MBC for Physicians

Oncology Billing Services

Optimize Your Practice Revenue &
Billing Efficiency

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Getting Started

Our Oncology billing services focus on the complex procedures involved in cancer care. We offer custom solutions to streamline billing, ensuring accurate reimbursement and compliance for oncology practices, hospitals, and cancer centers. 

As oncology treatments like targeted therapies and immunotherapies advance, we handle the billing and coding challenges, so oncologists can concentrate on providing excellent patient care.

Medical Billing At A Glance

Explore key figures that highlight our commitment to
seamless coding and optimized reimbursement.

Claims Processing
Metrics

First Pass
Resolution Rate

Percentage of claims paid on the first submission.

Average Days to
Payment

Average number of days it takes for claims to be paid.

Financial Metrics

Net Collection
Rate

Percentage of total charges that are collected.

Average Denial
Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

Average Claims
Submitted Per Month

Volume of claims
submitted.

Staff Productivity
Rate

Claims processed per biller per day.

Oncology Billing Services

Maximizing claim efficiency and compliance for
superior revenue management

  • Overview
  • Comprehensive Oncology Billing and Coding Services
  • Complexity of Oncology Billing
  • Expert Support for Healthcare Providers
  • Specialized Oncology Billing Expertise
  • Value to Physicians
  • Successful Track Record with Major Insurers

Oncology billing and coding is highly specialized due to the complex and long-duration treatment procedures involved in cancer care. As patients undergo various tests, pre- and post-procedural visits, and multiple stages of treatment, ensuring proper documentation and payment tracking at every stage is critical for timely reimbursements.

Oncology billing requires navigating through intricate processes, making it essential for healthcare providers to rely on administrative support to manage the reimbursement cycle effectively.

  • Tracking copayments, deductibles, and fee schedules.
  • Regular code audit checks to ensure the use of appropriate codes.
  • Generating custom reports to analyze cash flow and manage accounts receivable.

Mastering Every Code for
Oncology Specialty

Our expertise spans the full code range, ensuring precision and
compliance in every claim we process

Common E/M Codes in Oncology Billing

99201-99205

New patient office/outpatient visit

99211-99215

Established patient office/outpatient visit

99241-99245

Office or outpatient consultation

99354-99355

Prolonged services with direct patient contact

Chemotherapy Administration Codes

96409

IV infusion technique

96411

IV push technique

96413

IV infusion requiring pump

96415

Additional hour of IV infusion

96417

Additional sequential infusion (different drug)

Chemotherapy Drug Codes

J9000-J9999

Chemotherapy drugs

J0640

Leucovorin calcium injection

J0897

Denosumab injection

J9015

Aldesleukin injection

J9299

Trastuzumab injection (Herceptin)

Therapeutic, Prophylactic, and Diagnostic Injections

96372

Subcutaneous or intramuscular injection

96365-96366

IV infusion (initial and additional hours)

96374-96375

Chemotherapy administration (push & infusion)

Medical Oncology Services

96400-96406

Complex chemotherapy administration (IV, central veins, implantable pumps)

96401-96402

Additional chemotherapy drug or hour

Lab and Pathology Services

80048

Basic metabolic panel

85025

Complete blood count (automated)

88182

Flow cytometry analysis

88304-88342

Surgical pathology and immunohistochemistry

Radiation Oncology Services

77300

Radiation dosimetry calculation

77261-77263

Radiation treatment planning (simple, intermediate, complex)

77332-77427

Stereotactic radiation treatment and management

Nuclear Medicine Services

78012-78070

Thyroid and parathyroid imaging

78800-78804

PET scanning (whole body and CT-guided)

Evaluation and Procedures

10021

Fine needle aspiration biopsy (without imaging)

19281

Breast biopsy with imaging

20550

Sinus tract injection

31625

Bronchoscopy with biopsy

47100

Liver biopsy (needle, percutaneous)

Pain Management Services

27096

Sacroiliac joint injection (anesthetic/steroid)

62263

Percutaneous lysis of epidural adhesions

63650

Neurostimulator electrode implantation (epidural)

64400

Paravertebral nerve injection (anesthetic)

64633

Paravertebral facet joint neurolysis (with image guidance)

Evaluation of Cancer Treatment Complications

96440

Chemotherapy injection, intrathecal (without preservative)

99183

Moderate sedation for chemo embolization

47562

Laparoscopic cholecystectomy with exploration

49440

Implantable defibrillator electrodes

48547

Complex fistula repair

Download Your Oncology
Billing Guideline Here

Why Choose Us?

Analyze Practice & Benchmark

Data-driven analysis to compare and enhance your practice’s performance.

Practice Documentation SOP

Standardized operating procedures for seamless practice documentation.

Measure Results Consistently

Continuous monitoring to deliver reliable and consistent results.

Ready To Optimize Your
Oncology Billing Process ?

Real Physicians, Real Results

Discover how physician groups thrive with us

Help Us Understand Your Requirements

Get in touch with us for more Information.
We're ready to assist with your billing and coding needs.

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