Oncology Billing Services

Oncology Billing Services

The domain of oncology involves intricate and protracted treatment strategies aimed at cancer prevention and cure. The billing process associated with Oncology necessitates meticulous medical treatment documentation and timely correspondence with insurance companies to secure payment. Accuracy in medical coding and billing, particularly at the conclusion of each treatment phase, ensures adequate reimbursements for the Oncology practice.

Beyond its procedural intricacies, Oncology billing encounters frequent alterations in codes and compliance policies. Often, payers lack updated information, leading to diminished reimbursements for the practice due to inadequate comprehension of procedures and reimbursement standards. Oncology, being multidisciplinary, involves surgeries conducted by specialists from diverse medical fields, accompanied by post-operative care provided by trauma and mental health specialists to aid patients in their recovery—these complexities demand precise and accurate billing and coding.

Our team of coders and billers boasts distinctive expertise, recognizing the significance of every detail in Oncology billing. Outsourcing Oncology billing services promises manifold benefits in patient care while mitigating administrative burdens.

NTMD RCM Expertise in Oncology

Our cadre of medical coders and billers boasts over a decade of specialized experience in oncology billing. Our client base spans across all 50 states, encompassing diverse hospitals, physician practices, and medical billing enterprises. Proficient in ICD-9/10, CPT, HCPCS coding as per CMS and AMA guidelines, our coders hold certification from the American Academy of Professional Coders (AAPC).

Implementing Best Practices for Oncology Billing

Our proficient team comprehends the intricacies inherent in Oncology billing, encompassing costly treatments, emerging technology, extensive surgeries, chemotherapy, mental health interventions, and elaborate treatment regimes. Their adeptness in discerning “Bundled” procedures from additional procedures curtails the misuse of modifiers, consequently averting claim denials. Given the substantial revenue loss attributed to claim denials in oncology, our team has instituted an efficient, denial-resistant revenue management system for your practice.

Our scope of expertise in Oncology includes but is not confined to:

• Medical Oncology
• Surgical Oncology
• Radiation Oncology
• Gynecologic Oncology
• Pediatric Oncology

Our Value Proposition

Leveraging our extensive knowledge and experience in Oncology billing, we establish a reliable billing, coding, and reimbursement process. NTMD RCM   aims to trim your staffing and administrative expenses, elevate revenue, and ensure conformity with all standards while providing added benefits.

• Our specialized Oncology coders, accredited by The American Association of Professional Coders (AAPC), are well-versed in prevalent Medical Coding Software.
• Proficient in processing medical claims with a multitude of commercial insurance companies and government payers, encompassing UHC, WellPoint, Aetna, Humana BCBS, Anthem, Medicare, and state-specific Medicaid Policies.
• Familiarity with software such as Kareo, Heno, edgeMED, Lytech, NextTech, among others.
• Proven success in enhancing clinical and operational efficiency while reducing costs.