Oncology Billing Services

Walk off your anxiety towards effective RCM while Aegis’s Oncology Billing Service can make a thorough and accurate billing to prevent claim denials.

Is your Oncology billing taking a hard toll on your Oncology practice?

With recent developments in the ever-expanding field of Cancer, Oncologists treating patients diagnosed with Leukemia, Lymphoma, Mesothelioma, Multiple Myeloma, and other cancers need to be presented with thorough and error-free billing to ensure the accuracy of their payments and refunds.

Oncology Certified Billers and Coders make it possible by providing thorough paperwork of the entire treatment and diagnosis process, which will naturally enhance your ability to gain reimbursements.

We guarantee a thorough Oncology billing and coding service while you continue to align with the needs of the practice and patient care in the dynamic healthcare industry.

We are ready to reveal our multi-step ahead prediction capability when you get stuck with the below Oncology billing challenges:

To know more about our Oncology Billing and Coding services, contact us at: 855-975-9735.

• Inadequate verification of Health Insurance.
• Lack of update on change in payer’s status if a patient has multiple insurance policies — Coordination of Benefits (COB).
• Replacement plans.
• Failure to verify the provider’s contract or issues in contract with insurance.
• Absence of referrals being mentioned in the bill.
• Failure to obtain authorizations in advance based on the patient’s schedule in a timely and efficient manner.
• Getting an authorization for invalid drug units/dosages and non-prescribed drugs. (Failure to report drug wastage and omitting required information.)

• Charge entry errors, possibly human errors.
• Failure in billing relevant HCPCS level III codes.
• Usage of irrelevant ICD-10 codes.
• Adapting to new ICD-10 and HCPCS code amendments based on yearly updates.

• Incorrect usage of administration code (specific to the route of administration).
• Omitting to bill primary or base code for administration.
• Replacement plans.
• Miscalculating the hours or minutes of administration.
• Failure to follow the required drug regimen prescribed by Doctor.

• Mishandling of Biosimilars.
• Lack of knowledge on suitable preferred and non-preferred medications, as indicated by the respective insurer.
• Codes with multiple drug names.
• Incorrect frequency and cycle calculation.

We establish the best medical billing practices to take the next step to elevate your RCM. Our knowledge and expertise in handling multiple types of cancers and blood disorders and therapies - Radiation therapy and Radiology energize you to solve your billing issues.

As your Oncology Billing Partner, we solve your billing issues and help your practice get over the Hurdle.

Glance now to know how we solve..

• Mishandling of Biosimilars.
• We support Cancer Care teamwork functioning with great collaboration – We coordinate with practice managers for efficient care towards your practice, involving patient scheduling and basic bookkeeping.
• We are well-equipped to keep current with industry trends, state and federal legislation, and insurance policy updates and changes to help oncologists successfully navigate the challenges in the evolving healthcare revenue generation landscape.
• We take on the burden of obtaining pre-authorizations. With well-acquired knowledge in obtaining critical, backdated, or retro authorization, we ensure no authorizations are missed. We specialize in obtaining authorization in advance based on the patient’s schedule.
• In cases of claim denials, we believe the appeal is not the only solution. We are clear on what steps to take next to get payments and try till the end of the claim journey to bring out a minimum percentage of denial.
• We also look into billing for appropriate HCPCS level III codes to avoid fraud and abuse fines.
• We have been adapting to new ICD-10 and HCPCS code amendments released annually. Hence, you may not chase for new amendments and new drugs to be launched in the market.
• We adhere to the CMS, State, Contract/Insurance, and NCCN guidelines to ensure a clean claim, which other Oncology Billing Companies do not follow.

• We also stick to the correct usage of the administration code, where some misinterpretations are bound to happen. We carefully monitor the codes based on the type of administration, time of administration, and the age factor of the patient, along with the billing of primary or base code for an administration, and any miscalculated hours or minutes of administration are also taken care of.
• We have proven experience and specialization in prescribed drugs and regimens.
• Checking for NDC mismatch and appropriate drug wastage calculation and billing is ensured a clean claim.
• More care is taken while billing codes have multiple drug names.
• We have perfect experts in handling and suggesting Biosimilars based on your patient condition and preferred drug by the insurance for authorization.
• We provide assistance and support towards payment models, including OCM- Oncology care model, EOM- Enhanced Oncology model, and Merit-based Incentive Payment System (MIPS).
• Oncologists reveal legitimate concerns about meeting the MACRA QPP requirements while preserving the financial viability of their practices. We make sure to guide you in meeting such standards.

As a most trusted Oncology Billing Service, we can roll beyond your expectations and fetch you a sustainable improvement.

We are crafted to take care of your Oncology Billing and Coding concerns