Major Reasons for Denial Services performed for diagnoses not listed as covered in this policy or for excessive frequency will be denied as not medically necessary. Frequency is considered excessive when services are performed more frequently than generally accepted by peers and the reason for additional services is not justified by documentation. Indications not listed […]
Billing and Coding Guidelines for Radiation Oncology (Part 1)
Benefits of Medical Coding Audits for Oncology Practice
Accurate medical coding plays an essential role in healthcare information management and overall quality of care. Medical coding audits, both internal and external, ensure that healthcare organizations have the proper policies and procedures in place to achieve quality medical coding. Regular audits can reveal inaccuracy issues, such as outdated codes or even fraudulent billing. These […]
Prevent claim denials in Oncology medical billing
Before we understand how different factors would be affecting the Oncology medical billing we need to understand different changes for the Last year and how they have affected us. Medical billing is seeing a new string of changes in regulating the medical billing and coding of the procedures and diagnostic. In last year, different medical […]
Implementation of intensive care unit strategy for oncology
Cancer patients admitted to an emergency or intensive care unit (ICU) have some critical requirement of basic care needs because of their unknown illness; time-point in the treatment plan and treatment-related deadliness resulting in organ damage, hemodynamic infection, or blood contamination. Over the past two decades, therapeutic advances have reshaped not just the medical approach […]
How 340B payment cuts are affecting the oncology practice?
CMS released the proposed Outpatient Prospective Payment System – OPPS rule for 2018— which includes a major proposed cut for separately payable drugs purchased under the 340B program. The proposal would reduce reimbursement for separately payable Medicare Part B drugs purchased at 340B prices. Reimbursement would drop from average sales price plus 6% to ASP […]
How Hospitals Can Bill For Outpatient Cancer Care?
Hospital medical billing and coding partners for outpatient cancer care centers deliver knowledge from multiple sides of the medical and radiation oncology industry. They are the experts in both, the clinical and business aspects of revenue cycle management. Their unique know-how at the business level, along with the background of working in the outpatient cancer […]
Why Hospitals are Facing Shortage of Oncologists?
Growing Demand for Oncologists Technological advancements in medicine have resulted in age longevity of America’s already growing population. This has allowed an increase in the record number of cancer cases diagnosed every year along with number of survivors and deaths resulting from it. Such an overall increase in the number of cancer cases has also […]
Cope With Financial Management For Your Oncology Practice
All specialties of the medical field are undergoing and experiencing a financial squeeze. This is chiefly due to increased regulations, shifting payment models by insurance payers, higher patient co-pays and deductibles, and low physician reimbursement, and claim denials/rejections for numerous reasons. Further, despite cutting other costs and improving on the billing and coding processes, it […]
Latest MIPS Altercations!! Will It Impact The Oncology Revenue Growth?
With over 18 years of experience and team of certified billers and coders create a Revenue Cycle Management (RCM) for your oncology practice.
Operative Ways to Optimize Oncology Practice
Marketing of services in oncology practice and hematology is essential to optimizing one’s practice. As bigger cancer centers tend to receive the utmost attention, it is required that smaller/individual ones stand out through a brand cancer care message to compete and flourish. Steps To Increase Efficiencies And Profits, While Keeping Patient Care At The Vanguard […]