Medical Billers and Coders (MBC) is a leading medical billing company providing complete medical billing and coding services for various billing specialties, including oncology. As a leading oncology medical billing company, we provide comprehensive revenue cycle management services, including charge entry, benefits verification, claim submission, payment posting, denial management, accounts receivable, and provider credentialing. Our […]
MBC: Leading Oncology Medical Billing Company
Read More.. MBC: Leading Oncology Medical Billing Company
Things to Know Prior to Implementation of Radiation Oncology Model
Introduction to Radiation Oncology Model The Radiation Oncology Model aims to improve the quality of care for cancer patients receiving radiotherapy (RT) and move toward a simplified and predictable payment system. The RO Model tests whether prospective, site-neutral, modality agnostic, episode-based payments to physician group practices (PGPs), hospital outpatient departments (HOPD), and freestanding radiation therapy […]
Chemotherapy Administration Coding Guidelines 2022
The Centers for Medicare & Medicaid Services (CMS) recently published revised coding guidelines for CPT codes 90000 – 99999. In this Blog, we shared CPT codes applicable for Chemotherapy Administration Coding and minor updates in guidelines. Chemotherapy Administration Coding Guidelines 2022 Reporting Initial Service Code The CPT codes 96360, 96365, 96374, 96409, and 96413 describe […]
Expanded Coverage of Lung Cancer Screening with LDCT
Lung cancer is one of the most common cancers and the leading cause of cancer-related death in both men and women in the United States. This screening is aimed at the early detection of non-small cell lung cancer. On 10th Feb 2022, the Centers for Medicare & Medicaid Services (CMS) announced a national coverage determination […]
Benefits of Outsourcing Oncology Medical Billing
By its very nature, oncology is one of the more stressful fields of medicine. Physicians are involved in scenarios dealing with life-threatening diseases and complex treatments every day. That means any other work apart from patient care will add stress. This includes administration and execution of oncology medical billing. Annual changes in medical coding, payer-specific […]
Oncologists should be prepared for E&M service changes in 2021
It is important for all oncologists to be prepared as significant changes to the Evaluation and Management (E&M) codes E/M are into effect from January 1, 2021. Components for code selection were narrowed down to make them more clinically intuitive and to reduce variation among contractors and payers. Elements of MDM affecting coding for an […]
Delayed Implementation of Radiation Oncology Model
The Radiation Oncology (RO) Model goals to improve the quality of care for cancer patients getting radiotherapy (RT) and move toward an easy and predictable payment system. The Radiation Oncology Model tests whether modality agnostic, bundled, site-neutral, prospective, episode-based payments to physician group practices (PGPs), hospital outpatient departments (HOPD), and freestanding radiation therapy centers for […]
Oncology Care Model (OCM) are willing to take on two-sided risk
Oncology practitioners in CMS’s Oncology care model (OCM) are willing to take on two-sided risk, according to the Community Oncology Alliance (COA) survey. The oncology practitioners are confident they can get success in providing quality and cost-effective cancer care as the healthcare system undergoes the shift from fee-for-service to value-based care. Community Oncology Alliance surveyed […]
Key Trends in Value-based Care of Oncology
In the healthcare industry, Value-based healthcare is the new delivery model in which care providers, including hospitals and physicians, are rewarded for helping patients improve their health and are paid based on patient health outcomes. This model has great adoption in Oncology for delivering holistic patient care while driving sustainable cost savings. In this model participating […]
Billing and Coding Guidelines for Radiation Oncology (Part 2)
Billing and Coding Guidelines (continued…) Treatment devices, designs, and construction may be charged during a course of therapy when documentation substantiates multiple volumes of interest/ports, the use of custom-made devices, and/or the necessity of replacement devices. Providers should bill for devices at the beginning of the treatment course and then may bill again later in […]