United MBS specializes in oncology billing with precise coding for cancer treatments and chemotherapy services. We help oncology practices maximize their reimbursements and minimize their claim denials

Fast Revenue Recovery & Error-free Billing Claims

Oncology

Optimized Billing Solutions

What is Oncology Billing?

Oncology billing is a highly complex and specialized area of medical billing services. With cutting edge cancer treatments constantly emerging, billing staff at oncology practices face unique challenges. Oncology reimbursement also continues to evolve with healthcare reforms and new value based payment models. United MBS offers updated oncology medical billing, coding, reimbursement services, and revenue cycle management for cancer care.

Here are some key aspects of United MBS's Oncology Billing:

Multidisciplinary care:
Cancer patients interact with a variety of specialists including oncologists, surgeons, radiation oncologists and pathologists. Appropriate coordination and documentation is crucial for accurate coding and billing across specialties.
Multiple service locations:
Cancer care requires services delivered in multiple settings. Oncology billers must understand documentation and billing requirements across sites of service.
High cost medications:
Oncology practices often administer expensive injectable or oral anti-cancer drugs. Strict adherence to coding guidelines and billing units is essential for proper reimbursement.
Clinical trials:
Patients may participate in clinical trials for experimental treatments. Billing these services requires researching trial protocols, payor coverage, and proper trial-specific coding.
Prior authorizations:
Oral cancer drugs and expensive treatments often require upfront insurance authorizations before services are delivered. Billers must proactively manage prior auth requests and denials.

We help you Enhance Financial Performance, while you stay Focussed on Oncology Patient Care

Oncology Coding Guidelines

Oncology billing relies on specialized medical coding to translate services into claims for reimbursement.

Here are some key coding considerations:

ICD coding – Selecting the right ICD diagnostic codes is crucial for documenting the patient’s cancer type, stage, metastases, and any complications impacting treatment.
CPT coding – Oncology services use a range of CPT codes for evaluation and management, procedures, radiation therapy planning and delivery, chemotherapy administration, and more.
HCPCS codes – The HCPCS system includes codes to identify drugs, biologicals, and supplies needed for cancer care.
Modifiers – Modifiers provide additional information to insurers about certain services, like chemotherapy administration routes or billing for discarded drugs.
RADV audits – CMS uses RADV audits to review radiation oncology billing and coding. Practices should ensure documentation supports coding choices and reflects true patient care needs.
Billing lab services – Pathology and lab services for tumor testing, biomarkers, and monitoring must be coded accurately and billed in coordination with treating oncologists.

Our expert team is adept in using all Oncology related ICD-10, CPT, HCPCS codes and modifiers to ensure that your billing is accurately processed, denials are reduced and the revenues are increased.

We are fully trained to work on your existing EHR/EMR

Our medical billing specialists know the workarounds of all the EHRs/EMRs. List of some popular EHRs/EMRs that United MBS frequently use is given below.