Oncology

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Expert Medical Billing Services for Oncology Practices

Maximize reimbursement and reduce claim denials with our specialized billing solutions tailored for oncology practices. We understand the complexity of oncology billing. Oncology practices face unique challenges with high-cost treatments, complex codes for chemotherapy, radiation therapy, and immunotherapy, and ever-changing payer guidelines. Accurately billing for these services requires deep knowledge and expertise to navigate payer-specific rules and ensure proper reimbursement.

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97% First-Pass Pay Rate

With our in-depth knowledge of oncology-specific codes and payer rules, we ensure the majority of your claims are approved the first time, speeding up reimbursement and reducing administrative work.

25% Reduction in AR Days

Our streamlined billing process and proactive follow-up reduce accounts receivable days, ensuring you receive payments faster and improving your cash flow.

20%+ Revenue Increase

Oncology practices that work with us typically see a revenue increase of 20% or more due to improved coding accuracy, faster payments, and better payer negotiations.

99%+ Claim Accuracy

We ensure all claims are submitted with accurate coding and complete documentation, minimizing rejections and denials, and ensuring timely payments.

Common Billing Challenges in Oncology

challenge

Complex and Detailed Coding for Oncology Services

Oncology services require specialized CPT, ICD-10, and HCPCS codes for treatments like chemotherapy, radiation therapy, immunotherapy, and bone marrow transplants. Incorrect coding can result in claim denials, underpayments, or payment delays.

How We Solve It:

Our billing team is highly trained in oncology-specific codes. We ensure that all treatments, diagnostic services, and related procedures are correctly coded, eliminating the risk of errors and maximizing your reimbursement.

challenge

High Cost of Treatments and Specialty Drugs

Oncology treatments often involve expensive specialty drugs, biologics, and cutting-edge therapies, which complicate the billing process. Managing these high-cost treatments and ensuring proper documentation for reimbursement can be challenging.

How We Solve It:

We work closely with your practice to ensure that high-cost drugs and treatments are properly documented and billed in compliance with payer guidelines. Our team ensures that your practice receives full reimbursement for the expensive treatments provided to your patients.

challenge

Denial Management and Appeals

Oncology billing is highly susceptible to claim denials due to the complexity of the services offered. Denials are often related to issues with coding, insufficient documentation, or a failure to meet payer-specific medical necessity requirements.

How We Solve It:

Our dedicated denial management team works quickly to identify the causes of claim denials. We handle all aspects of the denial and appeals process, ensuring timely resubmissions and increased approval rates. Our focus is on getting your claims paid as quickly as possible.

challenge

Medical Necessity and Documentation Requirements

Payers, especially Medicare, require detailed documentation to demonstrate medical necessity for oncology treatments. Without proper documentation, claims may be delayed or denied.

How We Solve It:

We assist your practice in gathering the necessary clinical documentation to support the medical necessity of the services provided. We ensure that all relevant medical records, treatment plans, and patient histories are submitted alongside claims to ensure timely and full reimbursement.

challenge

Coordination of Care and Multiple Payer Systems

Oncology practices often deal with a complex mix of private insurance, Medicare, Medicaid, and other third-party payers. Each payer has different guidelines, rates, and documentation requirements, making coordination a challenge.

How We Solve It:

Our billing experts handle the complexities of working with multiple payers, ensuring that claims are accurately submitted according to each payer’s requirements. We streamline the process and ensure that your practice is reimbursed for all services provided, regardless of the payer.

How We Solve Oncology Billing Challenges

Accurate and Timely Coding for Oncology Services

Our certified coders have extensive knowledge of oncology procedures and treatments, including chemotherapy, radiation, and biologics. We ensure that all services are correctly coded using the most up-to-date ICD-10, CPT, and HCPCS codes to guarantee appropriate reimbursement.

Comprehensive Denial Management and Appeals

We proactively handle claim denials by identifying and addressing the root causes. Our team ensures that all issues are resolved through corrections, documentation updates, or appeals. We focus on reducing denials and accelerating your payment cycle.

Medical Necessity Documentation Support

We assist in gathering the required documentation to prove the medical necessity of oncology treatments, including chemotherapy regimens, radiation protocols, and patient histories. This reduces the risk of claims being delayed or denied due to missing documentation.

Multi-Payer Coordination and Compliance

We manage the complexities of multiple payer systems by ensuring that each claim is submitted in full compliance with payer-specific rules and guidelines. Whether it’s Medicare, Medicaid, private insurers, or secondary payers, we ensure accurate claims submissions for all payers involved.

Streamlined Billing Process

We streamline your practice’s billing process from start to finish, handling everything from patient eligibility checks to claims submissions and follow-up. Our efficient billing process ensures that your practice receives timely and accurate payments for every oncology service provided.

What Our Oncology Clients Are Saying

“

"NY Practice Partner has been a fantastic partner in handling our billing. Their expertise in oncology billing and coding has greatly improved our cash flow and reduced the number of claim denials we face. We now spend less time on billing issues and more time focusing on patient care."

— Dr. Emily Thompson, Oncologist, Cancer Care Clinic

Vein Specialist, Eterna Vein

"We've been impressed with the billing services provided by NY Practice Partner. They handle everything from chemotherapy drug billing to radiation therapy claims, and we’ve seen a significant reduction in our accounts receivable and a quicker turnaround for payments."

— John Martin, CFO, Oncology Associates

Vein Specialist, Eterna Vein

"Thanks to NY Practice Partner, we no longer struggle with billing delays. They’ve streamlined our claims process and improved our reimbursement rates. Their team truly understands the complexities of oncology billing and has helped us get paid faster and more accurately."

— Dr. Brian Larson, Radiation Oncologist, Summit Cancer Center

Vein Specialist, Eterna Vein

Maximize Your Oncology Practice’s Billing Efficiency with NY Practice Partner

If your oncology practice is facing billing challenges, we are here to help. Our expert team specializes in oncology billing and ensures that your practice gets paid accurately and promptly. Let us handle the billing so you can focus on providing life-saving care to your patients.

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Oncology

Call Us when you Need Help!

Expert Medical Billing Services for Oncology Practices

97% First-Pass Pay Rate

25% Reduction in AR Days

20%+ Revenue Increase

99%+ Claim Accuracy

Common Billing Challenges in Oncology

challenge

Complex and Detailed Coding for Oncology Services

How We Solve It:

challenge

High Cost of Treatments and Specialty Drugs

How We Solve It:

challenge

Denial Management and Appeals

How We Solve It:

challenge

Medical Necessity and Documentation Requirements

How We Solve It:

challenge

Coordination of Care and Multiple Payer Systems

How We Solve It:

How We Solve Oncology Billing Challenges

Accurate and Timely Coding for Oncology Services

Comprehensive Denial Management and Appeals

Medical Necessity Documentation Support

Multi-Payer Coordination and Compliance

Streamlined Billing Process

What Our Oncology Clients Are Saying

“

— Dr. Emily Thompson, Oncologist, Cancer Care Clinic

— John Martin, CFO, Oncology Associates

— Dr. Brian Larson, Radiation Oncologist, Summit Cancer Center

Maximize Your Oncology Practice’s Billing Efficiency with NY Practice Partner

Register An Account

Choose Call Time

Start Virtual Care

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Contact Us!

516-566-NYPP (6977)

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