, we ensure the majority of your claims are approved the first time, speeding up reimbursement and reducing administrative work.

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30% Reduction in AR Days

Our streamlined billing process and proactive follow-up reduce accounts receivable days, ensuring you receive payments faster and improving your cash flow.

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15% Revenue Increase

Oncology practices that work with us typically see a revenue increase of 20% or more due to improved coding accuracy, faster payments, and better payer negotiations.

accuracy

99% Claim Accuracy

 We ensure all claims are submitted with accurate coding and complete documentation, minimizing rejections and denials, and ensuring timely payments.

Common Billing Challenges in Oncology

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Complex and Detailed Coding for Oncology Services

Oncology services require specialized CPT, ICD-10, and HCPCS codes for treatments like chemotherapy, radiation therapy, immunotherapy, and bone marrow transplants. Incorrect coding can result in claim denials, underpayments, or payment delays.

How We Solve It:

Our billing team is highly trained in oncology-specific codes. We ensure that all treatments, diagnostic services, and related procedures are correctly coded, eliminating the risk of errors and maximizing your reimbursement.

challenge

High Cost of Treatments and Specialty Drugs

Oncology treatments often involve expensive specialty drugs, biologics, and cutting-edge therapies, which complicate the billing process. Managing these high-cost treatments and ensuring proper documentation for reimbursement can be challenging.

How We Solve It:

We work closely with your practice to ensure that high-cost drugs and treatments are properly documented and billed in compliance with payer guidelines. Our team ensures that your practice receives full reimbursement for the expensive treatments provided to your patients.

challenge

Denial Management and Appeals

Oncology billing is highly susceptible to claim denials due to the complexity of the services offered. Denials are often related to issues with coding, insufficient documentation, or a failure to meet payer-specific medical necessity requirements.

How We Solve It:

Our dedicated denial management team works quickly to identify the causes of claim denials. We handle all aspects of the denial and appeals process, ensuring timely resubmissions and increased approval rates. Our focus is on getting your claims paid as quickly as possible.

challenge

Medical Necessity and Documentation Requirements

Payers, especially Medicare, require detailed documentation to demonstrate medical necessity for oncology treatments. Without proper documentation, claims may be delayed or denied.

How We Solve It:

We assist your practice in gathering the necessary clinical documentation to support the medical necessity of the services provided. We ensure that all relevant medical records, treatment plans, and patient histories are submitted alongside claims to ensure timely and full reimbursement.

challenge

Coordination of Care and Multiple Payer Systems

Oncology practices often deal with a complex mix of private insurance, Medicare, Medicaid, and other third-party payers. Each payer has different guidelines, rates, and documentation requirements, making coordination a challenge.

How We Solve It:

Our billing experts handle the complexities of working with multiple payers, ensuring that claims are accurately submitted according to each payer’s requirements. We streamline the process and ensure that your practice is reimbursed for all services provided, regardless of the payer.

How We Solve Oncology Billing Challenges

Accurate and Timely Coding for Oncology Services
Our certified coders have extensive knowledge of oncology procedures and treatments, including chemotherapy, radiation, and biologics. We ensure that all services are correctly coded using the most up-to-date ICD-10, CPT, and HCPCS codes to guarantee appropriate reimbursement.
Comprehensive Denial Management and Appeals
We proactively handle claim denials by identifying and addressing the root causes. Our team ensures that all issues are resolved through corrections, documentation updates, or appeals. We focus on reducing denials and accelerating your payment cycle.
Medical Necessity Documentation Support
We assist in gathering the required documentation to prove the medical necessity of oncology treatments, including chemotherapy regimens, radiation protocols, and patient histories. This reduces the risk of claims being delayed or denied due to missing documentation.
Multi-Payer Coordination and Compliance
We manage the complexities of multiple payer systems by ensuring that each claim is submitted in full compliance with payer-specific rules and guidelines. Whether it’s Medicare, Medicaid, private insurers, or secondary payers, we ensure accurate claims submissions for all payers involved.
Streamlined Billing Process
We streamline your practice’s billing process from start to finish, handling everything from patient eligibility checks to claims submissions and follow-up. Our efficient billing process ensures that your practice receives timely and accurate payments for every oncology service provided.

What Our Oncology Clients Are Saying

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"Oncology practices face both clinical and administrative complexity. NY Practice Partner has been invaluable in keeping our billing organized and efficient. Their RCM services ensure accurate claims, faster reimbursements, and consistent collections, which allows us to focus on delivering life-saving treatments."

Dr. Kevin Marshall, Oncologist

"Our oncology clinic struggled with billing inefficiencies until we partnered with NY Practice Partner. Their revenue cycle management gave us stability, improved cash flow, and the financial clarity needed to invest in new therapies and better patient care."

Dr. Sophia Bennett, Oncologist

"HopeCare Oncology Center needed predictable revenue to support both patients and staff. NY Practice Partner brought order to our RCM, reduced billing errors, and improved financial performance. Now, our oncology practice operates with confidence and sustainability."

Janet Walker, Practice Manager – HopeCare Oncology Center

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