Oncology Billing in Maryland: Best Practices for Hospital-Based RCM

Oncology billing in Maryland presents unique challenges for hospital-based practices, from complex chemotherapy administration codes to prior authorization requirements for high-cost biologics. Maryland’s healthcare landscape, governed by its distinctive all-payer hospital rate-setting system, adds another layer of complexity to oncology revenue cycle management. Medical Billers and Coders (MBC) brings 25+ years of specialized experience helping […]

Oncology RCM in Virginia: Maximize Drug Reimbursement with Correct Codes

Oncology RCM in Virginia is more challenging than ever, with practices losing thousands of dollars monthly due to incorrect drug coding and reimbursement errors. With chemotherapy drugs like Keytruda costing over $12,000 per dose and immunotherapy treatments reaching six figures annually, even a single coding mistake can devastate your practice’s bottom line. Effective oncology RCM […]

Billing Oncology Infusions and Injectable Drugs: Common Errors to Avoid

Streamlining Billing Oncology: Avoid Pitfalls, Boost Revenue Navigating billing oncology —especially for infusions and injectable drugs—can feel like walking a tightrope. One misstep in coding, documentation, or prior authorizations can lead to claim denials, compliance headaches, and lost revenue. With 20% of oncology claims denied due to avoidable errors, getting it right isn’t just important—it’s critical for […]

5 Signs It’s Time to Switch Your Oncology Billing Company

Oncology billing is one of the most complex areas in medical billing, requiring expertise in intricate coding, frequent regulatory updates, and strict compliance guidelines. A reliable billing partner is crucial for maintaining financial stability and operational efficiency. However, if your practice is experiencing consistent revenue losses, high claim denials, or communication breakdowns, it may be […]

Understanding CPT Code 77338

CPT code 77338 as maintained by the American Medical Association, is a medical procedural code under the range – Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services for Radiation Treatment. In the field of medical coding, accurate and up-to-date knowledge is crucial to ensure proper billing and reimbursement. One such code that plays a […]

An Overview of Radiation Oncology Codes – Part 2

In radiation oncology, specific CPT code categories have been established to capture the various aspects of treatment, including delivery, planning, and specialized techniques. These codes not only facilitate billing and reimbursement processes but also contribute to accurate communication and tracking of procedures within the field. In the first part of this article we discussed, the […]

An Overview of Radiation Oncology Codes – Part 1

In radiation oncology, specific CPT code categories have been established to capture the various aspects of treatment, including delivery, planning, and specialized techniques. These codes not only facilitate billing and reimbursement processes but also contribute to accurate communication and tracking of procedures within the field. In this article, we will explore the radiation oncology codes […]

MBC: Leading Oncology Medical Billing Company

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 […]

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 […]

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