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
Our billers and coders in Maryland work with the sole purpose of providing quality medical billing services to physicians. They are dedicated to providing you regular cash flow for your practice since they have an overall understanding of the dynamic nature of healthcare insurance. This knowledge and understanding has come to them as a result of years of training in the state of Maryland.
These billers believe in being close to their physicians to resolve any issues that may spring up and therefore are present in all cities of Maryland like Baltimore, Rockville, Frederick, Gaithersburg and Columbia. Besides they have the required expertise to successfully operate with different specialties across all healthcare practices. Some of the services which our medical billers specializes in are:
Coding with CPT and ICD-9
Electronic submission of claims
Accounts receivable management
Patient billing and collections
Compliance to HIPAA and other rules and regulations