Components & challenges of Radiation-Oncology billing
Cancer being among the most common ailments in the US, radiation oncology is one of the most used medical services in the US with care providers of all types (independent practitioners to hospitals) involved in it. This means a sizable amount of medical resources (money and medical effort) spent on healthcare in the US is claimed by radiation oncology. Alas, most part of it goes unrealized given the demanding nature of insurance procedures.
The radiation oncology insurance procedure involves patient registering, charge entry, claim generation and transmission, payment posting, making appeals for denials and incorrect claims and collection management – and electronic submission of claims to be HIPPA compliant.
Unfortunately, successful reimbursement of a radiation oncology episode requires more than careful adherence to policies, accurate handling of details and ability to transfer data electronically, it also needs:
- Thorough understanding of how much coverage Medicare plan entitles you to (there are three of them Plan A, B and C)
- Establishing whether the oncology treatment was medically necessary and recommended by a licensed physician
For years together physicians in Kentucky have been showing tremendous faith in our medical billers and coders, they have not just provided excellent medical billing skills but also provided top class medical billing consultations.
These billers based in Kentucky have kept physician requirements in the forefront and the interest of the medical practice is of prime importance to them. Our billers are spread across all major locations of this state including Louisville, Lexington, Owensboro, Bowling Green and Covington. They know their job thoroughly and implement all medical billing processes with timelines. Their knowledge across the following will help you analyze their specialization:
Demographic entry of patients
Coding with CPT, ICD-9, and HCPCS
Payment posting, manual as well as electronic
Accounts receivables follow up
Analysis of rejection and denials
Tracking Fee Schedule updates
Eligibility Verification of benefits
Electronic and paper claims submission
Credentialing with all carriers